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The Review Course in Family Medicine

TOP 9 Common Prescribing Cascades

Consider these TOP 9 common prescribing cascades at your next medication review. These are top of my mind when I am writing SAMP questions addressing deprescribing in the elderly.


The ThinkCascades tool is a great turn of phrase and tool that will help you reduce polypharmacy and avoid drug interactions.


These are the Top 9 based on expert opinion from 38 clinicians in 6 countries:


References: ThinkCascades: A Tool for Identifying Clinically Important Prescribing Cascades

Affecting Older People







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