Towards the end-of-life, improving quality of #life may become more important than simply prolonging life.

Non-essential #medications can be detrimental for the person and public #health.

Retrospective study finds #deprescribing practices are not yet commonplace in the final 12 months of life

#Care #PalliativeCare #Geriatrics #Drugs #LessIsMore #MedMastodon #Polypharmacy

https://www.sciencedirect.com/science/article/pii/S1751991825000786

#Deprescribing antihypertensive medication in frail older adults: balancing the complexities of #polypharmacy and individualised #care

RCTs on deprescribing in a population without adverse effects of studied medication have little chance of a positive outcome

#Geriatrics #MedMastodon

https://academic.oup.com/ageing/article/53/12/afae267/7914359

I was put on cholesterol meds a few months ago although my levels are within normal limits.
I've noticed my BP has been quite high (for me) over the past few weeks.
I stopped the cholesterol meds as hypertension is a SE.
My BP is almost back to my normal.

Side effects of drugs aren't considered often enough. High BP is a huge stroke / heart attack risk.

The next step for my GP would be to put me on anti-hypertensives, with their myriad of side effects.

#polypharmacy huh.

There are multiple dimensions of challenge if you live with #MLTC and we are now turning to a deep dive into one of them: #polypharmacy - taking multiple medications for those multiple conditions.

We’re honoured to have Prof Tony Avery who is the National Clinical Director for Prescribing for NHS England chair the discussion and present an introduction including recommendations for systematic and cultural improvements within the NHS.

#PioneerAIM #AIMRSF

Do most psychiatrists realize that benzodiazepines should not be prescribed long-term?

Read the full article: How Can a Psychiatrist Help With Mental Health, Prescribing Benzodiazepines?
▸ https://lttr.ai/AWF6b

#BIND #InformedConsent #Supplements #Insomnia #focus #psychiatry #IatrogenicInjury #PolyPharmacy #DrugInteractions #Benzodiazepines #BlackBoxWarnings #QuitColdTurkey #MentalHealthTreatment #PrescribedMultipleMedications

https://open.substack.com/pub/insidemedicine/p/report-older-americans-still-take?selection=e98bc7b0-298a-49ef-a716-394b9a7d7ff1&r=roppe&utm_medium=ios “A new study published in JAMA Internal Medicine found that over the first two decades of the century, rates of #polypharmacy in older US adults have not improved, despite growing awareness of the problem. In the early years of the century, polypharmacy actually increased, leveling off after around 2007. The overall rate of polypharmacy in older US adults is (as of 2020) 43%, up from 24% in 2000”

https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2820722

Multifaceted Interventions Inclusive of #Medication Optimization for #Frailty in Aged Care: A Systematic Review

"...There is no published #research investigating best-practice #guidelines for medication optimization used in combination with both #exercise and #nutrition in aged #care to address frailty..."

#Geriatrics #Medicine #Ageing #Aging #Deprescribing #Polypharmacy

https://www.jamda.com/article/S1525-8610(24)00533-4/abstract?dgcid=raven_jbs_aip_email