Deprescribing
During a medication review for an elderly patient recently diagnosed with osteoporosis following a fall, I noticed she was on a long-term proton pump inhibitor (PPI). When I asked about this medication, she shared she had acid reflux years ago but no longer experienced any symptoms. She had assumed the PPI was prescribed for lifelong use since it had been continued routinely.
Recognizing there was no current indication for the PPI and considering the potential risks of prolonged use—especially with her osteoporosis—I discussed stopping the medication. I explained the reasoning behind deprescribing and recommended a gradual taper to reduce the chance of rebound acid reflux. We also talked about lifestyle measures she could use if symptoms recurred.
The patient appreciated the explanation and was glad to reduce her number of medications. I scheduled follow-up to watch for any problems or symptom return.
Through this review and careful management, we were able to safely stop an unnecessary medication. Because of a pharmacist, something important happened.
