Med Ed 101

MARCH 14, 2021

Diuretics are a medication that I see used on a daily basis. Here’s a few examples I’ve seen in my practice regarding diuretics and the prescribing cascade. The post Diuretics And The Prescribing Cascade appeared first on Med Ed 101. Leg Cramp Supplements Many […].

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The deprescribing.org Blog

MARCH 9, 2022

Today we are talking about prescribing cascades with Dr. Sameera Toenjes from University of Toronto (Canada). For her master’s thesis, Dr. Toenjes is applying qualitative research methods to better understand how to address prescribing cascades, an important and under-recognized contributor to polypharmacy.

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Med Ed 101

APRIL 17, 2019

Just like adding medications can lead to adding more medications (prescribing cascade), we can think of this strategy in reverse in an attempt to try to stop polypharmacy. Potassium and Diuretics Loop and thiazide diuretics are well known to deplete […]. Stopping medications can lead to stopping more medications.

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Med Ed 101

NOVEMBER 27, 2019

I have seen the prescribing cascade happen in clinical practice far too many times! With a period of days to weeks, that patient is then placed on diuretics or doses have had […]. One of those classic examples is heart failure. A patient is placed on a new medication that contributes to edema and heart failure.

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Med Ed 101

OCTOBER 2, 2022

JA is a 61 year old male who has a past medical history of hypertension, diabetes, anemia, and arthritis. His current medications include metoprolol 25 mg BID, hydrochlorothiazide 25 mg once daily, lisinopril 10 mg daily, metformin 500 mg BID, ferrous sulfate 325 mg twice daily, acetaminophen 500 mg twice daily, and states taking an […].

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Med Ed 101

AUGUST 14, 2022

In most clinical situations, I’m a stickler for trying to prevent the prescribing cascade. I lay out hundreds of polypharmacy case examples including the prescribing cascade in my highly rated book Perils of Polypharmacy. The post 3 Proper Causes of The Prescribing Cascade appeared first on Med Ed 101.

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Med Ed 101

DECEMBER 9, 2020

As a geriatric pharmacist, I can’t tell you the number of times I have seen amlodipine prescribed with the subsequent addition (usually a few weeks later) of furosemide. The post Amlodipine Then Furosemide Prescribing Cascade appeared first on Med Ed 101. A recent study looked at over 40,000 patients […].

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