Cases in Deprescribing

Discontinuing Metformin: The Crowdsourced View Readers were divided on the decision to stop an elderly woman's metformin and reduce her pill burden.
June 23, 2021
Right Time to Deprescribe This Frail Patient's Metformin? Check out this case, and see whether you agree with Dr Vega's opinion on deprescribing metformin in an elderly patient.
May 20, 2021
Stopping Benzos Is Not Easy: Advice From Medscape Readers Stopping benzodiazepines in long-term users is a slow process. Here's some advice on how to do it.
December 09, 2020
Stop the Benzo: It's Worth the Screaming The potential benefits of benzodiazepines among older adults are simply outweighed by the risks. But is stopping them worth the fight?
October 27, 2020
Another Reason to Stop the PPI: Clinician Debate All of our readers agreed that a patient's PPI should be stopped. But their reasons for how and why varied.
October 13, 2020
Stop the PPI to Lower COVID-19 Risk? A patient wants to stop taking her proton pump inhibitor because she's heard that it increases risk for COVID. What would you recommend?
August 19, 2020
HCQ for COVID in Primary Care: Clinicians Debate A recent case described management of a COVID-19 patient in the primary care setting. Did Medscape readers agree?
June 23, 2020
COVID-19 Patient in Primary Care -- How to Treat? A patient with confirmed coronavirus wants you to prescribe a controversial therapy. What would you do?
Clinical Case, April 27, 2020
Off to College: Safe to Stop His Antiepileptic Drug? A young man is adamant about stopping his AED before he goes to college; his parents are worried. Are you the tie-breaker?
Clinical Case, March 23, 2020
Deprescribing Alzheimer's Drugs: The Crowdsourced Opinion The family wants to simplify an elderly man's medication regimen, but is it the right time to discontinue his Alzheimer's disease treatments?
February 24, 2020
Are Dementia Drugs Serving This Patient Well? An elderly man with Alzheimer' disease is taking three drugs. Which of these, if any, are good targets for deprescribing?
January 08, 2020
Continue, Stop, or Taper the PPI? He wants to keep taking a PPI to prevent his symptoms from returning. Do you acquiesce to the patient's wishes?
October 25, 2019
Deprescribing Antidiabetic Drugs: The Crowdsourced Opinion Did Medscape readers agree with Dr Vega's plan of care for an elderly woman who is experiencing hypoglycemia?
October 16, 2019
Stop or Switch the Antidiabetic Drug? This woman's hypoglycemia is mild and her diet is poor. Should I change her antidiabetic meds or leave well enough alone?
August 14, 2019
Deprescribing Bisphosphonates: The Crowdsourced Opinion Did readers agree with Dr Vega's recommendation for a bisphosphonate holiday?
July 24, 2019
When to Stop the Bisphosphonate When is the right time to stop a bisphosphonate in a woman who is just tired of taking it? We present a case and ask for the opinion of readers.
Clinical Case, May 31, 2019
Deprescribing SSRIs: The Crowdsourced Response Did readers agree with Dr Vega on whether to deprescribe an SSRI in an older women who doesn't want to stop the drug?
May 03, 2019
Cases in Deprescribing: When to Stop the SSRI Your patient is doing well on an antidepressant and does not want to stop. But what about the risks with long-term use? How would you handle this case?
Clinical Case, March 26, 2019
Statin Deprescribing Follow-up: How You Voted Did readers agree with Dr Vega on whether to deprescribe an elderly patient's statin?
February 26, 2019
Cases in Deprescribing: When to Get Rid of the Statin In this new series, family physician Chuck Vega explores the issue of when to deprescribe a common drug when there is no guideline or consensus to consult. What would you do in this scenario?
Clinical Case, January 31, 2019