It is reasonable to consider discontinuing therapy when a patient has progressed to advanced dementia.
The Clinical Picture
He had restarted his home dapsone prophylaxis, but his dyspnea worsened and his urine became dark.
From the Editor
We should periodically revisit the goals and rationale for all prescribed medications
Some drugs may become unnecessary or even dangerous as the patient ages. Periodic medication review is needed.
More than one-third of older adults in the United States take 5 or more medications. Consider deprescribing.
Pressurized metered-dose inhalers, dry powder inhalers, soft-mist inhalers, and nebulizers each have advantages and limitations.
Treatment Options for Stable Chronic Obstructive Pulmonary Disease: Current Recommendations and Unmet Needs
Primary care physicians manage the care of approximately 80% of patients with COPD.
The balance of risk and benefit may differ considerably for 2 patients of the same age if one is fit and the other is frail.
Frailty may be both a cause and a consequence of cardiovascular disease.
It is most common in patients with renal impairment, can be life-threatening, and requires a multidisciplinary approach.