Reducing prescribing cascades
- PMID: 38620419
- Bookshelf ID: NBK598477
Reducing prescribing cascades
Excerpt
Therapeutics Letter 138 examines methods for reducing prescribing cascades. Conclusions: Prescribing cascades cause avoidable polypharmacy and harms. Prevent them by careful indication-based prescribing and screening for cascades during medication reviews. Utilize expert pharmacist or medical consultation when available. Start by familiarization with cascades involving drugs common in primary care; reduce doses if deprescribing seems too radical. Identifying a prescribing cascade is a teachable moment: use it.
Copyright © 1994 - 2022 Therapeutics Initiative, University of British Columbia.
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References
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- Rochon PA, Gurwitz JH. Drug therapy.Lancet 1995; 346(8966):32–36. - PubMed
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- Rochon PA, Gurwitz JH. The prescribing cascade revisited.Lancet 2017; 389(10081):1778–1780. - PubMed
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- Therapeutics Initiative. How well do you know your anticholinergic (antimuscarinic) drugs? Therapeutics Letter. Issue 113, July–August 2018.
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