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Proportion of admissions related to Adverse Drug Events. 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
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`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 66 • Diuretics (loop, thiazides) 57 • Antiplatelets & anticoagulant 50 • ACEI 32 • Statins 30 • CNS medications 36 • Proton pump inhibitor 16 • Others (e.g. laxatives, analgesics, Ca ) 182