Pharmacist prescribers Linda Bryant and Leanne Te Karu discuss positive polypharmacy for heart failure. Current evidence shows the intensive implementation of four medications offers the greatest benefit to most patients with heart failure, with significant reductions in cardiovascular mortality, heart failure hospitalisations and all-cause mortality
Consider deprescribing medications in frail, older people when risks exceed benefits
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Consider deprescribing medications in frail, older people when risks exceed benefits
Wednesday 9 October 2019, 01:30 AM
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Linda Bryant is a clinical adviser and prescribing pharmacist at Newtown Union Health Service and Porirua Union & Community Health Service, Wellington
PHARMACOTHERAPY
This article marks the start of a new column provided by the Clinical Advisory Pharmacists Association* based on scenarios that have been presented to prescribing pharmacists working in primary care. Here, the medication review of a frail, older man after a case of pneumonia is discussed
Key points, Life expectancy for frail people is generally less than two years.
For older people and frail people, medicines may have limited long-term benefit i