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. 2015 Aug 19;2(3):261–271. doi: 10.1007/s40801-015-0031-8

Table 5.

Details of all 440 recommendations made by pharmacist for high-risk medicines to be stopped or amended

High-risk medicine or combination Accepted recommendation Percentage accepted Rejected recommendation Percentage rejected
Deprescribed Amended
Aged >60 years plus anticholinergic 9 5 60.9 9 39.1
Aged >60 years plus antihypertensive and diuretic 2 0 28.6 5 71.4
Aged >60 years plus antipsychotic 4 1 45.5 6 54.5
Aged >60 years plus antipsychotic and hypnotic 1 0 33.3 2 66.7
Aged >60 years plus antipsychotic and tricyclic antidepressant and anticholinergic 0 0 0.0 1 100.0
Aged >60 years plus antipsychotic and benzodiazepine 0 0 0.0 1 100.0
Aged >60 years plus benzodiazepine and hypnotic 0 2 20.0 8 80.0
Aged >60 years plus benzodiazepine and tricyclic antidepressant 0 0 0.0 3 100.0
Aged >60 years plus benzodiazepine 1 1 11.8 15 88.2
Aged >60 years plus digoxin 0 8 57.1 6 42.9
Aged >60 years plus diuretic and other antihypertensives 0 2 33.3 4 66.7
Aged >60 years plus hypnotic 4 18 43.1 29 56.9
Aged >60 years plus hypnotic and sedating antihistamine 0 0 0.0 2 100.0
Aged >60 years plus hypnotic and tricyclic antidepressant 1 1 40.0 3 60.0
Aged >60 years plus sedating antihistamine 1 0 33.3 2 66.7
Aged >60 years plus tricyclic antidepressant 11 16 43.5 35 56.5
Aged >60 years plus tricyclic antidepressant and benzodiazepine 0 0 0.0 2 100.0
Aged >60 years plus tricyclic antidepressant and sedating antihistamine 1 0 33.3 2 66.7
Heart failure plus glitazone 1 0 100.0 0 0.0
Heart failure plus NSAID 1 0 100.0 0 0.0
Heart failure plus tricyclic antidepressant 5 1 60.0 4 40.0
Triple whammy combination (ACE/ARB + NSAID + diuretic) 55 5 56.1 47 43.9
NSAID plus aged >75 years and no gastro-protection 3 15 75.0 6 25.0
NSAID plus aspirin 1 0 100.0 0 0.0
NSAID plus eGFR <60 mL/min 11 0 42.3 15 57.7
NSAID plus heart failure 2 1 60.0 2 40.0
NSAID plus warfarin 2 0 33.3 4 66.7
Warfarin plus another antiplatelet 10 1 68.8 5 31.3
Warfarin plus macrolide 0 1 100.0 0 0.0
Other 2 8 55.6 8 44.4
Total 128 86 48.6 226 51.4

ACE inhibitor angiotensin converting enzyme inhibitor, ARB angiotensin-II receptor blocker, eGFR estimated glomerular filtration rate, NSAID non-steroidal anti-inflammatory drug, PPI proton pump inhibitor