Deprescribing medications: Older adults’ interest and safe practices

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A recent poll conducted by the University of Michigan National Poll on Healthy Aging reveals that a significant number of older adults are interested in “deprescribing” their medications.

The poll found that 80% of adults aged 50 to 80 would be willing to stop one or more prescription medications they have been taking for over a year if their healthcare provider advised it.

Additionally, 26% of respondents reported having already stopped taking at least one medication in the past two years.

While deprescribing can offer several benefits, including avoiding harmful side effects and reducing healthcare costs, it is crucial for patients to consult their healthcare providers before stopping or reducing medication use.

Importance of Communication with Healthcare Providers

The poll emphasizes the importance of open communication between patients and healthcare providers when considering changes in medication use.

Unfortunately, 35% of those who discontinued a medication they had been taking for over a year did so without consulting a health professional.

To ensure safe and informed decisions, patients should engage in conversations with their providers regarding deprescribing.

Similarly, healthcare providers play a crucial role in educating patients about the risks and benefits of different medications and collaborating on personalized medication plans.

The Significance of Medication Reviews

Medication reviews are vital for determining whether certain medications are still necessary or potentially causing harm.

The poll found that 82% of individuals aged 50 to 80 regularly take at least one prescription medication, with 28% believing they are taking too many.

However, many older adults may not be aware of the benefits of comprehensive medication reviews, which are covered by Medicare and other insurance plans.

Despite over 90% of older adults expecting medication reviews at least annually, research indicates that such reviews are not consistently conducted.

Promoting Health Outcomes and Quality of Life

Deprescribing and medication reviews can lead to improved health outcomes and a better quality of life for older adults.

By engaging in open and regular communication with healthcare providers, patients can express their interest in stopping medications and seek guidance for a safe process.

Healthcare providers, in turn, can educate patients on the risks and benefits associated with their medications and work collaboratively to create personalized deprescribing plans.

Monitoring symptoms and following provider instructions are crucial during the medication adjustment period.

Safe Deprescribing Practices: If considering stopping one or more medications, it is essential to do so safely and under the guidance of a healthcare provider. Here are some tips:

Discuss with your healthcare provider: Inform your provider about your interest in discontinuing medications. They can assess whether it is safe to do so and offer guidance on the process.

Follow provider instructions: Gradually decreasing the medication dose over time may be recommended to minimize potential side effects associated with abrupt cessation.

Be aware of potential side effects: Depending on the medication, you may experience withdrawal symptoms or a rebound effect. Understanding possible side effects can help you and your provider develop a plan to manage them.

Monitor symptoms: Pay close attention to any new or worsening symptoms as you discontinue the medication. Report these observations to your healthcare provider.

Do not stop medications independently: It is vital never to discontinue medications without consulting a healthcare provider. Abruptly stopping medication can be dangerous and lead to severe health consequences.

By working collaboratively with your healthcare provider and following their guidance, you can safely discontinue medications while ensuring optimal care for your health needs.

The poll results indicate a strong interest among older adults in deprescribing their medications, highlighting the importance of effective communication between patients and healthcare providers.

Engaging in discussions about medication use, conducting regular medication reviews, and considering safe deprescribing practices can lead to improved health outcomes and a better quality of life for older adults.

Remember to consult with a healthcare provider before making any changes to medication regimens to ensure your safety and well-being.

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