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. 2018 Oct 4;8(9):e022930. doi: 10.1136/bmjopen-2018-022930

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© Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY. Published by BMJ.

This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.

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Medication reduction algorithm. Screening Tool of Older Person’s Prescriptions (STOPP) criteria withdraw one of the following medications if any of the ensuing contraindications are identified: thiazide diuretic with a history of gout (may exacerbate gout), beta-blocker in combination with verapamil (risk of symptomatic heart block), non-cardioselective beta-blocker with chronic obstructive pulmonary disease (risk of bronchospasm), calcium channel blockers with chronic constipation (may exacerbate constipation), use of diltiazem or verapamil with New York Heart Association class III or IV heart failure (may worsen heart failure). GP, general practitioner; NICE, National Institute for Health and Care Excellence.