by Eric Christianson | Mar 4, 2026 | Neurology, Pain, and Musculoskeletal Case Studies
Medication reviews in patients with rheumatoid arthritis often uncover clinically significant drug therapy problems. Methotrexate toxicity, drug interactions, and therapeutic duplication are common issues that pharmacists must proactively identify. In this case-based...
by Eric Christianson | Feb 15, 2026 | Medication Errors, Psychiatry and Addiction Medicine Case Studies
Medication errors can get ugly in a hurry. I was prompted to write this example as I came across a situation recently where an elderly patient received a schizophrenic patient’s high-dose antipsychotic. This high dose antipsychotic error resulted in an ICU stay...
by Eric Christianson | Feb 1, 2026 | Endocrine Case Studies
In this case scenario, a patient is prescribed Carafate (sucralfate) for GI concerns, and it leads to a case of hypothyroidism due to the Carafate Synthroid drug interaction. Robert H. is a 62-year-old male with a history of primary hypothyroidism that has been well...
by Eric Christianson | Jan 28, 2026 | Psychiatry and Addiction Medicine Case Studies
This was a case I came across recently where duloxetine was added to a patient’s regimen. The provider did not adequately assess the medication and recognize that the patient was already taking an SNRI in Effexor. This led to a case of duplicate SNRI therapy....
by Eric Christianson | Jan 25, 2026 | Respiratory Case Studies
In this case study, we outline a likely case of propranolol-induced asthma. Mr. J.S. is a 62-year-old male with a past medical history significant for essential tremor, mild persistent asthma, hypertension, and hyperlipidemia. His asthma has been well controlled for...
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...