• Richard Gilpin, Olwen C McDade, and Chris Edwards.
• Nevill Hall Hospital, Abergavenny, UK richardgilpin@doctors.org.uk.
• Clin Med (Lond). 2022 Jan 1; 22 (1): 586258-62.

AbstractClinicians are responsible for both commencing and stopping medications. This study evaluates the attitudes of older acute medical inpatients about deprescribing. Overall, patients are positive toward stopping medications, want to be involved and do not feel a clinician is giving up on them if a medication is stopped. Patients on fewer medications counterintuitively feel a greater medication burden, are more interested in being involved in decision making and consider deprescribing appropriate to a greater degree than patients who are taking more medications. Conversely, they also reported greater concerns about stopping medications. We discuss these findings in the context of the positive and negative effects of deprescribing, in the context of patient engagement and shared decision making, and how clinicians can work with inpatients to reduce potentially inappropriate medications.© Royal College of Physicians 2022. All rights reserved.

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