How can I prepare a medication list to discuss deprescribing with my doctor?
Before your next appointment, review all regular and occasional medications. Note any side effects or medications that seem to counteract each other, known as a prescription cascade. This preparation helps your provider identify candidates for safe deprescribing.
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You can prepare a comprehensive medication list to discuss deprescribing with your doctor by compiling a detailed inventory of all prescriptions, over-the-counter drugs, supplements, and usage patterns.
- Create a Master Inventory: List every medication you take, including brand and generic names, dosages, frequency, and the specific reason for each prescription. Include over-the-counter remedies and dietary supplements, as these often interact with prescribed drugs.
- Document Side Effects: Note any adverse reactions or side effects for each medication. Identifying which drugs cause dizziness, fatigue, or gastrointestinal issues helps your provider prioritize which candidates to review for potential reduction or discontinuation.
- Map Prescription Cascades: Identify instances where a new medication was added solely to treat the side effects of another drug. This counteracting cycle, known as a prescription cascade, is a prime target for safe deprescribing strategies.
- Track Pharmacy Records: For UK residents, check your NHS Summary of Medicines; for US residents, use your pharmacy’s online portal. Bring this official list to your appointment to ensure your doctor has complete and current data.
- Define Your Goals: Prepare a concise summary of your personal health goals, such as improving balance or reducing pill burden. This helps align the deprescribing plan with your quality-of-life priorities.
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