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The prescribing cascade: the error of treating side effects with more drugs

27 October 2026 at 12:51
When an adverse effect is mistaken for a new disease, another drug is prescribed.

Marta Tello is a 23-year-old pharmacist who works in Algete, in the Madrid region of Spain. Six months ago, while completing her training with a primary care team in Seville, she encountered a clinical case that she says she will remember throughout the professional career she is just beginning: “This person was taking 18 different medications, something striking even for an 80-year-old with multiple underlying conditions. When we reviewed the case, we identified several prescribing cascades that needed to be reassessed,” she says.

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Marta Tello, at the González Pérez pharmacy where she works in Algete, Madrid.A family doctor reviews a patient’s medications with her at a health center in Barcelona.

Patti Smith calls on citizens to use the power of their vote against Trump’s ‘deplorable leadership’

By: EP
21 October 2026 at 10:46

The American singer and writer Patti Smith, this year’s recipient of the Princess of Asturias Award for the Arts, said Tuesday at a news conference following the ceremony in Oviedo, Spain that “sometimes it feels like we don’t have power, but we do have power,” and that what the U.S. needs right now is “for people to use that power, to rise up, think for ourselves and then unite.” She added that for her it is difficult to talk about her country’s current situation, describing it as having “deplorable leadership.”

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© Eloy Alonso (EFE)

American singer and writer Patti Smith, winner of the 2026 Princess of Asturias Award for the Arts, in Mieres, Spain.
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