This activity is part of the Frankly Speaking with Dr. Frank Domino podcast series.
Frankly Speaking CME 173


The Prescribing Cascade: What Is It and How Do We Prevent It? - Frankly Speaking EP 173Guest: Susan Feeney, DNP, FNP-BC
Music Credit: Richard Onorato

In primary care we are tasked with treating multiple conditions, therefore many of our patients are on numerous medications. Some of these medications are prescribed to deal with side effects of other medications. Often clinicians may not be aware that they are treating preventable drug side effects and wind up prescribing even more medications. This causes a cascade effect that results in significant polypharmacy. Join us while we discuss this common phenomenon and strategies to minimize or avoid it entirely. 


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CME/CE Information

0 Credits - Not for CME/CE Credit

Release Date: 5/18/2020

Expiration Date: 5/18/2021

Learning Objectives

  • Identify the concept of a prescribing cascade and its potential impact on individuals, especially older adults 
  • Recognize potential prescribing cascades in practice 
  • Apply strategies to avoid and minimize the prescribing cascade to improve patient outcomes 


Frank J. Domino, MD

Professor, Family Medicine and Community Health,
University of Massachusetts Medical School, Worcester, MA

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Susan Feeney, DNP, FNP-BC, NP-C

Assistant Professor and Coordinator of the Family Nurse Practitioner Track

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The Prescribing Cascade: What Is It and How Do We Prevent It? - Frankly Speaking EP 173