by Eric Christianson | Aug 19, 2026 | Polypharmacy Cases And The Prescribing Cascade
In my practice as a geriatric consultant pharmacist, reducing medications is always a top priority. Here’s a med list from a recent patient for whom I had numerous polypharmacy targets. Potassium chloride 20 mEq PO daily Omeprazole 20 mg PO twice daily...
by Eric Christianson | May 3, 2026 | Polypharmacy Cases And The Prescribing Cascade
I’ve been collecting examples of situations where a patient is “stable”, and a provider doesn’t want to change medications. Stable is good, right? It is, but it can also lead to providers not wanting to reduce medications and change anything....
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 | Oct 1, 2025 | Polypharmacy Cases And The Prescribing Cascade
I was asked a question the other day about trying to reduce medications in a patient on hospice. More specifically, how to address the use of PPIs. Proton pump inhibitors (PPIs) are some of the most overused medications we see in clinical practice, but hospice...
by Eric Christianson | Aug 31, 2025 | Neurology, Pain, and Musculoskeletal Case Studies
RS is a 62-year-old male with a history of type 2 diabetes, hypertension, atrial fibrillation, and metastatic colorectal cancer. He presents to the clinic with complaints of numbness, tingling, and burning pain in both feet that have been gradually worsening over the...