Episode #1
Season 2, Episode 1: Deprescribing with Stacey D'Angelo
In this episode I welcome on Stacey D’Angelo, a pharmacist, Certified Health & Well-being Coach, and founder of Your Simple Health, a private practice focused on deprescribing and medication optimization. She specializes in helping individuals safely reduce medication use when the risks may outweigh the benefits, through personalized, evidence-based care and shared decision-making. Stacey is also a speaker and educator on deprescribing and has developed continuing education for pharmacists on patient-centred deprescribing strategies. Through her clinical practice and education work, she is passionate about changing the conversation around medications and helping both patients and healthcare professionals recognize when less medicine may be the right medicine. You can find Stacey at https://www.simplehealthpharmacist.com/ or on LinkedIn at https://www.linkedin.com/in/staceydangelo/ ~ DONATE TO THE SHOW! buymeacoffee.com/ringsabellpod ~ References, helpful notes and resources, links to socials etc: https://ringsabellpod.kit.com/allthethings Timestamps 00:00 - Intro 02:50 - Disclaimers 04:03 - Stacey’s journey toward deprescribing 07:13 - What is deprescribing? 09:00 - What is a prescribing cascade? 11:10 - What percent of Canadian seniors are prescribed 10 or more med classes? 15:09 - Risks of polypharmacy 16:15 - Evaluating a patient for deprescribing 20:20 - Key components of assessing a medication 27:29 - Deprescribing statins 31:34 - Deprescribing PPIs 34:40 - Rebound symptoms vs. withdrawal symptoms 37:30 - Antidepressant deprescribing 40:00 - Linear vs. hyperbolic tapering 44:14 - Factors that increase the risk of withdrawal in deprescribing 48:15 - When meds stop working 50:40 - Evidence based resources for deprescribing ~ Legal Disclaimer: The information provided on Rings A Bell Podcast is for educational and informational purposes only and does not constitute professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or health objectives. Never disregard professional medical advice or delay seeking it because of something you have heard on this podcast. Reliance on any information provided by Rings A Bell Podcast, its hosts, or guests is solely at your own risk. Listening to this podcast does not establish a doctor-patient relationship. If you are a medical professional listening to this show, please remember that clinical information moves swiftly these days. I do my best to present up to date information, but it is your responsibility to critically evaluate it before putting it into practice. Because you are a professional. Hosted on Acast. See acast.com/privacy for more information.
