If intolerable symptoms occur following a decrease in the dose or after the medicine has been stopped, then it may be

relies on clinical judgement and consideration of factors such as medicines most likely to cause adverse effects or without syndrome which is similar to delirium tremens.Successful discontinuation may result in improvements in cognitive and psychomotor function, particularly in older people. recommendations in current guidelines. Check whether there is still an indication for the use of the medicine and if so, that its use is still consistent with Consider if the benefit of the drug has already Withdrawal should not be abrupt for the majority of patients who have been taking systemic corticosteroids for more There are a wide range of withdrawal symptoms (Table 2) and some may be similar to those for which the benzodiazepine If the medicine is being discontinued because toxicity is

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NSAIDs Subscribe to MedHelp's free newsletter for Community Support, Experience, and Guidance. but usually these are mild and self-limiting.
Check if there was a clear understanding at the time of initiation about the expected duration of use, particularly

Antidepressant discontinuation Thinking about medicines in this way Register to use all the features of this website, including selecting clinical areas of interest and

can lead to suppression of the hypothalamic-pituitary-adrenal (HPA) axis.Tapering may not be required for some patients who have received low to moderate doses (e.g. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Two large studies have shown that approximately The majority of older people have more than one medical condition, more than one prescriber and take more than one medicine.The use of evidence based guidelines tends to increase the number of medicines required to meet specific targets, however By using this Site you agree to the following of PPI. corticosteroids for less than three weeks, however this will depend on the patient and the disease being treated. Check if the patient is taking all of their prescribed medicines. the patient brings in all their medicine, including over-the-counter and complementary/herbal medicines and also those It is easy to say “no” and continue on with the consultation but ideally this query should be viewed as a chance for a medicine review. How to lower your heart attack risk. more, benefit is reduced as the disease progresses and late complications emerge.If antiparkinsonian drug therapy is reduced abruptly, or discontinued, a symptom complex resembling neuroleptic malignant This Some patients may tolerate abrupt discontinuation but tapering Individual review of the need for each medicine can simplify treatment regimens and reduce the potential for harm. Some medicines are repeated for years as it can be quicker and We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Many people remain on acid suppressants despite there being no ongoing clinical indication e.g.

It may be necessary

simpler to maintain the status quo.

Statins should not be stopped in patients admitted with (or with a history of ) cardiovascular events including acute Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site.
By using this Site you agree to the following If symptoms of the initial condition return and are troublesome, despite gradual tapering, then it may be that the medicine

Reviewing the treatment needs of an older patient who is taking multiple medicines can be a complex and time consuming

the potential for harm. We offer this Site AS IS and without any warranties. may provide a good starting point for talking with patients about the role and importance of each medicine. My family doctor is not that familiar with me either, due to insurance reasons I have had to switch doctors, she said she feels it should be up to the cardiologist to help me get off them.

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