Knowing how to stop: Ceasing prescribing when the medicine is no longer required

Ostini, Remo, Hegney, Desley G., Jackson, Claire and Tett, Susan E. (2012) Knowing how to stop: Ceasing prescribing when the medicine is no longer required. Journal of Managed Care Pharmacy, 18 1: 68-72.

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Name Description MIMEType Size Downloads
Author Ostini, Remo
Hegney, Desley G.
Jackson, Claire
Tett, Susan E.
Title Knowing how to stop: Ceasing prescribing when the medicine is no longer required
Journal name Journal of Managed Care Pharmacy   Check publisher's open access policy
ISSN 1083-4087
Publication date 2012-01-01
Sub-type Article (original research)
Volume 18
Issue 1
Start page 68
End page 72
Total pages 5
Place of publication Alexandria, VA, U.S.A.
Publisher Academy of Managed Care Pharmacy
Language eng
Formatted abstract
Stopping prescriptions for medicines that patients no longer need is an important part of good prescribing practice. Yet, unlike the volumes of scientific evidence on starting medications, research to guide best practice prescribing cessation is rare. This would not be a concern if we could be confident that prescribing is routinely ceased when this is appropriate. There are reasons to believe that this is not the case. The concept of prescribing inertia provides a framework for understanding why prescribing might continue when it should not. Classic examples of short-term prescribing that should suffice include use of benzodiazepines, nonsteroidal anti-inflammatory drugs (NSAIDs, including cyclooxygenase [COX]-2 inhibitors), clopidogrel after stent insertion, and many instances of use of gastrointestinal medications such as proton pump inhibitors (PPIs). Pharmacoepidemiological evidence, growing problems with polypharmacy, and analyses of prescriber behavior also suggest that prescribing may often not stop when it should. There is little evidence to indicate whether prescribers perceive failure to cease prescribing to be a problem for prescribing practice. However, relevant indirect evidence suggests that the lack of research on how best to stop prescribing may be contributing to this problem.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Discipline of General Practice Publications
Official 2013 Collection
School of Medicine Publications
School of Pharmacy Publications
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Citation counts: TR Web of Science Citation Count  Cited 15 times in Thomson Reuters Web of Science Article | Citations
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Created: Mon, 23 Jan 2012, 22:00:41 EST by Charna Kovacevic on behalf of School of Pharmacy