Steroidal cascade

Adverse drug reactions precipitate the prescribing cascade, so the key to preventing prescribing cascades is the avoidance and early detection of adverse drug reactions. Since many adverse drug reactions in the elderly are dose related, starting treatment at low doses and titrating to effect will reduce the risk of adverse drug reactions. Most adverse drug reactions occur within a few months of starting a medicine, so health professionals should consider the potential for an adverse drug reaction to be the cause of any new symptoms, particularly if a drug has been recently started or changed. Health professionals should remember to ask patients about new symptoms, because many patients do not report adverse drug reactions.

Steroidal cascade

steroidal cascade

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