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inappropriate prescription
Management:
- assess medication compliance
- is the medication too expensive, will the patient fill the medication?
- is patient's medication schedule practical or achievable?
- can patient or caregiver correctly administer medication?
- consider life expectancy & goals of treatment
- assess ability to comply with drug monitoring
- assess for drug adverse effects
- assess for drug interactions
- medication review by pharmacist is the most effective strategy to reduce inappropriate prescriptions [2,3,4,5]
Related
Beers criteria
medication deprescribing
Specific
inappropriate medications in the elderly (by disorder)
polypharmacy (unecessary drug prescription)
General
prescription
References
- Kaur S et al
Interventions that can reduce inappropriate prescribing in the elderly:
a systematic review.
Drugs Aging. 2009;26(2):1013-1028
PMID: 19929029
- Tannenbaum C, Tsuyuki RT
The expanding scope of pharmacists' practice: implications for physicians.
CMAJ. 2013;185(14):1228-1232
PMID: 23959280 PMCID: PMC3787169 Free PMC article
- Martin P, Tannenbaum C
A prototype for evidence-based pharmaceutical opinions to promote
physician-pharmacist communication around deprescribing.
Can Pharm J (Ott). 2018;151(2):133-141
PMID: 29531631 PMCID: PMC5843115 Free PMC article
- Paauw DA
11 Drugs You Should Seriously Consider Deprescribing: 2018 Update
Medscape Oncology. November 5, 2018.
https://www.medscape.com/slideshow/deprescribing-6009041
- Rodgers S, Taylor AC, Roberts SA, et al.
Scaling-up a pharmacist-led information technology intervention (PINCER)
to reduce hazardous prescribing in general practices:
Multiple interrupted time series study.
PLoS Med. 2022;19(11):e1004133.
PMID: 36383560 PMCID: PMC9718399Free PMC article