by Eric Christianson | Oct 28, 2026 | Renal, Urology, and Electrolytes Case Studies
A patient reports increased urinary frequency and incontinence. The response? A new prescription for tolterodine (Detrol). Before adding another medication, pharmacists should consider whether this is a potential prescribing cascade. In a recent case scenario, a...
by Eric Christianson | Aug 2, 2026 | Gastrointestinal Case Studies, Renal, Urology, and Electrolytes Case Studies
In this case scenario, we describe how and why dicyclomine and BPH can be a bad combination. Jim is a 68-year-old retired teacher who visits his primary care provider complaining of intermittent lower abdominal cramping that has been occurring for several months. The...
by Eric Christianson | Sep 28, 2025 | Renal, Urology, and Electrolytes Case Studies
In this case study, we will outline an adverse effect of midodrine that can lead to the prescribing cascade. SK is a 79-year-old male nursing home resident with a history of Parkinson’s disease, hypertension, and benign prostatic hyperplasia (BPH). Over the past few...
by Eric Christianson | Sep 3, 2025 | Renal, Urology, and Electrolytes Case Studies
In this case study, I outline the use of desmopressin for urinary incontinence. It isn’t an order I see very often, but it is critical to remember the concerns of hyponatremia with this medication. Here’s the case; ES is an 82-year-old female living in an...
by Eric Christianson | Aug 27, 2025 | Renal, Urology, and Electrolytes Case Studies
In this hyperkalemia case study, I outline the importance of paying attention when medications are discontinued. EN is a 78-year-old female with chronic kidney disease stage 4, hypertension, heart failure with preserved ejection fraction, and type 2 diabetes. She had...
by Eric Christianson | Mar 9, 2025 | Renal, Urology, and Electrolytes Case Studies
MS is a 78-year-old female with a history of overactive bladder with urinary frequency and urge incontinence. Her current medications include: Oxybutynin 5 mg twice daily, Hydrochlorothiazide 25 mg daily, Lisinopril 10 mg daily, Sertraline 25 mg daily, Lorazepam 0.25...
