🎉 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...

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...

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!

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.

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

💡 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 7 go.bsky.app/DDFyJyf 8 go.bsky.app/7iqWg9D 9 go.bsky.app/EVhijFP 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

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 👇

How do factors such as age, sex, & gender impact #polypharmacy & prescribing cascades? Is gender data consistently reported across large patient databases? How do these factors impact how we #deprescribe? Read more here: agsjournals.onlinelibrary.wiley.com/doi/10.1111/...

Wishing all of our fellow #Deprescribers a Joyous Holiday Season and a Happy New Year! See you all in 2025! 🎄 🎊 🥂

Not my usual content but hits close to home. 🇨🇦 friends: Share your thoughts about advance requests for #MAID (medical assistance in dying) before Feb 15th. www.canada.ca/en/health-ca...

Survey about gender biases and equity in 🇨🇦 academia survey.alchemer-ca.com/s3/50287579/... For tenure-track & contract faculty, lecturers, and administrative staff. Conducted by Abacus Data on behalf of University Affairs. #CdnSci #AcademicChatter

Exciting times for #medicationappropriateness in Canada! Pleased to have @deprescribing.bsky.social involved.

This hits close to home for me. PLEASE push through awkward, tough conversations so your wishes can be honoured. It is a gift for your loved ones who will advocate on your behalf when you can no longer do so. Thanks @smithdanag.bsky.social for the piece, @picardonhealth.bsky.social for sharing.

Women are under-represented at senior levels in #academia globally, & across all #science 🧪 disciplines, as shown by these "scissor-shaped curves" ✂️ So how can we ever achieve #gender #equality? We discuss various strategies in this #Cell Commentary #WomeninSTEM www.cell.com/cell/fulltex... 🧵 1/

Thread for those new to BlueSky. First of all, welcome. It feels like a safer space, doesn’t it? But also perhaps a bit disorienting initially? Here’s some tips for getting your bearings.

✨ More Bluesky tools for power-users, curious people, and nerds. ✨ One thing that makes this place a better option for anyone wanting a more conscious social experience is its "opensource-ness." It gives us a level of freedom we haven't had since the MySpace era. I missed that. 🧵 1/10

Did you know there’s a site to search for starter packs of people to follow? Built by @mubashariqbal.com blueskydirectory.com/starter-pack...

Great starter packs for #Pharmsky! Thanks for including @deprescribing.bsky.social.

New to #Bluesky? Join our #deprescribing starter pack. Perfect for #polypharmacy, #medicationoverload, #medicinesoptimisation, #medicationappropriateness, #deprescription, #lessismore friends! DM or reply to be added. go.bsky.app/6MA8eQA

Thanks @lisakramer.com for the @uoft.bsky.social Starter Pack! Wonderful resource to find local friends 😊

Lots of academic journals are now on 🦋 And there’s a starter pack for that! go.bsky.app/FcArK3K via @tkedmunds.bsky.social H/T @germhuntermd.bsky.social

Here’s my starter park for pharmtweeps UK & IRL go.bsky.app/PzopiA9 #PharmSky

Remember, if you like a post, REPOST. This site is different than X and a post gets traction by repost only.

It's up!!!! My Explainer video for BlueSky beginners. I cover how to find your Twitter followers, Starter Packs, Feeds, Lists, some handy-dandy tools, and BlueSky etiquette. Please watch and/or share with any newbies you know. I think it's helpful. www.youtube.com/watch?v=m_V2...

📣 #medsky and #pharmsky friends Interested in #deprescribing, #medicinesoptimisation, appropriate use, #medicationoverload, #polypharmacy, #lessismore, #overprescribing? Follow: 1) @deprescribing.bsky.social 2) Find friends go.bsky.app/6MA8eQA