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Table 3 Summary of patient cases

From: Addressing potentially inappropriate prescribing in older patients: development and pilot study of an intervention in primary care (the OPTI-SCRIPT study)

Drug/drug group Agreement on clinical significance Most common actions taken Other comments
PPI Yes Reduce dose While it is clinically significant, it is also a cost control concern
Stop medication
Corticosteroids Yes Add medication  
Long-term, long-acting benzodiazepines Yes Switch to alternative Patient preference is an important factor. Availability of other services such as cognitive behavioural therapy is an important factor
Reduce dose
NSAID Yes Stop medication  
Switch to alternative
Bladder antimuscarinics No Leave unaltered Patient preference is an important factor. Lack of good alternative options available
Switch to alternative
Tricyclic anti-depressants No Leave unaltered Patient preference is an important factor
Switch to alternative
Reduce dose
Therapeutic duplications Yes Stop medication  
Switch to alternative
Calcium channel blocker No Switch to alternative  
Theophylline Yes Stop medication
  1. Abbreviations: NSAID Nonsteroidal anti-inflammatory drug, PPI Proton pump inhibitor.