Development and validation of search filters to identify articles on deprescribing in Medline and Embase [PDF]
Background Deprescribing literature has been increasing rapidly. Our aim was to develop and validate search filters to identify articles on deprescribing in Medline via PubMed and in Embase via Embase.com . Methods Articles published from 2011 to 2020 in
Thomas Morel +3 more
doaj +2 more sources
Deprescribing in Older People: A Clinical Practice Guideline Summary. [PDF]
ABSTRACT Introduction Older people face higher risks of medicine‐related harm due to polypharmacy and the use of potentially inappropriate medicines. Current treatment guidelines rarely specify when to stop medicines, leading to medicines often being continued indefinitely without a clear deprescribing plan.
Quek HW +71 more
europepmc +2 more sources
Insights Into Pharmacist-Led Deprescribing of Benzodiazepines and Related Drugs: A Qualitative Study With Physicians and Pharmacists. [PDF]
ABSTRACT While deprescribing benzodiazepines and related drugs (BZRDs) is crucial for preventing prolonged use and their associated adverse effects, it presents challenges from a healthcare perspective, because of limited resources and time. Recently, a pharmacist‐led deprescribing of BZRDs in the treatment of insomnia was introduced in Helsinki's ...
Korppas M +3 more
europepmc +2 more sources
Tailoring a complex intervention to reduce antidepressants in institutionalized older persons with dementia [PDF]
Introduction First-line treatment for behavioral and psychiatric symptoms of dementia is non-pharmacological. Still, psychotropic medication is widely used, despite its limited effect and harmful side-effects. More than half of all nursing home residents
Pernille Hølmkjær +5 more
doaj +3 more sources
The I-Learn Cognition and Behavior program for non-pharmacological treatment of agitation in nursing home residents with neurocognitive disorders: A cluster randomized trial. [PDF]
Abstract INTRODUCTION The “I‐Learn Cognition and Behavior” program, integrating e‐learning and simulation, aims to equip long‐term care facility staff with non‐pharmacological approaches for managing agitation in residents with neurocognitive disorders. This study evaluated the program's effectiveness.
Lourdel C +18 more
europepmc +2 more sources
Background There is significant concern about increasing long-term antidepressant use in Western countries, much of which is not evidence-based. Median duration of treatment is more than 2 years in the United Kingdom, and more than 10% of adults are ...
Tony Kendrick +37 more
doaj +2 more sources
Drug deprescription—withdrawal risk, prevention, and treatment [PDF]
In most cases, a sudden interruption of most medications has no major consequences. There are well-recognized therapies that, when withheld, can either lead to the reappearance of the symptoms they were controlling or to signs or symptoms of withdrawal ...
Gabriel M Aisenberg
exaly +2 more sources
Deprescribing Benzodiazepine Receptor Agonists in Older Adults and People With Cognitive Impairment: A Systematic Review. [PDF]
ABSTRACT Background Benzodiazepine receptor agonists (BZRAs) (benzodiazepines and z‐drugs) may provide limited benefits in the management of insomnia when used short‐term. However, they increase the risk of harms including falls, fractures, hospitalizations, and cognitive impairment. Deprescribing (cessation) of BZRAs may be beneficial for older adults
McEvoy AM +5 more
europepmc +2 more sources
Deprescribing psychoactive drugs in older orthogeriatric patients: findings from the GIOG2.0 Italian survey [PDF]
Background Psychoactive drugs represent a major contributor to falls in older people. This study aims to evaluate the prescribing practice of psychoactive drugs in older people hospitalized for hip fracture (HF) and to explore independent correlates of ...
Andrea Cavalli +16 more
doaj +2 more sources
Prescriptive Appropriateness: Inhospital Adherence to Proton Pump Inhibitors Deprescription Flow Chart. [PDF]
The prescriptive appropriateness of Proton Pump Inhibitors (PPIs) in polypharmacy is controversial. PPIs are often overprescribed and the risk of prescribing errors and adverse drug reactions increases for each additional drug added to therapy. Hence, guided deprescription should be considered and easily implementable in ward practice.
Baiardi G +7 more
europepmc +4 more sources

