{"podcast":{"title":"Frankly Speaking About Family Medicine","slug":"frankly-speaking-about-family-medicine-434006","podcast_index_feed_id":434006,"rss_url":"https://feed.podbean.com/primedfranklyspeaking/feed.xml","website_url":"https://primedfranklyspeaking.podbean.com","image_url":"https://pbcdn1.podbean.com/imglogo/image-logo/13721080/PRM-123_DPL_mediaplayer_frankly-speaking_x7npub.jpg","author":"Pri-Med","episode_count":503,"summary":"A weekly Podcast series covering newsworthy topics in primary care medicine. Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com","last_synced_at":"2026-07-20T12:18:28.603391+00:00","page_url":"https://stenobird.com/podcast/frankly-speaking-about-family-medicine-434006"},"episode":{"title":"New Complaint? Wait! Could It Be a Medication Side Effect? - Frankly Speaking Ep 475","slug":"new-complaint-wait-could-it-be-a-medication-side-effect-frankly-speaking-ep-475","published_at":"2026-03-09T05:30:00+00:00","page_url":"https://stenobird.com/podcast/frankly-speaking-about-family-medicine-434006/new-complaint-wait-could-it-be-a-medication-side-effect-frankly-speaking-ep-475","show_page_url":"https://stenobird.com/podcast/frankly-speaking-about-family-medicine-434006","url":"https://primedfranklyspeaking.podbean.com/e/new-complaint-wait-could-it-be-a-medication-side-effect-frankly-speaking-ep-475/","audio_url":"https://mcdn.podbean.com/mf/web/jg3ruik9t6vdycuk/frankly-speaking-475-prescribing-cascade_1prprojbqrcw.mp3","summary":"Credits: 0.25 AMA PRA Category 1 Credit™ CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-475 Overview: A prescribing cascade occurs when adverse effects of a medication are mistaken for a new condition and treated with additional drugs. Older adults experiencing polypharmacy are most at risk. The impact of prescribing cascades can be substantial, leading to falls, organ injury, unnecessary imaging and tests, and more. Join us as we explore how to recognize and prevent these harmful cascades in your patients. Episode resource links: Adrien O, Mohammad AK, Hugtenburg JG, et al. Prescribing cascades with recommendations to prevent or reverse them: a systematic review. Drugs Aging. 2023;40(12):1085-1100. doi:10.1007/s40266-023-01072-yPubMedGoogle ScholarCrossref Brath H, Mehta N, Savage RD, et al. What is known about preventing, detecting, and reversing prescribing cascades: a scoping review. J Am Geriatr Soc. 2018;66(11):2079-2085. doi:10.1111/jgs.15543PubMedGoogle ScholarCrossref Daunt R, McGettigan S, Kelly L, Curtin D, O'Mahony D. Detection of Potential Prescribing Cascades in Multimorbid Older Patients Hospitalised with Acute Illness-An Observational Prospective Prevalence Study. Drugs Aging. 2025;42(6):535-546. doi:10.1007/s40266-025-01201-9 Growdon ME, Tjota N, Campbell R, et al. Decision-Making and Downstream Outcomes of the Gabapentinoid-Diuretic Prescribing Cascade. JAMA Netw Open. 2025;8(12):e2545274. doi:10.1001/jamanetworkopen.2025.45274 McCarthy LM, Savage R, Dalton K, et al. ThinkCascades: a tool for identifying clinically important prescribing cascades affecting older people. Drugs Aging. 2022;39(10):829-840. doi:10.1007/s40266-022-00964-9PubMedGoogle ScholarCrossref O’Mahony, D., Cherubini, A., Gui…","meta_description":"Credits: 0.25 AMA PRA Category 1 Credit™ CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-475 Ov…","key_points":[],"chapters":[],"topics":[],"duration_seconds":998,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/frankly-speaking-about-family-medicine-434006/episodes/new-complaint-wait-could-it-be-a-medication-side-effect-frankly-speaking-ep-475/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/frankly-speaking-about-family-medicine-434006/new-complaint-wait-could-it-be-a-medication-side-effect-frankly-speaking-ep-475.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}