• Med. Clin. North Am. · Sep 2020

    Review

    Thoughtful Prescribing and Deprescribing.

    • Vassiliki Pravodelov.
    • Section of Geriatrics, Department of Medicine, Boston University School of Medicine, 72 East Concord Street, Robinson 2, Boston, MA 02118, USA; Boston Medical Center, One Boston Medical Center Place, Boston, MA 02118, USA. Electronic address: vpravode@bu.edu.
    • Med. Clin. North Am. 2020 Sep 1; 104 (5): 751-765.

    AbstractPolypharmacy, the use of five or more medications, is common in older adults. It can lead to the use of potentially inappropriate medications and severe adverse outcomes. Deprescribing is an essential step of the thoughtful prescribing process and it can decrease the use of potentially inappropriate medications. Studies have demonstrated that deprescribing is feasible in the clinical setting, especially when it incorporates patient preferences, shared decision making, and an interdisciplinary team. Medication-specific algorithms can facilitate deprescribing in the clinical setting.Copyright © 2020 Elsevier Inc. All rights reserved.

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