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Deprescribing considerations for older people in general practice
Hui Wen Quek1, Amy Page2, Kathleen Potter3
1BPharm(Hons), GradCertAppPharmPrac, PhD student, School of Allied Health, University of Western Australia, Perth,@WA.
Australian Journal of General Practice
|April 6, 2023
Summary
Deprescribing involves safely stopping medicines that cause harm or offer no benefit. This guide helps general practitioners (GPs) and nurse practitioners deprescribe effectively in elderly patients, minimizing withdrawal risks.
Area of Science:
- Geriatric Medicine
- Pharmacology
- Patient Safety
Background:
- Deprescribing, the planned withdrawal of ineffective or harmful medications, is a crucial aspect of patient care.
- While the term may be unfamiliar, the practice of deprescribing is well-established.
- It aims to reduce medication-related harm and improve patient outcomes.
Purpose of the Study:
- To provide general practitioners (GPs) and nurse practitioners with the latest evidence on deprescribing.
- To guide healthcare professionals in deprescribing medications for elderly patients.
- To support safe and effective medication management in older adults.
Main Methods:
- This article synthesizes current evidence on deprescribing strategies.
- It focuses on practical approaches for GPs and nurse practitioners.
- Evidence is collated to inform clinical decision-making.
Main Results:
- Deprescribing is a safe and effective strategy to reduce polypharmacy and high-risk prescribing.
- Key challenges include avoiding adverse drug withdrawal events in older individuals.
- Successful deprescribing requires a patient-centered approach.
Conclusions:
- Implementing deprescribing can significantly improve medication safety in the elderly.
- Strategies like 'stop slow, go low' and careful withdrawal planning are essential.
- Collaboration with patients is vital for successful deprescribing outcomes.
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