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• Discontinuation of drugs with the patient/family

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(1)

Pharmaceutical Care

Ankara University

Faculty of Pharmacy

(2)

Deprescribing

• Discontinuation of drugs with the patient/family

• Systematically and intentionally

• Withdrawal, gradual reduction/release or dose reduction

2

(3)

Risks and Benefits

• Some examples:

• Benefit

• To prevent possible damages caused by polypharmacy

• Risk

• Drug withdrawal reactions

3

(4)

Examples of Medications

• Some examples:

• PPI

• Antipsychotics

• Statins

4

(5)

Main Steps

• Identify all medicines and their causes

• Consider the risk of drug-related damage

• Comparison of future damage or load potential

• Choose the one with the lowest benefit-loss ratio

• Watch patients closely

5

Scott IA et al JAMA Intern Med. 2015;175(5):827-834

(6)

Polypharmacy

• Use of 5 or more medications (no standard definition)

6

(7)

Reasons

• Some examples:

• Many comorbidities

• Acute health problems

7

(8)

Lifestyle Changes

• Some examples:

• Prevent home accidents

• Nutrition and water intake

8

Referanslar

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