Polypharmacy & De-Prescribing
Following on from the recent medication poll I enclose a couple of articles to consider when taking lots of different medications.
My question is how many medications do you take and have you ever considered that any of them may be 'unnecessary' e.g. are no longer helpful or could perhaps be replaced with an alternative, possibly less invasive or damaging treatment?
Would you consider an alternative treatment, for say, sleep hygiene rather than a sleeping pill; counselling rather than depression meds; losing weight for high BP or a low carb diet / weight loss programme for diabetes type II or would you prefer a pill? Were any alternative treatments suggested to you before you were prescribed your medications and has anyone ever reviewed them if you take a lot of pills?
These articles make for good background reading perhaps?
1) 'Clinical Consequences of Polypharmacy in Elderly' is interesting and may strike a chord with many members here. (Supplements and OTC medications are mentioned).
2) A second article which exemplifies a medication review of unnecessary prescribed medications explains the practice of 'de-prescribing'. This literally means taking a patient off a medication via tapering if necessary because it is no longer necessary or could be replaced by another treatment / drug. The case study is for a woman taking multiple meds for a common set of conditions and provides guidelines to general doctors on how to reduce polypharmacy (e.g. lots of medications).
You know you're wired when...
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I have had my pacer since 2005. At first it ruled my life. It took some time to calm down and make the mental adjustment. I had trouble sleeping and I worried a lot about pulling wires. Now I just live my life as I wish.