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

Published: Sept. 11, 2017, 7 a.m.

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.

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

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

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Time Stamps

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00:00 Intro

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01:12 Listener feedback

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01:56 Picks of the week

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06:28 Topic intro and guest bio

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07:49 Getting to know our guest

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13:05 Defining polypharmacy and related terms

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16:30 Clinical Case of polypharmacy

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20:34 Making better medication lists

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25:01 Clinical Case from Kashlak Memorial

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28:40 Beers Criteria

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35:41 Statins in frail, elderly patients

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38:00 Treating insomnia in the elderly

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44:15 Dosing of meds in patients with CKD

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45:50 Tool for analysis of drug-drug interactions

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48:10 Take home points from Dr. Jeffery

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50:00 Outro

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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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