User:Esteed6608/Deprescribing

Deprescribing

Deprescribing

Deprescribing is the process of tapering, withdrawing, discontinuing or stopping medications to reduce polypharmacy, adverse drug effects and inappropriate or ineffective medication use. It involves re-evaluating the ongoing reasons for, and effectiveness of medication therapy. It is often applied for those with chronic conditions, for the elderly and for those who have a limited life expectancy. In all of these situations, polypharmacy can contribute to an increased risk of adverse events, and people may benefit from a reduction in medication use.

Deprescribing is a targeted process performed by medical professionals that can be effective in reducing medication burden in patients to improve quality of life while maintaining control of chronic conditions. tags which will then appear here automatically -->

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[Epub ahead of print]

Other Refs

1. Rochon PA, Gurwitz JH. Optimising drug treatment for elderly people: the prescribing cascade. BMJ 2007;315:1096 2. Ramage-Morin P. Medication use among senior Canadians. Health Reports 2009;20(1), Catalogue no. 82-003-XPE. 3. Hayes BD, Klein-Schwartz W, Barrueto F. Polypharmacy and the geriatric patient. ClinGeriatr Med 2007;23:371–390. 4. Anthierens S, Tansens A, Petrovic M, Christiaens T. Qualitative insights into general practitioners’ views on polypharmacy. BMC FamPract 2010;11:6 5. Drugs claims by seniors: an analysis focusing on potentially inappropriate medication use, 2000 to 2006 [book on the internet]. Ottawa: Canadian Institute for Health Information; 2007 [cited 2012 Nov 4]. Available from: https://secure.cihi.ca/.../Potentially_Inappropriate_Medications_EN.pdf. 6. Zulman D, Sussman JB, Chen X, Cigolle CT, Blaum CS, Hayward RA. Examining the evidence: a systematic review of the inclusion and analysis of older adults in randomized controlled trials. J Gen Intern Med 2011;26(7):783-790. 7. Nadeem NJ, Taylor S, Eldridge S. Withdrawal of inhaled corticosteroids in individuals with COPD – a systematic review and comment on trial methodology. Resp Res 2011;12(107):1-10. 8. Best Practice Journal. A practical guide to stopping medicines in older people. Best Pract J 2010;27:10-23 9. Holmes HM, Hayley DC, Alexander GC, Sachs GA. Reconsidering medicine appropriateness for patients late in life. Arch Intern Med 2006;166:605-9 10. van Duijn HJ, Belo JN, Blom JW, Velberg ID, Assendelft WJ. Revised guidelines for cardiovascular risk management - time to stop medication? A practice-based intervention study. Br J Gen Pract. 2011 Jun;61(587):e347-52. doi: 10.3399/bjgp11X578025. 11. Lader M, Tylee A, Donoghue J. Withdrawing benzodiazepines in primary care. CNS Drugs. 2009;23(1):19-34. doi: 10.2165/0023210-200923010-00002. 12. Lee YS, Choo MS, Lee JY, Oh SJ, Lee KS. Symptom change after discontinuation of successful antimuscarinic treatment in patients with overactive bladder symptoms: a randomised, multicentre trial. Int J Clin Pract 2011;65(9): 997–1004. 13. Chae SY, Chae MH, Isaacson N, James TS. The patient medication list: can we get patients more involved in their medical care?. J Am Board Fam Med. 2009 Nov-Dec;22(6):677-85. doi: 10.3122/jabfm.2009.06.090059.

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