inappropriate prescription

^[1]^[2]^[3]^[4]^[5]

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]

↑ Kaur S et al Interventions that can reduce inappropriate prescribing in the elderly: a systematic review. Drugs Aging. 2009;26(2):1013-1028 PMID: https://www.ncbi.nlm.nih.gov/pubmed/19929029
↑ ^2.0 ^2.1 Tannenbaum C, Tsuyuki RT The expanding scope of pharmacists' practice: implications for physicians. CMAJ. 2013;185(14):1228-1232 PMID: https://www.ncbi.nlm.nih.gov/pubmed/23959280 PMCID: PMC3787169 Free PMC article
↑ ^3.0 ^3.1 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: https://www.ncbi.nlm.nih.gov/pubmed/29531631 PMCID: PMC5843115 Free PMC article
↑ ^4.0 ^4.1 Paauw DA 11 Drugs You Should Seriously Consider Deprescribing: 2018 Update Medscape Oncology. November 5, 2018. https://www.medscape.com/slideshow/deprescribing-6009041
↑ ^5.0 ^5.1 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: https://www.ncbi.nlm.nih.gov/pubmed/36383560 PMCID: PMC9718399Free PMC article