Process

Identify and review the continued need for drugs

  • what is medication for?
  • with temporary indications
  • with higher than usual maintenance doses
  • with limited benefit/evidence for use
  • with limited benefit in the person under review (see Drug efficacy & applicability (NNT) table)

 

Medicines to review

The table below brings together some common areas where prescribers may be able to take action. This list is not exhaustive and does not replace individual clinical judgement. For more detail see Detail by therapeutic area based on amalgamated medication assessment tool.

Please note that the table below may need to be scrolled horizontally or vertically in order to view all information, depending on your device.

 

Check for expired indication Check for valid indication  Benefit versus risk

PPI /H2 blocker

Laxatives

Antispasmodics

Oral steroid

Antihistamine

Benzodiazepines/z-drugs

SSRIs and other antidepressants

Metoclopramide

Antibacterials (oral/topical)

Antifungals (oral/topical)

Sodium/potassium supplements

Iron supplements 

Vitamin supplements

Calcium/Vitamin D

Oral nutrition supplements

NSAIDs 

Drops, ointments, sprays etc

Anticoagulant

Anticoagulant + antiplatelet

Aspirin

Diuretics

Digoxin

Peripheral vasodilators

Quinine

Antiarrhythmics

SABA alone

Theophylline

Montelukast

Antipsychotics

Tricyclic antidepressants

Opioids

Levodopa 

Bisphosphonates

Alpha-blockers

Finasteride

Antimuscarinics (urological) 

Chemotherapy/systemic anticancer therapy (SACT)

Muscle relaxants

Medicines of low/limited clinical value

PPI

Antianginals

BP control 

Statins

Steroids

Dementia drugs

Opioids >60mg oral morphine equivalence dose (MED)

HbA1c control

Hormone replacement therapy (HRT)

DMARDs

Antibiotic prophylaxis