RT Journal Article
SR Electronic
T1 Screening for potentially inappropriate prescribing in primary care
JF Canadian Family Physician
JO Can Fam Physician
FD The College of Family Physicians of Canada
SP 173
OP 178
DO 10.46747/cfp.7203173
VO 72
IS 3
A1 McDonald, Emily G.
A1 Gagnon, Marie-Eve
A1 Jorgenson, Derek J.
A1 Kraut, Roni Y.
A1 Lee, Justin
A1 Leung, Larry
A1 Mangin, Dee
A1 Marcoux, Georges
A1 McCracken, Rita K.
A1 Raman-Wilms, Lalitha
A1 Sirois, Caroline
A1 Trimble, Johanna
A1 Young, Jennifer
A1 Rizvi, Amal
A1 Workentin, Aine
A1 Persaud, Nav
YR 2026
UL http://www.cfp.ca/content/72/3/173.abstract
AB Objective To develop a guideline addressing potentially inappropriate prescribing (PIP) screening in primary care, in accordance with the priority established in Bill C-64 by the Canadian government as part of a strategy for appropriate medication use.Methods The guideline was informed by 2 systematic reviews related to PIP in older adults.Recommendations The guideline recommends that adults aged 65 years or older receive prescription checkups or a related intervention to optimize medication appropriateness. Effective interventions include medication reviews paired with suggestions by a prescriber or pharmacist using a structured approach or set of rules (strong recommendation, moderate-certainty evidence). Second, it is recommended that governments fund prescription checkups or related interventions to optimize medication appropriateness (strong recommendation, moderate-certainty evidence).Conclusion This guideline complements other guidance on how to deprescribe certain medication classes, such as proton pump inhibitors and sedative hypnotics. Interventions should be implemented and funded as part of a pan-Canadian strategy on appropriate medication use, and taken up by provincial, territorial, and federal governments as part of larger strategies to avoid medication-related harms. The effects of interventions should be carefully tracked.