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#56: Polypharmacy and deprescribing Part 1: Living better through chemicals

Author
The Curbsiders Internal Medicine Podcast
Published
Mon 11 Sep 2017
Episode Link
https://audioboom.com/posts/7766753

Avoid common pitfalls, recognize prescribing cascades, and deprescribe like a champ with tips from Clinical Pharmacist, Dr. Sean M. Jeffery, Clinical Professor of Pharmacy at the University of Connecticut School of Pharmacy, and Chair of the Polypharmacy Special Interest Group for the American Geriatrics society. We discuss how to create better medication lists, tools and tips for deprescribing, how to counsel patients on polypharmacy, and safe use of medication in the elderly.


Special thanks to the American Geriatrics Society for setting up this interview.


Full show notes available at http://thecurbsiders.com/podcast


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Time Stamps


00:00 Intro


01:12 Listener feedback


01:56 Picks of the week


06:28 Topic intro and guest bio


07:49 Getting to know our guest


13:05 Defining polypharmacy and related terms


16:30 Clinical Case of polypharmacy


20:34 Making better medication lists


25:01 Clinical Case from Kashlak Memorial


28:40 Beers Criteria


35:41 Statins in frail, elderly patients


38:00 Treating insomnia in the elderly


44:15 Dosing of meds in patients with CKD


45:50 Tool for analysis of drug-drug interactions


48:10 Take home points from Dr. Jeffery


50:00 Outro


Tags: polypharmacy, deprescribing, prescribing, cascade, pharmacist, drug, therapy, medications, side, effects, adverse, reaction, beers, criteria, interaction, disease, anticholinergic, assistant, care, education, doctor, family, foam, foamed, health, hospitalist, hospital, internal, internist, nurse, medicine, medical, primary, physician, resident, student


 

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