Subtract Before You Add: Deprescribing to reduce polypharmacy
Christopher V. Flores, MD
Staff Physician, Eisenhower Health
Assistant Clinical Professor,
Loma Linda University School of Medicine
Palm Desert, California
This activity was developed for physicians including Eisenhower medical staff along with nurses and ancillary staff.
At the end of this presentation, participants should be better able to:
- Appreciate the burden of polypharmacy, especially in elderly patients, and the association of polypharmacy with poor outcomes such as hospitalization, falls, cognitive impairment, and adverse drug reactions.
- Develop a systemic approach to deprescribing, including identifying patients who are at risk of poor outcomes from polypharmacy, recognizing potentially inappropriate medications, and creating a plan to discontinue medications safely and effectively.
- Anticipate patient barriers and resistance to deprescribing certain medications (e.g. sedative/hypnotics for sleep and narcotic analgesics for chronic pain) and prepare plans and approaches to successfully negotiate deprescribing in difficult situations.
- Become familiar with "legacy prescribing" - instances where medications are intended to be used for a short or defined period of time (e.g. PPI's, SSRI's, benzodiazepines, anti-platelet agents and anticoagulants) - and measures to avoid refilling unnecessary prescriptions.
- 1.00 AAFP
- 1.00 AMA PRA Category 1 Credit(s)™
- 1.00 Attendance
- 1.00 CA-BRN