In this episode I welcome on Stacey D’Angelo, a pharmacist, Certified Health & Well-being Coach, and founder of Your Simple Health, a private practice focused on deprescribing and medication optimization. She specializes in helping individuals safely reduce medication use when the risks may outweigh the benefits, through personalized, evidence-based care and shared decision-making. Stacey is also a speaker and educator on deprescribing and has developed continuing education for pharmacists on patient-centred deprescribing strategies. Through her clinical practice and education work, she is passionate about changing the conversation around medications and helping both patients and healthcare professionals recognize when less medicine may be the right medicine. You can find Stacey at https://www.simplehealthpharmacist.com/ or on LinkedIn at https://www.linkedin.com/in/staceydangelo/

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Timestamps

00:00 - Intro

02:50 - Disclaimers

04:03 - Stacey’s journey toward deprescribing

07:13 - What is deprescribing?

09:00 - What is a prescribing cascade?

11:10 - What percent of Canadian seniors are prescribed 10 or more med classes?

15:09 - Risks of polypharmacy

16:15 - Evaluating a patient for deprescribing

20:20 - Key components of assessing a medication

27:29 - Deprescribing statins

31:34 - Deprescribing PPIs

34:40 - Rebound symptoms vs. withdrawal symptoms

37:30 - Antidepressant deprescribing

40:00 - Linear vs. hyperbolic tapering

44:14 - Factors that increase the risk of withdrawal in deprescribing

48:15 - When meds stop working

50:40 - Evidence based resources for deprescribing

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