A. Todd
Recommendations to support deprescribing medications late in life
Todd, A.; Holmes, H.
Authors
H. Holmes
Abstract
It is widely acknowledged that patients—particularly those late in life—are frequently exposed to the harms of medication. To minimize these harms, several frameworks have been developed by which prescribing can be optimized. In the context of diminishing life expectancy, these frameworks can be used to reduce medications that are no longer necessary, but appear to fall short of actual guidelines that incorporate a consideration of stopping medications. In this commentary, we present recommendations that could be incorporated into prescribing processes for all healthcare professionals and, ultimately, used to support the rationalization or deprescribing of medication in diminished life expectancy. We frame these recommendations in the same context as guidance for the initiation and discontinuation of implantable cardiac devices and argue that the two processes—with regards to decision-making—should be the same. We present our recommendations with preventive medication use in mind, and use statin therapy as an illustrative example.
Citation
Todd, A., & Holmes, H. (2015). Recommendations to support deprescribing medications late in life. International Journal of Clinical Pharmacy, 37(5), 678-681. https://doi.org/10.1007/s11096-015-0148-6
Journal Article Type | Article |
---|---|
Online Publication Date | Jun 16, 2015 |
Publication Date | Oct 1, 2015 |
Deposit Date | Jun 18, 2015 |
Publicly Available Date | Jun 16, 2016 |
Journal | International Journal of Clinical Pharmacy |
Print ISSN | 2210-7703 |
Electronic ISSN | 2210-7711 |
Publisher | Springer |
Peer Reviewed | Peer Reviewed |
Volume | 37 |
Issue | 5 |
Pages | 678-681 |
DOI | https://doi.org/10.1007/s11096-015-0148-6 |
Keywords | Deprescribing, Polypharmacy, Rationalizing medications. |
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Copyright Statement
The final publication is available at Springer via http://dx.doi.org/10.1007/s11096-015-0148-6.
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