Box 1.

Steps to deprescribing

  • 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.