When to stop medications in the care of older patients

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

By:  David B. Hogan MD, FACP, FRCPC  |  Brenda Strafford Foundation Chair in Geriatric Medicine | University of Calgary Case: You’ve assumed the care of an 84-year-old patient who is on nine different medications. Should you carry on with her current regimen or consider stopping some of her drugs? Introduction: Older patients frequently take multiple medications. While their use may …

What does the evidence say about the risks and benefits of the atypical antipsychotics in dementia?

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

Betty, an 84-year-old woman with moderate Alzheimer’s disease, lives at home with her husband. She had become quite agitated and aggressive at one time and was started on risperidone, which settled her aggression. She has been on it since and her husband wonders if she should remain on it. Issue: What does the evidence say about the risks and benefits …

Introducing Optimized Prescribing with Seniors (OPS)

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

Today we are introducing a new column jointly sponsored by the College of Physicians & Surgeons of Alberta (CPSA) and the Alberta Medical Association (AMA). Optimized Prescribing with Seniors (OPS) will be a new tool to assist you as a prescribing physician in your care of your older patients. Medication management for seniors is becoming increasingly complex due to a …