by Eric Christianson | Jun 15, 2025 | Endocrine Case Studies
One of my biggest pet peeves is the use of sulfonylureas with insulin. Recall that sulfonylureas stimulate the release of insulin and in many patients with Type 2 diabetes we may not be getting much out of the sulfonylurea or in some cases, the extra boost in insulin...
by Eric Christianson | Jun 1, 2025 | Hematology and Immunology Medication and Disease State Clinical Pearls, Uncategorized
When patients have anemia, supplements often get prescribed. To many of our polypharmacy patients, excessive prescribing can lead to an increase in pill burden that may not always be necessary. When looking at deprescribing supplements, anemia is an excellent disease...
by Eric Christianson | May 21, 2025 | Infectious Disease and Oncology Case Studies
Nitrofurantoin is often used in patients for UTI prophylaxis. One potential concern with nitrofurantoin use is pulmonary toxicity. This can often be overlooked in patients as a potential cause of respiratory problems. Here’s a case scenario where nitrofurantoin...
by Eric Christianson | Apr 6, 2025 | Polypharmacy Cases And The Prescribing Cascade
Deprescribing is an important part of care for hospice patients. The main goal of hospice care is to focus on comfort care rather than curative treatments, which means evaluating if a patient’s current medications are still indicated, effective, safe, and convenient....
by Eric Christianson | Mar 23, 2025 | Neurology, Pain, and Musculoskeletal Medication and Disease State Clinical Pearls
Modafinil (Provigil) is a stimulant type of medication that is most often utilized in narcolepsy. In my geriatric practice, I do see occasional off-label use to help stimulate energy in patients who are experiencing fatigue. I’ll outline my top 5 modafinil...
