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Monash University is launching a nation-wide program called SUPPORT-Meds.
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SUPPORT-Meds is funded by a $5 million Quality Use of Diagnostics, Therapeutics and Pathology (QUDTP) grant from the Department of Health, Disability and Ageing.
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SUPPORT-Meds targets high-risk medicines.
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The program will initially focus on deprescribing benzodiazepines and Z-drugs for sleep in older people.
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The program will initially focus on deprescribing opioids for persistent noncancer pain.
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The program will expand to include deprescribing proton pump inhibitors.
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The program will expand to include deprescribing antipsychotics for changed behaviors in people living with dementia.
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The program will expand to include deprescribing NSAIDs.
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The program will expand to include deprescribing gabapentinoids (gabapentin and pregabalin) for pain.
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Dr. Emily Reeve is an Associate Professor at the Centre for Medicine Use and Safety at the Monash Institute of Pharmaceutical Sciences.
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Dr. Emily Reeve leads the SUPPORT-Meds program.
Emily Reeve, Associate Professor
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"We know unnecessary medicine use is prevalent across Australia, and the risks of long-term use outweigh the benefits to the individual," Dr. Reeve said.
Emily Reeve, Associate Professor
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"That’s why we’re equipping health professionals working in primary care with the practical skills, communication strategies and resources they need to safely deprescribe certain medicines," Dr. Reeve said.
Emily Reeve, Associate Professor
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"Using sleeping pills long-term, for example, may only buy a person less than half an hour of extra sleep when first used," Dr. Reeve said.
Emily Reeve, Associate Professor
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"With long-term use, this benefit vanishes, but significant risks such as falls and fractures remain," Dr. Reeve said.
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Professor Parker Magin is an experienced GP and member of the initiative’s Advisory Group.
Parker Magin, Professor
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"As GPs, we're trained to prescribe, but knowing when and how to safely stop or reduce a medication is just as important," Professor Parker Magin said.
Parker Magin, Professor
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"This program gives clinicians across Australia the confidence and the practical tools to have these conversations and start a deprescribing plan," Professor Parker Magin said.
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Dr. Janney Wale is a consumer representative and Advisory Group member.
Janney Wale, Dr.
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"Most of us don't realize how much unnecessary medication can affect our quality of life," Dr. Janney Wale said.
Janney Wale, Dr.
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"Side effects, costs and the risks of serious harm build up over time," Dr. Janney Wale said.
Janney Wale, Dr.
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"Deprescribing is about managing our medicines, not about taking things away," Dr. Janney Wale said.
Janney Wale, Dr.
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"It's about making sure every medicine we're on is actually doing something for us," Dr. Janney Wale said.
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SUPPORT-Meds provides practical, evidence-based resources adapted from tools initially developed in Canada.
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SUPPORT-Meds resources include consumer information about the benefits and harms of medicine.
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SUPPORT-Meds resources include a communication tool and deprescribing algorithm for health professionals.
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SUPPORT-Meds resources include an online tapering calculator to create user friendly tapering schedules.
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Free accredited education will be delivered as online self-paced learning or face-to-face by a nationwide network of dedicated ‘knowledge brokers’.
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The SUPPORT-Meds initiative is a collaboration between Monash University and Ageing Australia.
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The SUPPORT-Meds initiative is a collaboration between Monash University and the Australian Primary Health Care Nurses Association.
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The SUPPORT-Meds initiative is a collaboration between Monash University and the New South Wales Therapeutic Advisory Group.
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The SUPPORT-Meds initiative is a collaboration between Monash University and the Pharmaceutical Society of Australia.
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The SUPPORT-Meds initiative is a collaboration between Monash University and the Royal Australian College of General Practitioners.
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Partner organizations for SUPPORT-Meds include the Australian College of Nurse Practitioners.
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Partner organizations for SUPPORT-Meds include Advanced Pharmacy Australia.
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Partner organizations for SUPPORT-Meds include the Australasian Sleep Association.
Emily Reeve, Associate Professor
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"Australia historically led the way in deprescribing, in fact the term ‘deprescribing’ actually first appeared in literature from Australian authors," Dr. Reeve said.
Emily Reeve, Associate Professor
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"Now, we are translating a decade of global research into localized action," Dr. Reeve said.
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