🎉 Congrats to Sameera Toenjes and her team for an excellent publication in @plosone.org highlighting the perspectives of primary care clinicians regarding perceived barriers, facilitators, and team roles in addressing prescribing cascades:

Read the full article here!
buff.ly/yscPvts

Great article from Sarah Fallis, Ivy Lam, @lisamccarthy.bsky.social, & Myles Sergeant sharing how optimizing medications in hospitals can:
✅ Improve Patient Outcomes
✅ Reduce Medication Costs
✅ Lessen Environmental Impact
✅ Optimize Staff Efficiency

ftp.longwoods.com/content/2767...

Why Deprescribing is as Important as Prescribing What you need to know about going off a medication

Thanks @daphneberryhill.bsky.social for showcasing deprescribing.org on the "Meet Me at the Medcart" substack!

Read the full article where Daphne and @lisamccarthy.bsky.social discuss key points to keep in mind while #deprescribing:
buff.ly/gLm4BgI

Consider following the Medcart Substack! 👏 👏

Submissions close next week, October 15th! Don’t miss your chance to showcase your work on an international stage at ICOD 2026.

Submit your abstracts here: events.decorporate.ca/ICOD2026/abs...

Conference info and submission guidelines available here: www.deprescribingnetwork.ca/icod2026

I am always up for a chat with @jonathanunderhill.pharmsky.app! Kindred spirits united by a cranky elevator (aka lift) and @eahpofficial.bsky.social. Listen to the @prescqipp.info podcast... #deprescribing #ICOD2026
@deprescribing.bsky.social
@caden-recad.bsky.social @deprescribeus.bsky.social

This was such fun! Honored to be an international guest on the @prescqipp.info podcast hosted by @jonathanunderhill.pharmsky.app.

Check it out and give them a follow!

#deprescribing
##prescribingcascades

@deprescribing.bsky.social
@caden-recad.bsky.social

An older adult comes to you on an AGS Beers Criteria medication - or you are thinking of starting one. What can you do instead? New evidence-based, consensus clinical recommendations from @amergeriatrics.bsky.social. Check it out!

agsjournals.onlinelibrary.wiley.com/doi/epdf/10....

This study demonstrates a promising approach to screen for PIP at a population level by applying coding to a large database of health administrative data.

Want to help tackle Potentially Inappropriate Prescribing (PIP)?

Find helpful deprescribing.org resources here:
buff.ly/PoE6sPh

As we age, changes in our bodies can affect drug exposure, leading to potentially increased risks of both medication toxicity and treatment failure. 💊

Great review article highlights major age-related physiological changes that can impact drug use:
link.springer.com/article/10.1...

Congratulations @taimhuynh.bsky.social on this recognition of all that you and the team have built! @thelocal.to

A typical clonazepam sleeping pill travels 16300 km to arrive in Canada for use. ✈️ 🌏

And it doesn’t even work that well. 😬😫

#deprescribing for planetary health. It’s a thing.

We're sharing our 2025 funded Catalyst Grant projects today!

Congrats to Drs. @lisamccarthy.bsky.social, Ruben Hernandez Rodriguez, and Kainat Bashir on their project: Diabetes and dementia care of Mississauga’s immigrant communities. healthypopulationsnetwork.utoronto.ca/news/catalys...

Join the next Int. Deprescribing Journal Club session on May 23rd!

Appropriate Use of Antipsychotics Handbook - ISMP Canada Appropriate Use of Antipsychotics Handbook Resource from ISMP Canada.

Happy to share ISMP Canada's newly released "Appropriate Use of Antipsychotic Medications in Long-Term Care Handbook"!
buff.ly/dLr3QiA

Funded by the Ontario Ministry of Long-Term Care, the handbook offers a comprehensive approach to help reduce the risk of adverse drug events from #antipsychotics.

Polypharmacy and Geriatrics This book sheds light on quality use of medicines in older people, especially those who may have several comorbidities.

Searching for evidence-based literature on the safe and quality use of medications in older adults? 📖

Don't miss the new #Polypharmacy and #Geriatrics book from Nagham Ailabouni, including must-read chapters from global #deprescribing leaders! 🌎
buff.ly/6NXSdxb

Can't wait!!!

It is estimated that medications account for 25% of healthcare-related GHG emissions.

Happy to see deprescribing.org highlighted as a valuable partner to combat the significant environment impact of medication use. 🌿

Find resources to help stop unnecessary and harmful meds here:
lnkd.in/ggwJhCCy

Great article detailing the life-cycle of medications and all the greenhouse gas (GHG) emissions that are produced along the way:
www.cfp.ca/content/71/4...

#Deprescribing is one of the easiest and most cost-effective strategies to reduce healthcare emissions!

@peachhealthon.bsky.social

ThinkCascades: A Tool for Identifying Clinically Important Prescribing Cascades Affecting Older People - PubMed A nine-item consensus-based list of clinically important prescribing cascades, representing potentially inappropriate prescribing, was developed. Panelists' decisions about what constituted a…

💡 Helpful resources to identify Prescribing Cascades include:

➡️ ThinkCascades:
buff.ly/03cz1gt

➡️ Systematic Review from Doherty et al:
buff.ly/UQSpEH5

➡️ Publications from deprescribing.org:
buff.ly/rKwTCzt

Prescribing Cascades occur when a new drug is prescribed to treat the adverse effect of an existing drug. They can often lead to #polypharmacy & med-related harm.

Observational study finds potential prescribing cascades were highly prevalent in older hospitalized adults:
buff.ly/wUZsJ4g

Canada continues to experience an opioid toxicity crisis.

Insightful report from Canada's Drug Agency highlights a welcome DECLINE in prescription opioid use for pain from January 2018 to December 2022:
www.cda-amc.ca/trends-opioi...

Let's keep the momentum going. 🥳

March 14 is World Sleep Day!

While meds such as benzodiazepines or Z-drugs (BZRAs) can be helpful for sleep in the short-term, their harms can easily outweigh benefits, esp. in older adults.

Survey of physicians across 6 countries describes major barriers to BZRA #deprescribing:
buff.ly/ioHHSh8

Study from the Journal of Nutrition, Health and Aging finds high anticholinergic burden is associated with an increased prevalence, worsening, and incidence of #Dysphagia... increasing the risk of: dehydration, malnutrition, sarcopenia, infections, & aspiration pneumonia

buff.ly/4bnberu

Hot Off the Press! 🗞️

Find recommendations from the International Geriatric Diabetes Society on optimizing diabetes treatment in older adults through #deprescribing, #deintensification, & #simplification here:
buff.ly/4hOqWhL

We're excited to have contributed to this valuable publication! 💡

So many #Deprescribing guidelines currently in development worldwide 🌎:
➡️ Diuretic Deprescribing
➡️ Statin Deprescribing
➡️ Antidepressant Deprescribing
➡️ Gabapentinoid Deprescribing

Keep your eyes peeled for updates on our Deprescribing Guidelines Repository (DEPOT) page! 👀
buff.ly/3tkhsqH

There’s been so much interest in from US 🇺🇸health workers and jobs in Canada that I’m posting recruitment links for all 10 provinces and 3 territories: 🧵 #healthcarejobs🇨🇦

New here?

This is a mega-starterpack of Canadians on bluesky.

Welcome to #CanadaSky 🍁

1 go.bsky.app/HqmVU7Z

2 go.bsky.app/4CHUihS

3 go.bsky.app/31b7WqR

4 go.bsky.app/9c3sqg4

6 go.bsky.app/8K8AfG4

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10 go.bsky.app/GaoS6MJ

Highly intriguing read! 🚨

International study identifies four distinct classes of older adults w.r.t. #deprescribing preferences.

Read more about the unique characteristics & perspectives of each group here:
https://buff.ly/3Wsc9B3

@kristieweir.bsky.social

The co-occurrence of multimorbidity and polypharmacy among middle-aged and older adults in Canada: A cross-sectional study using the Canadian Longitudinal Study on Aging (CLSA) and the Canadian Primar... Background There is an increasing prevalence of multiple conditions (multimorbidity) and multiple medications (polypharmacy) across many populations. Previous literature has focused on the prevalence ...

Do #polypharmacy & #multimorbidity go hand in hand?

Large 🇨🇦 study using two national datasets finds this is NOT always the case!
journals.plos.org/plosone/arti...

"Many living with multimorbidity do not necessarily have polypharmacy"

📢 Inappropriate polypharmacy CAN be preventable!

Some great tips for writing intros in this thread 👇