Patient-centred Deprescribing of Psychotropic, Sedative and Anticholinergic Medication in Elderly Patients With Polypharmacy

Inclusion Criteria:

• Aged 65 years or older

• Patient is capable of giving consent

• GP contact in the quarter prior to inclusion

• Current use of ≥ 5 drugs, including ≥ 1 PSA-PIM (hypnotics, opioids, gabapentinoids,antipsychotics, antidepressants, anticholinergic urospasmolytics) with a treatmentduration of ≥ 6 months

• Willingness to select a regular pharmacy for the study period

• Consent to data exchange between GP and community pharmacy

Exclusion Criteria:

• Terminal illness (life expectancy < 6 months)

• Current treatment of pain associated with cancer

• Other serious physical illness or mental distress (e.g. bereavement) that makesparticipation in the study impossible (according to the GP's assessment)

• Psychiatric illness or addiction that makes participation in the study impossible (according to the GP's assessment)

• Unable to meet the requirements of the study (participation in telephone or writtenquestionnaires, visits to the GP practice or community pharmacy, alone or with thehelp of caregivers for physical infirmity)

• Current participation in research projects on medication safety or geriatricmedicine