De-prescribing and Review of Complex Medical Care

Detailed medication review for patients on multiple medications to simplify care, reduce polypharmacy, and optimize treatment plans.

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Comprehensive Medication Review

Systematic evaluation of medications to identify opportunities for simplification, dose optimization, and elimination of unnecessary treatments.

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Polypharmacy Reduction

De-prescribing approach to reduce medication burden while maintaining therapeutic effectiveness and improving patient safety and quality of life.

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Treatment Goal Alignment

Reassessment of treatment objectives to ensure medication regimens align with patient preferences, clinical appropriateness, and realistic outcomes.

Service Overview

Our polypharmacy clinic offers detailed medication review for patients on multiple medications or with uncertain treatment goals to simplify care, reduce polypharmacy, and align treatment with patient preferences and clinical appropriateness throughout Calgary and surrounding communities in Alberta. This specialized service addresses the growing challenge of medication complexity in patients with multiple chronic conditions.

We collaborate with referring physicians to optimize long-term medication management through evidence-based de-prescribing strategies. Our approach involves comprehensive review of all medications, assessment of drug interactions and duplications, evaluation of treatment burden versus benefit, and development of simplified medication regimens that maintain clinical effectiveness.

If specifically seeking consultation regarding polypharmacy management, your consult will be reviewed by members of our physician team with specialized expertise in medication optimization. Our general internal medicine specialists excel at balancing multiple therapeutic goals while reducing medication complexity and improving patient adherence and quality of life.

Our systematic approach includes reviewing medication history and indications, assessing current clinical need for each medication, identifying potentially inappropriate medications, evaluating drug interactions and side effects, and developing a safe de-prescribing plan with appropriate monitoring. We ensure all medication changes are communicated clearly to patients and their healthcare providers.

Referral Forms

Electronic Referral Form

Fill out digitally on your computer or mobile device, then fax the completed form to +1 (825) 540-4071.

Printable Referral Form

Download and print to complete by hand, then fax the completed form to +1 (825) 540-4071.

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Why Refer To Us

Expertise You Can Trust

Board-certified general internal medicine specialists with extensive experience in complex medical conditions and diagnostic challenges.

Collaborative Approach

We work closely with referring physicians and other specialists to ensure coordinated, comprehensive patient care.

Timely Access

Faster access to general internal medicine consultation compared to traditional hospital-based clinics, with flexible appointment scheduling.

Comprehensive Reports

Detailed consultation reports with clear recommendations, ensuring seamless communication with your healthcare team.

Comprehensive Care Through Dual Practice

Our physicians practice both in the hospital and community, bringing broader experience and deeper clinical insight to ensure patient care informed by real-time, hands-on knowledge across the full continuum of care.

Frequently Asked Questions

  • Patients taking 5 or more medications, those experiencing medication side effects, patients with declining kidney or liver function, elderly patients at risk for drug interactions, and anyone feeling overwhelmed by their medication regimen.

  • We follow evidence-based de-prescribing guidelines, implement gradual medication tapers when appropriate, provide clear monitoring plans, and maintain close communication with referring physicians throughout the process.

  • Not necessarily. Our goal is optimization, not elimination. We carefully evaluate each medication's current benefit and only recommend changes when it's safe and beneficial for the patient's overall health and quality of life.

  • Initial consultation typically takes 60-90 minutes for comprehensive review. Follow-up appointments may be needed to monitor medication changes and ensure patient comfort with the new regimen.