Deprescribing PPIs: Do I still need the acid-reducing pill?

College of Physicians and Surgeons of Alberta Messenger, Optimized Prescribing with Seniors Leave a Comment

Contributed by: Dr Vivian Ewa, MBBS, CCFP (CoE), PG DipMedEd, FCFP, FRCP Edin. Mrs. Jones, an 86-year-old patient of yours, recently learned one of her medications is an acid reducing pill. Currently, she takes several medications and wants the acid pill reviewed. She has a history of COPD, hypertension, type 2 diabetes mellitus and osteoarthritis of the knees. Her medication …

Use and misuse of benzodiazepines in the elderly

Dina Baras Messenger, Optimized Prescribing with Seniors Leave a Comment

Contributed by: Jean Triscott, MD, CCFP (COE)1; Bonnie Dobbs, PhD1; Frances Carr, MBChB, FRCPC2; Peter Tian, MD, MPH1; Karen Leung, MD, MSc, CCFP (COE)1; Jeffrey Chow3, BScPharm, MSc; Jennifer Guzak, RN31Division of Care of the Elderly, Department of Family Medicine, University of Alberta, Edmonton, AB; 2Division of Geriatric Medicine, Department of Medicine, University of Alberta, Edmonton, AB; 3Glenrose Rehabilitation Hospital, Edmonton, AB ...

Managing Osteoporosis in the Very Old and/or Those Living in Long-term Care

College of Physicians and Surgeons of Alberta Messenger, Optimized Prescribing with Seniors

Contributed by:       David B. Hogan MD, FACP, FRCPCProfessor, Division of Geriatric Medicine, Cumming School of Medicine, University of CalgaryOBJECTIVES: Upon conclusion, the reader of this paper will be:Aware of the disproportionate burden of fractures in the very old (80+ years of age) and/or residents of long-term care facilities.Able to discuss the management challenges that arise in these particular high-risk-for-fractures ...

Is there a role for antipsychotic use in dementia?

Dina Baras CPSA, Optimized Prescribing with Seniors 6 Comments

Contributed by: Nadeem Bhanji, MD, FRCP(C)IntroductionThe rapid growth of Canada’s and the developed world’s aging populations has been accompanied by a commensurate increase in the rate of elderly with dementias.Unfortunately, there are no treatments available that truly prevent or delay dementing illnesses. With each passing decade, increasing numbers of individuals will be diagnosed with dementias, as aging is one of ...