by Eric Christianson | Jan 18, 2026 | Endocrine Case Studies
Prescribing cascades don’t usually start with “bad” medications. In fact, they often begin with some of our most effective therapies. Metformin, SGLT2 inhibitors, and GLP-1 receptor agonists all have strong outcome data in type 2 diabetes. But when adverse effects are...
by Eric Christianson | Jan 7, 2026 | Polypharmacy Cases And The Prescribing Cascade
Mr. H is a 78-year-old male presenting to a primary care clinic for a routine medication review. In this scenario, we want to identify deprescribing targets. His past medical history includes hypertension, heart failure with preserved ejection fraction (HFpEF),...
by Eric Christianson | Nov 16, 2025 | Long Term Care Consultant Pharmacist Education and Information, Psychiatry and Addiction Medicine Case Studies
It’s not uncommon to see patients in long-term care facilities prescribed medications for anxiety, agitation, or insomnia. Two such medications that can raise red flags are Atarax (hydroxyzine) and Ativan (lorazepam). While both can be appropriate in select...
by Eric Christianson | Nov 9, 2025 | Neurology, Pain, and Musculoskeletal Case Studies
An 82-year-old woman with a history of mild Alzheimer’s dementia is started on donepezil 10 mg nightly to help with memory and cognitive function. After several weeks, her family reports that she’s been waking up multiple times per night to urinate and has complained...
by Eric Christianson | Oct 15, 2025 | Psychiatry and Addiction Medicine Case Studies
In this case scenario, I review a common situation I’ve encountered with duplicate antidepressant therapy. JS is a 67-year-old male with a history of type 2 diabetes, peripheral neuropathy, and depression. He has been taking sertraline (podcast) 100 mg daily for...
