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Deprescribing Case

A deprescribing case was documented in the article  Managing chronic diseases in the frail elderly: More than just adhering to clinical guidelines. The patient's conditions at admission included Diabetes mellitus type 2, Depressive disorder, Upper GI Bleeding /Peptic ulcer, Constipation, Chronic heart failure (after a Myocardial infarction), Severe arthritis pain, Increased Urinary Frequency and Vitamin D Deficiency. In addition, the patient suffered from Anxiety, Dizziness, Falls, Insomnia, Memory impairment, Decreased Mobility, Mood swings, Nausea and Orthostatic hypotension, some possibly caused by Adverse drug reactions (ADR), drug-drug interactions (DDI) and drug-condition interactions (DCI). 

Patient's treatment at discharge 
  1. Diabetes mellitus type 2: Metformin (Biguanides), Gliclazide (Sulfonylureas) 

  2. Chronic heart failure /Myocardial reinfarction prevention: Atorvastatin (Statins), Ramipril (Angiotensin-Converting Enzyme Inhibitors), Bisoprolol (Beta-Adrenergic Blockers) and Acetylsalicylic acid (Antiplatelets)

  3. Depressive disorder: Trazodone Serotonin Modulators) and Venlafaxine (Serotonin/Norepinephrine Reuptake Inhibitors)

  4. Pain: Hydromorphone (Opioids) and Acetaminophen (Nonsteroidal anti-inflammatory drugs)

  5. Peptic ulcer/ Upper GI bleeding: Pantoprazole (Proton Pump Inhibitors) 

  6. Constipation: Lactulose (Osmotic Laxatives) 

  7. Increased Urinary Frequency: Tolterodine  (Urinary frequency and incontinence drugs)

  8. Vitamin Deficiency: Cholecalciferol-Vitamin D  (Vitamins).

© Absolute Information Age Inc.   Toronto, Canada

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