Дәрі-дәрмектерді тоқтату және оның салдары

Ceasing of a medication treatment for a patient

Medication discontinuation is the ceasing of a medication treatment for a patient by either the clinician or the patient themself. When initiated by the clinician, it is known as deprescribing. Reducing polypharmacy
Reducing health expenditure
Improving quality of life by ceasing medications with potential adverse effects or where the indication for a medical treatment may have changed
Reflect changes in evidence that support a treatment
Reflecting changes in treatment goals, such as a move to end of life care. Unlike the prescribing of medications, appropriate discontinuation has not attracted nearly as much attention or interest.

Medications may be stopped in the context of end of life care, such as medications that may affect risk factors for future disease. Medications that may be stopped as part of discussions about end of life care include antihypertensives, medications for diabetes, and drugs for high cholesterol.

Drug discontinuation may cause rebound effects (return of the symptoms the drug relieved, and that, to a degree stronger than they were before treatment first began) and withdrawal syndromes (symptoms caused by the discontinuation by the drug itself). Drug discontinuation may be difficult to adjust to, owing to the long term use and the symbolism associated with ceasing medications, such as the decision to stop chemotherapy. The findings are based on low quality evidence suggesting it may be safe to stop anti hypertensive medications. However, older adults should not stop any of their medications without talking to a healthcare professional.