Reducing prescribing cascades
African Journal of Primary Health Care & Family Medicine
| Field | Value | |
| Title | Reducing prescribing cascades | |
| Creator | Tejani, Aaron M. Perry, Thomas L. | |
| Description | Prescribing cascades contribute to the increasing prevalence of polypharmacy and its associated risks, where a drug-induced adverse event is misinterpreted as a new condition and treated with additional medications. Notable cascades include the use of anticholinergics leading to cognitive impairment, dyspepsia or constipation, which then prompt prescriptions for dementia medications, proton pump inhibitors or laxatives, respectively. Similarly, calcium channel blockers and gabapentinoids often induce oedema, resulting in unnecessary diuretic use. Strategies for prevention include careful review of adverse effects, deprescribing where appropriate and clinician education to improve symptom interpretation and prescribing practices. Recognising these cascades can mitigate unnecessary interventions and improve patient outcomes. | |
| Publisher | AOSIS | |
| Date | 2025-03-31 | |
| Identifier | 10.4102/phcfm.v17i1.4929 | |
| Source | African Journal of Primary Health Care & Family Medicine; Vol 17, No 1 (2025); 4 pages 2071-2936 2071-2928 | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://phcfm.org/index.php/phcfm/article/view/4929/8085
https://phcfm.org/index.php/phcfm/article/view/4929/8086
https://phcfm.org/index.php/phcfm/article/view/4929/8087
https://phcfm.org/index.php/phcfm/article/view/4929/8088
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