15m
Jenny Gowan
11 December 2017

How to Deprescribe Medicines

Half of all Australians aged between 65–74 years report taking 5 or more medicines daily, which is known as polypharmacy. Polypharmacy remains one of the foremost reasons to systematically withdraw medicines for patients. Deprescribing may seem like a daunting task for Nurse Practitioners, but in this informative and enlightening talk, Dr Jenny Gowan will step you through exactly how to go through this process with your patients, and put your mind at ease.

Educator

Jenny Gowan

Educator

Jenny, a practicing pharmacist, is a teaching associate at Monash University, Melbourne. She is a member of the PSA Branch committee, the Expert Group for Therapeutic Guidelines – Respiratory, an editorial board member of AUS-DI, SHPA "Don’t Rush to Crush", and the Guidelines Committee for the Australian Asthma Handbook (AAH). Jenny is an accredited consultant pharmacist who conducts her own company, which focuses on medication reviews in the home and aged care facilities, plus education, writing, training, and consultation. Jenny works regularly in community pharmacy plus sessions in a GP clinic at a Community Health Centre. She has published over 350 educational articles. Jenny has presented talks at many Australian and international conferences to GPs, nurse practitioners, nurses, podiatrists, pharmacists, and other health professionals. In 2013, she was awarded the Australian Pharmacist of the Year by the Pharmaceutical Society of Australia and, in 2016, the AACP-MIMs Australian Consultant Pharmacist of the Year.

Comments

26 Feb 2018
Summary Medicines have adverse effects and the use of multiple medicines, polypharmacy, can be associated with poorer outcomes. Health professionals need to recognise when medicines should be ceased and how to deprescribe. Deprescribing could be considered when there is polypharmacy, adverse drug reactions, ineffective treatment, falls or when treatment goals have changed. If patients are slowly weaned off their medicines, withdrawal and rebound syndromes are usually not serious. A cautious approach to deprescribing includes two principles – stop one drug at a time and wean doses slowly over weeks and months.
30 Jan 2018
Good quick over view with good suggestions

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