Subtract Before You Add: Deprescribing to reduce polypharmacy

Rancho Mirage, CA US
February 14, 2019

Christopher V. Flores, MD

Staff Physician, Eisenhower Health
Assistant Clinical Professor,
Loma Linda University School of Medicine
Palm Desert, California

Target Audience

This activity was developed for physicians including Eisenhower medical staff along with nurses and ancillary staff.

Learning Objectives

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.
Course summary
Available credit: 
  • 1.00 AAFP
  • 1.00 AMA PRA Category 1 Credit(s)™
  • 1.00 Attendance
  • 1.00 CA-BRN
Course opens: 
Course expires: 
Event starts: 
02/14/2019 - 12:00pm
Event ends: 
02/14/2019 - 1:00pm
Annenberg Center Health Sciences at Eisenhower
39000 Bob Hope Drive
Rancho Mirage, CA 92270
United States

Available Credit

  • 1.00 AAFP
  • 1.00 AMA PRA Category 1 Credit(s)™
  • 1.00 Attendance
  • 1.00 CA-BRN


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