Resources

TaperMD Screens

The following provides links to more information on the over 30k medication screens that TaperMD runs against the individual patient’s drug list.

  1. Anticholinergic burden*
  2. Black box warning*
  3. Beta Blockers (included in PIMs)
  4. Costs of adverse drug events
  5. Costs of Falls in seniors
  6. Description and indications**
  7. Deprescribing Guidelines and Algorithms
  8. Hypotension (HoTN) risk*
  9. Interactions*
  10. Medication guides**
  11. MedlinePlus Consumer Information (U.S. NLM)**
  12. Potentially inappropriate medicines (PIMs)*
  13. Prescrire drugs to avoid*
  14. QT Interval*
  15. Serotonin syndrome*
  16. Statins
  17. Product data sheets*

* Screen in TaperMD professional plan view.
** Screen in TaperMD patient plan view.

Screening tools | Resources

  1. RxISK (research and report prescription drug side effects)
  2. START and STOPP criteria
  3. Beers List (American Geriatrics Society(AGS))
  4. Beers Criteria FAQs
  5. Medstopper
  6. Number needed to treat
  7. Database of treatment effects supporting the NICE guideline on multimorbidity (spreadsheet) (NG56)
  8. Open Pharmacy Research Collaboration
  9. Medscape Drug Interaction Checker
  10. Better Health While Aging

Deprescribing Algorithims

These are links to content made available by the Canadian Deprescribing Network.

Proton Pump Inhibitor
  1. Proton Pump Inhibitor evidence-based deprescribing guideline
  2. Proton Pump Inhibitor deprescribing algorithm
  3. Whiteboard video on using the Proton Pump Inhibitor deprescribing algorithm
Antihyperglycemic
  1. Antihyperglycemic deprescribing guideline
  2. Antihyperglycemic deprescribing algorithm
  3. Whiteboard video on using the Antihyperglycemic deprescribing algorithm
Antipsychotic
  1. Antipsychotic deprescribing guideline
  2. Antipsychotic deprescribing algorithm
  3. Whiteboard video on using the Antipsychotic Deprescribing Algorithm
Benzodiazepine
  1. Benzodiazepine deprescribing guideline
  2. Benzodiazepine receptor agonist deprescribing algorithm
Cholinesterase Inhibitors and Memantine
  1. Cholinesterase Inhibitors and Memantine deprescribing guideline
  2. Cholinesterase inhibitor and memantine deprescribing algorithm

Journal articles

  1. Garfinkel D, Mangin D (2010). Feasibility study of a systematic approach for discontinuation of multiple medications in older adultsArch Intern Med 170: 1648–54.  doi:10.1001/archinternmed.2010.355.
  2. Clinical Consequences of Polypharmacy in Elderly (U.S. National Library of Medicine)
  3. Prescriber’s Letter
  4. Polypharmacy and Prescribing Quality in Older People (Journal of the American Geriatrics Society)
  5. New guidelines published for managing high blood pressure (Harvard Health Publications)
  6. Medicare Drug Program Fails to Monitor Prescribers, Putting Seniors and Disabled at Risk (Pro Publica)
  7. Prescriber Checkup US (Pro Publica)
  8. Vitamin D For the Preventing Fractures (Older Adults in the Community)
  9. Oral Implications of Polypharmacy in the Elderly
  10. Moore & Donald R. Mattison Adult Use of Psych Drugs
  11. National Patient Safety Foundation
  12. National Council on Patient Information and Education
  13. The National Institute on Alcohol Abuse and Alcoholism: over 100 common drugs that, if taken with alcohol, can result in adverse drug events
  14. Assessment of Attitudes Toward Deprescribing in Older Medicare Beneficiaries in the United States
  15. Antihypertensive Treatment in Low-Risk Patients With Mild Hypertension
  16. Treatment of elevated blood pressure in the very elderly: Less is better
  17. How well do you know your anticholinergic (antimuscarinic) drugs?
  18. Deprescribing Proton Pump Inhibitors
  19. Mangin D, Lawson J, Cuppage J et al (2018). Legacy drug prescribing patterns in primary care.  Annals Family Medicine 16: 515-520. https://doi.org/10.1370/afm.2315.

Newspaper articles

  1. Some Older Patients Are Treated Not Wisely, but Too Much (New York Times)
  2. Seniors are given so many drugs, it’s madness (Globe & Mail)
  3. Cocktail of Popular Drugs May Cloud Brain (New York Times)
  4. Four Drugs Cause Most Hospitalizations in Older Adults (New York Times)
  5. Can This Treatment Help Me? There’s a Statistic for That (New York Times)
  6. Adults and Older Adult Adverse Drug Events (Centers for Disease Control and Prevention)
  7. The Perils Of Polypharmacy (Huffington Post)
  8. ‘America’s other drug problem’: Giving the elderly too many prescriptions (Washington Post)
  9. How Many Pills Are Too Many? (New York Times)
  10. The Dangers of ‘Polypharmacy,’ the Ever-Mounting Pile of Pills (New York Times)
  11. 5 questions to ask your aging parents’ doctors (theconversation.com)
  12. Health Care in Canada, 2011—A Focus on Seniors and Aging

Lectures

  1. How Good Medicine Can Be Bad for Your Health (and How to Avoid It) (Dr. Dee Mangin lecture on YouTube)
  2. A troubling pharmaceutical cocktail | Dee Mangin #WalrusTalks
    (Dr. Dee Mangin lecture on YouTube)
  3. NAPCRG Annual Meeting 2017 – Plenary Session III: Dee Mangin, MBChB, DPH, FRNZCGP
    NAPCRG1