Transcript pill pruner

Proportion of admissions related to
Adverse Drug Events
13%
Definite
22%
Contributing
Not related
65%
Medication review using the ‘pill pruner’
`Pill pruner’
•
•
•
•
•
•
•
•
Diuretics (Loop, thiazides)
Vasodilators (calcium antagonists, α-blockers)
Anti-platelet
CNS medications (TCA, benzo,antipsychotics, SSRI)
Anticholinergics
Antihistamines
NSAIDS
Proton pump inhibitors
Frequency of drugs stopped/ reduced
• Cardiovascular drugs
– Vasodilators & β blockers
– Diuretics (loop, thiazides)
– Antiplatelets & anticoagulant
– ACEI
– Statins
66
57
50
32
30
• CNS medications
• Proton pump inhibitor
• Others (e.g. laxatives, analgesics, Ca )
36
16
182