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Deprescribing in Outpatient Internal Medicine Practices

Deprescribing in Outpatient Internal Medicine Practices

Recruiting
75 years and older
All
Phase N/A

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Overview

The purpose of this study is to evaluate the impact of pharmacist-led medication reviews and deprescribing or de-escalation interventions on reducing the number of medications, falls, and hospitalizations, and improvement in quality of life in geriatric patients.

Description

With increasing age, key pharmacokinetic processes such as first-pass metabolism, bioavailability, drug distribution, and clearance, are affected, necessitating dose adjustments and careful medication management. Despite these risks, medication regimens in elderly patients are often left unchanged over time. Deprescribing, the intentional reduction or discontinuation of medications, has been shown to improve quality of life, reduce fall risk, minimize cognitive impairment, and decrease adverse drug interactions. In this analysis, the PharmD will perform a comprehensive medication review with the patient and collaborate with the provider and patient through shared decision making to deprescribe and/or dose reduce medication therapy where risks may outweigh benefits for the patient.

Eligibility

Inclusion Criteria:

  • 75 years or older
  • taking 6 or more medications

Exclusion Criteria:

  • patients in hospice or palliative care
  • in Skilled Nursing Facility
  • receiving cancer/oncology treatment

Study details
    Deprescribing

NCT07226960

Wake Forest University Health Sciences

31 January 2026

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