[Deprescribing to increase people health or when deprescribing could be the best pill]

Abstract

The increasing longevity of the population, the increase in morbidity and the consumption of medications have caused that polypharmacy is a priority health problem due to its consequences: increase of adverse effects, pharmacological interactions and favor the functional deterioration of the patient. The clinical situation of the patients changes over time and it is necessary to adjust the medication in each stage, assessing the fragility, the level of dependence and the functional deterioration. Deprescription is complex and requires an adequate clinical and pharmacological formation. In Primary Care lies the greater knowledge of the patient and their environment, and in a shared way with the patient and caregivers, it is necessary to assess which drugs to maintain and which ones to withdraw from a clinical, ethical and social perspective. There are tools to help deprescription that can be useful for Primary Care to facilitate this process and that are detailed in this article.

Keywords: Anciano frágil; Deprescripción; Deprescription; Drug therapy; Frail elderly; Inappropriate prescribing; Polimedicación/polifarmacia; Polypharmacy; Prescripción inapropiada; Terapia médica.