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

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.8 • 3.1K Ratings

🗓️ 11 September 2017

⏱️ 52 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

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

Transcript

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0:00.0	Hey everyone, this is Matt.
0:03.8	I wanted to let you know that this is going to be a two-part episode with part one where
0:08.5	we interview Dr. Jeffrey from the American Geriatric Society, and part two is the curbsiders
0:13.9	and more of a roundtable discussion with some additional topics on polypharmacy.
0:19.6	I hope you enjoy it.
0:30.0	Alright, let's just jump right into it.
0:33.4	Welcome back to the curbsiders, the Internal Medicine Podcast.
0:37.0	Hello Matt.
0:38.0	Hello Stewart.
0:39.0	Yeah, see, I was going to braid it up for you.
0:42.6	The Internal Medicine Podcast that uses expert interviews to bring you clinical pearls
0:47.5	and practice changing knowledge.
0:49.2	I'm Dr. Matthew Wato, here with my co-hosts, Dr. Stewart Brigham and Dr. Paul Williams.
0:55.2	Hello.
0:56.2	Hey guys, how are you?
0:58.0	Good.
0:59.2	So good to be back with you guys.
1:01.4	It's like we haven't talked every day for the past two weeks.
1:05.0	We have not.
1:06.0	Alright Stewart, you got some listener feedback for us here?
1:10.3	Absolutely, I have feedback from a listener and I have some listener feedback.
1:12.9	Here we go.
	...

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