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HOW TO COME DOWN OFF PRESCRIPTION MEDS · Your Daily Dose

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  Speaker 1: This would be fun. It is May twenty first, twenty
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  Speaker 1: twenty six. How do you get off the pill train?
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  Speaker 1: Many prescriptions were meant for short term use, not a lifetime,
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  Speaker 1: but that guidance, patients often remain on them unnecessarily four years.
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  Speaker 1: Does that sound like you. We'll take a look at
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  Speaker 1: this article. Hi, and welcome to Health Talk with Doctor
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  Speaker 1: Lan your daily dose. The information you hear on the
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  Speaker 1: show is informational. It's not meant to diagnose or treat
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  Speaker 1: any disease. Any kind of complete health conditions must be
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  Speaker 1: checked out and discussed with your primary care physician.
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  Speaker 2: Get ready for the good news of the day.
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  Speaker 1: God bless you, folks, and here is doctor Lynn. Our
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  Speaker 1: daily devotional today comes from the Book of Romans, Chapter eight.
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  Speaker 1: I either created the universe and with you and for you.
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  Speaker 1: What more could you need? When you feel some lack,
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  Speaker 1: it's because you're not connecting with me at a deep level.
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  Speaker 1: I offer abundant life. Your part is to trust me,
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  Speaker 1: refusing to worry about anything. It's not so much adverse
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  Speaker 1: events that make you anxious as it is your thoughts
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  Speaker 1: about those events. Your mind engages in efforts to take
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  Speaker 1: control of the situation, to bring about the result you desire.
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  Speaker 1: Your thoughts close in on the problem like a ravenous wolf,
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  Speaker 1: determine to make things go your way. You forget that
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  Speaker 1: I am in charge of your life. The only remedy
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  Speaker 1: is to switch your focus from the problem to MY presence.
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  Speaker 1: Stop all your striving and watch to see what I
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  Speaker 1: will do. For I am the Lord. Stay tuned seven
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  Speaker 1: two seven, nine one six four to two one five.
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  Speaker 1: For more than two decades, Jane, a woman in the
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  Speaker 1: early seventies, took the same small white pill each night
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  Speaker 1: to sleep. It was prescribed when menopause first disrupted her rest.
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  Speaker 1: Let's trying to stop more than once each time here
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  Speaker 1: insomia came rushing back. Wasn't that she needed a drug,
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  Speaker 1: her body had become dependent on it. With help of
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  Speaker 1: Stacy Diedgelo, a Toronto pharmacist who specializes in d prescribing,
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  Speaker 1: Jane tapered off the medication over six months. She ade
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  Speaker 1: adopted to a consistent sleep schedule about morning light, and
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  Speaker 1: adjusted her bedroom to be cooler and darker. For the
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  Speaker 1: first time of more twenty years, she slept through the night,
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  Speaker 1: all without a pill. I assumed she heard of sleep
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  Speaker 1: hygiene after all these years, DiAngelo said, like many Americans,
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  Speaker 1: Jane stayed on a medication longer than intended, may have
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  Speaker 1: had non drug alternatives or meant for short term use,
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  Speaker 1: but continued for years, sometimes decades, without reassessment. De Prescribing,
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  Speaker 1: a process of safely reducing or stopping medications that may
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  Speaker 1: no longer help or cause harm, is rarely taught in
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  Speaker 1: medical or pharmacy training. The consequences can be serious, and
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  Speaker 1: estimated seven hundred and fifty older adults in the United
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  Speaker 1: States are hospitalized every day because of medication related harm.
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  Speaker 1: Every medication has a timeline. Medications don't announce when they've
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  Speaker 1: not lived that timeline. The signs appear instead as a
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  Speaker 1: fall morning brain fog or racing card, or even a
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  Speaker 1: hospital visit for a symptom that seemed unrelated but traces
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  Speaker 1: back to that drug. So where do you start? Deprescribing
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  Speaker 1: starts with taking stock. Patients state an accurate, up to
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  Speaker 1: date list of everything they take, including prescriptions, over the
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  Speaker 1: counter drugs and supplements, and a clear understanding of what
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  Speaker 1: each one is for a lot of people are just
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  Speaker 1: taking things don't even know why they started. Once you
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  Speaker 1: have a clear list, bring it to a physician and
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  Speaker 1: can review the full regiment. Ideally your primary care provider
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  Speaker 1: who can coordinate cross specialists. If multiple doctors are prescribing medication,
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  Speaker 1: ask one to take the lead. Deprescribing is not an
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  Speaker 1: all or nothing decision. It's a series of stars small ones.
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  Speaker 1: Clinicians often begin by removing a single drug that may
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  Speaker 1: no longer be necessary.
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  Speaker 2: It may be.
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  Speaker 1: Causing side effects or no longer aligns with the patient's
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  Speaker 1: goals when patients notice those symptoms.
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  Speaker 2: These symptoms are not always new diseases.
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  Speaker 1: Assume that a new symptom could be a drug. Canterbury said. Dizziness, fatigue, confusion,
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  Speaker 1: poor sleep, and falls are frequently attributed to aging, but
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  Speaker 1: can stem from medications or their interactions. Sometimes the drug
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  Speaker 1: still works as intended, but no longer aligns with the
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  Speaker 1: patient's goal or a stage of life. There are times
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  Speaker 1: when the benefit is long term, but the patient may
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  Speaker 1: not live long enough to see that benefit or may
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  Speaker 1: no longer want it. Prescribing cascades are common. One drug
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  Speaker 1: side effect is treated with another, then another can often
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  Speaker 1: trace it back. Canterbury said, drug A led to drug B,
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  Speaker 1: which led to drug C. The next step is to
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  Speaker 1: decide how to safety reduce or stop the medication, usually
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  Speaker 1: with a doctor or a pharmacist. Amen give a call
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  Speaker 1: if you want help with it. SETI show that a
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  Speaker 1: large majority, typically about seventy percent or more than ninety percent,
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  Speaker 1: of de prescribing recommendations are implemented when patients and clinicians collaborate.
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  Speaker 1: If stopping feels worse, it doesn't always mean you need
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  Speaker 1: that medication, just means you may need a slower plan.
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  Speaker 1: Deprescribing works best when something replaces the medication, not another drug,
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  Speaker 1: but support for the problem that the drug was masking.
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  Speaker 1: Saving pills may mask insomnia without fixing sleep patterns. Acid
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  Speaker 1: reducers can ease reflex without dietary changes. Anxiety medications may
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  Speaker 1: quiet symptoms without tackling stress or routines. When these medications
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  Speaker 1: are removed without anything else in place, the symptoms often return,
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  Speaker 1: sometimes quickly. These are all tools in the toolbox. Angel
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  Speaker 1: As said medication is one of them, but not the
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  Speaker 1: only one. Lifestyle support helps stabilize the body as medications
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  Speaker 1: are reduced, making the process more tolerable. Medications are tools,
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  Speaker 1: not permanent fixed. They serve a purpose and can be
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  Speaker 1: adjusted as circumstances changed, sometimes set aside when they no
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  Speaker 1: longer fit. Prescriptions are easy to start. Taking the time
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  Speaker 1: to reconsider them maybe one of the most important steps
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  Speaker 1: in protecting your health for many. That reconsideration begins only
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  Speaker 1: when a patient asks you have a problem with that.
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  Speaker 1: You have a problem with.
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  Speaker 2: You, give a call seven seven, nine, six, four two
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  Speaker 2: one five, and we'll set up a time review what
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  Speaker 2: the heck you're doing and trying to bring it into perspective.
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  Speaker 2: That's what we got for you today.
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  Speaker 1: There's a little piece on consoles. Hi everybody, and welcome.
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  Speaker 1: I just want to talk to you for a bit
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  Speaker 1: about consultation times. You may not be aware that that's
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  Speaker 1: pretty much where my training has been my entire career,
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  Speaker 1: sitting down and delving into health situations that an individual
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  Speaker 1: has so that you're able to make at least some
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  Speaker 1: common sense out of what's going on and make a
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  Speaker 1: plan for moving ahead. So many people get frustrated by
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  Speaker 1: the traditional medical model alopathy. Get a prescription, that's it.
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  Speaker 1: How often can they actually make such a substantial difference
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  Speaker 1: or change something in the physicality of you? So when
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  Speaker 1: you want to do a consultation time, what you need
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  Speaker 1: to do is give me a call at seven two
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  Speaker 1: seven nine one six four to two one five, or
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  Speaker 1: go directly to my website d r l E njb
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  Speaker 1: dot com. It's d r l E n JB dot
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  Speaker 1: com and right there you can schedule your own consultation time.
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  Speaker 1: You'll notice that there's a questionnaire to fill out that
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  Speaker 1: will help me ascertain what's going on with your particular situation.
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  Speaker 1: And again you can call leave a message, we'll call
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  Speaker 1: you back and get your scheduled at seven two seven
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  Speaker 1: nine one six four to two one five.
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  Speaker 2: God bless you folks.
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  Speaker 1: Talk to you soon, all right number get seven nine
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  Speaker 1: one six four two win five. Have a great day, folks,
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  Speaker 1: see you tomorrow.