The most common prescribing cascade I see in my practice is:

  • ACE inhibitor -> cough -> Antibiotic (1%, 1 Votes)
  • Anticholinergic Drug -> Confusion -> Donepazil (6%, 4 Votes)
  • Amlodipine -> LE edema -> Diuretic (53%, 36 Votes)
  • NSAID -> elevated BP -> Antihypertensive (40%, 27 Votes)

Total Voters: 68

Start Date: April 8, 2022 @ 3:17 PM
End Date: May 3, 2022 @ 5:29 PM

CASE: 53 yo obese female with BP 140-150/90-100 over the past 4 months. No comorbidities. Works hourly wage job. Transportation challenging. What's the best tx approach?

  • Thiazide diuretic (15%, 18 Votes)
  • ACE inhibitor (26%, 32 Votes)
  • Ultra low-dose combination thiazide/ARB/CCB (26%, 31 Votes)
  • Need patient's race to determine best approach (33%, 40 Votes)

Total Voters: 121

Start Date: March 8, 2022 @ 9:20 AM
End Date: April 8, 2022 @ 3:23 PM

Case: 67 yr old black female with hx of impaired fasting glucose, HTN (BP today = 138/62), and obese (BMI=33). Taking ARB, CCB, and aspirin. What's the best move today?

  • Start metformin (46%, 96 Votes)
  • Start SGLT2 inhibitor (21%, 44 Votes)
  • Stop aspirin (23%, 48 Votes)
  • Switch ARB to thiazide (10%, 20 Votes)

Total Voters: 208

Start Date: January 12, 2022 @ 1:54 PM
End Date: No Expiry

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