Take detailed medication history including indication for each drug.

Consider potential for drug induced harm ie age of patient, comorbidities, number of medications, types of medications.

Consider each individual medication and the potential to provide ongoing benefit.

Prioritise medications for deprescribing (usually one at a time), give explanations to patient. Agree follow-up arrangements.

Carry out follow-up assessment to assess effects of deprescribing. Consider further deprescribing.