Polypharmacy 5 moments: Returned medicines

In this episode, we look at returned medicines as a key moment to spot potential overprescribing. When patients or carers bring back unwanted items, Rather than simply accepting them back, it opens the door to curious, non-judgemental conversations about why medicines weren’t taken and whether they’re still needed, inappropriate or causing harm. Through examples and simple open questions, we show how this everyday moment can reveal prescribing cascades, side effects and unmet needs—and how the whole pharmacy team can frame sensitive conversations to support safer, more appropriate prescribing. (14m52s) Lelly Oboh, Consultant Pharmacist (Care of Older People) and Older People Lead (NHS Specialist Pharmacy Service) Rakhi Aggarwal, Primary Care Lead (NHS Specialist Pharmacy Service)