Why are patients on gabapentin more likely to be prescribed a loop diuretic

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The medication lists of many older adults require some scrolling to get from top to bottom. In fact, the lists are often so lengthy and complicated that it's difficult to discern what conditions a patient doesn't have. One reason for this unwieldiness is a phenomenon known as the prescribing cascade, in which the side effects of one medication require treatment with another, and so on. Some of these cascades, even if cumbersome to the patient, make a certain amount of physiological sense. For example, patients getting chemotherapy also get anti-emetics, or patients on opioids for pain receive a bowel regimen for constipation. However, one cascade is a little less obvious. Why are patients on gabapentin more likely to be prescribed a loop diuretic? • 0:00 Introduction • 1:36 Prescribing cascades • 3:48 Gabapentin to furosemide cascade • 11:25 How does gabapentin cause edema • 21:42 Take-home points • iTunes: https://podcasts.apple.com/gb/podcast... • Spotify: https://open.spotify.com/show/0aKts5f... • X: / curiousclinpod • Website: https://curiousclinicians.com/ • Substack: https://thecuriousclinicians.substack... • The information contained in this episode is for educational and entertainment purposes only and does not constitute medical advice.

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