Deprescribing: It's a Thing (and You Can Help)

The crucial concept of "deprescribing"—the planned and supervised reduction or elimination of medications—is gaining traction, despite being coined only in 2003. This is vital because polypharmacy, especially prevalent in older adults, leads to increased side effects and poor health outcomes, with many taking multiple drugs, sometimes to counter adverse reactions from others. Older patients are particularly susceptible to drug side effects and have reduced ability to eliminate medications.Researchers are actively exploring strategies to implement deprescribing, noting that many drug guidelines are silent on when or how to cease medication. Studies show benefits from deprescribing various classes, including antihypertensives (linked to less cognitive decline), anticholinergics, antihyperglycemics, proton-pump inhibitors, and psychotropics. While acupuncturists don't prescribe drugs, they play a proactive role. By simply asking patients when they last discussed their medication necessity with their medical provider, acupuncturists can empower patients to question their drug regimens. This patient-led inquiry can encourage medical providers to reconsider and potentially reduce or eliminate unnecessary prescriptions, ultimately improving patient health.