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Intermediate Technical IVT

Deprescribing

The systematic process of reducing or discontinuing inappropriate medications to minimize polypharmacy risks in elderly patients.

Full Definition

Deprescribing is a patient-centered process of medication review and withdrawal that aims to reduce inappropriate medication use while maintaining or improving quality of life. In geriatric cardiology, deprescribing is particularly important given the high prevalence of polypharmacy and increased susceptibility to adverse drug effects. The process involves identifying potentially inappropriate medications, assessing risks versus benefits, planning withdrawal schedules, and monitoring for complications. Successful deprescribing requires consideration of drug interactions, withdrawal effects, and patient preferences.

Usage

Usage note: Single word, not hyphenated; emphasize the systematic, patient-centered approach.

In Context

  • "The geriatric cardiology team initiated a deprescribing protocol to reduce the patient's medication burden." — Clinical progress note
  • "Deprescribing of proton pump inhibitors was considered after reviewing the patient's medication list." — Medication review documentation

Also known as

medication discontinuation drug withdrawal medication optimization

Contrasted with

prescribing medication initiation

Don't confuse with

dose reduction medication switching

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