Prescribing cascade in a geropsychiatric patient: A slippery slope

Abstract

A prescribing cascade is a situation, in which an adverse drug reaction is mistaken for a new medication condition, and a new medication is prescribed. We present a case, in which risperidone led to a prescribing cascade in a geriatric patient. We share this case to improve awareness and vigilance of prescribing cascades in the geropsychiatric population.

Keywords

• Adverse drug reaction
• antipsychotics
• polypharmacy
• prescribing cascade
• risperidone