Deprescribing Medications in Elderly Patients

Deprescribing Medications in Elderly Patients - #68

Identifying inapproproate medications in elderly patients

Geriatric patients in hospitals and clinics.

Elderly patients taking multiple medications, presenting to a hospital or outpatient clinical setting.

Polypharmacy is not clearly or consistently described in the literature and can have connotations suggesting that the medications a patient is taking are excessive, unnecessary, or avoidable.  

  1. Identify the potential for unnecessary or inappropriate medication use in elderly patients.
  2. Describe a strategy to partner with patients and develop deprescribing options.
  3. To track and identify inappropriate medications among elderly patients

1.  Gu Q, and Dillon C.  Prescription Drug Use Continues to Increase: U.S. Prescription Drug Data 2007-2008.  NCHS Data brief No. 42, Sept. 2010.

2. Jansen J, Naganathan V, et al.  Too much medicine in older people?  Deprescribing through shared decision making.  BMJ 2016; 353:i2893 doi: 10.1136/bmj.i2893 (Published 3 June 2016)

3. Bushardt, RL, Massey EB et al.  Polypharmacy: Misleading, but manageable.  Clin Int Aging 2008; 3(2): 383-389.

4. J Am Geriatr  Soc. 2015 Nov; 3(11):2227-46. Doi; 10.1111/jgs.13702. Epub 2015 Oct 8.

This GFF ___ my competence in geriatrics.

Steven Denson, MD

Kathryn Denson, MD

Department of Medicine

Division of Geriatrics/Gerontology

Medical College of Wisconsin

Milwaukee, Wisconsin