Survey highlights the need to provide more resources to help community #pharmacists identify and manage Prescribing Cascades:
buff.ly/4bMUJnP

Only half of the respondents were familiar with this term.

Kieran Dalton
Lisa McCarthy (she/her) 🇨🇦

Also see:
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A US Deprescribing Research Network (USDeN) tradition! 👏👏👏 to the dynamic duo, Amy Linsky, MD, MSc + Kristin Zimmerman.
#USDENLive2024

Large-scale intervention in the United States limiting PPI refills for patients without a documented indication, resulted in a 7% decrease in filled PPI prescriptions, with minimal evidence of harm:
buff.ly/3UKyoQO

See our PPI DeRx resources here:
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And check out this publication about our “Talking about Medications” work: ncbi.nlm.nih.gov/pmc/articles/P…

Workshop materials are free for you to download and use in your communities!

deprescribing.org US Deprescribing Research Network (USDeN) We also have tools (guide, inforgraphics, medication records, cue cards) to support #shareddecisionmaking for people + hcps. Co-designed with our LTC community, including carers. Free online + applicable to many other settings! US Deprescribing Research Network (USDeN) deprescribing.org/resources/depr…

Attending US Deprescribing Research Network (USDeN) #USDeN2024Live + thinking about how to empower people to ask about #deprescribing ? See our Talking About Medications workshops, designed through a community engaged research approach. Interested in collaborating? Send us a DM. 😃
deprescribing.org/talking-about-…

Reflections from Niteesh Choudry at US Deprescribing Research Network (USDeN) #USDeN2024Live :
1) Choice and delivery personalization are important considerations for #deprescribing .
2) #deprescribing (behaviour change) is hard
3) One size does not fit all.

How can we enable #deprescribing in community pharmacies?

Great infographic & paper by the team of Kelda Newport Justin Turner Aili Langford on how to improve pharmacy workflow! 👏

Many opportunities available to share resources, such as those from deprescribing.org!

How to deprescribe diabetes medications in frail, older adults?

Iliana C. Lega Wade Thompson & Lisa McCarthy (she/her) 🇨🇦 summarize the why, what & how of #deprescribing diabetes meds in this population in a new CMAJ publication!

cmaj.ca/content/196/16…

Interesting case report demonstrating the clinical improvements and safety of #deprescribing a strong #anticholinergic drug doxepin:
buff.ly/3QEUYJA

Carina Lundby
Barbara Farrell
British Journal of Clinical Pharmacology (BJCP)

Great use of the ACBcalc online calculator! 💡
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ICU patients are at high risk for prescribing cascades (e.g. involving opioids, psychotropics, PPIs).

Acute meds started in the ICU, are often no longer needed at discharge.

#Deprescribing is 'critical' in these patients! 🔍

buff.ly/3yarJb9

Lisa Burry
Richard S Bourne

Focus group study provides great insights into designing #deprescribing materials for
Persons Living with Dementia (PLWD):

bmcgeriatr.biomedcentral.com/articles/10.11…

E.g.
-Avoid content that might heighten fear or anxiety
-Deliver material directly to the PLWD

Donovan Maust (@dtmaust.bsky.social)
Michigan Medicine

Excited to share the newest short + snappy from our DIAL team #deprescribing #diabetesinLTC !

Wade Thompson Iliana C. Lega Lisa McCarthy (she/her) 🇨🇦 CMAJ Leslie Dan Faculty of Pharmacy Trillium Health Partners Women's College Hospital

cmaj.ca/content/196/16…

Be there!

#Deprescribing is featured in the New York Times!

nytimes.com/2024/04/22/wel…

Great to see #polypharmacy and prescribing cascades discussed - check out the comments for some very real examples!

See deprescribing.org/resources/depr… for more helpful resources

Spread the word!

The New York Times

Ready for Day 2 at #HSRPP2024 with #deprescribing and #prescribingcascades friends. Frank Moriarty Krystal Warmoth Dr Ann Doherty