class category condition improve evidence harm total taper reduce frequency monitor Evid Based Med August 2013 A practical guide to stopping medicines in older people A practical guide to stopping medicines in older people A practical guide to stopping medicines in older people Lipid regulators Statins cholesterol 1 1 1 3 Y 25 2 "blood pressure, heart rate" previous heart attack or stroke 2 2 50 4 constitipation Niacin cholesterol 0 10 2 to 4 insomnia "Cholesterol other (ezetimibe, cholestyramine, colestipol)" cholesterol 0 0 anxiety Fibrates cholesterol 0 Antidepressants SSRI depression 0 chronic pain 0 anxiety 0 obsessive compulsive disorder 0 insomnia 0 SNRI depression 0 chronic pain 0 anxiety 0 obsessive compulsive disorder 0 insomnia 0 TCA depression 0 chronic pain 0 anxiety 0 obsessive compulsive disorder 0 insomnia 0 smoking cessation 0 Depression other depression 0 Narcotics Narcotics pain 0 Beta-blockers Beta-blockers blood pressure 0 heart failure 0 angina 0 arrhythmia 0 tremor 0 glaucoma 0 migraine 0 previous heart attack or stroke 0 ACE inhibitors ACE inhibitors blood pressure 0 heart failure 0 previous heart attack or stroke 0 diabetic kidney 0 Antidiabetes Metformin diabetes 0 Sulfonylureas diabetes 0 Insulin diabetes 0 Glitazones diabetes 0 "Diabetes other(DPP4s, Acarbose, GLPs, Meglitinides)" diabetes 0 Hypertension Hypertension other blood pressure 0 Respiratory agents Beta-agonists asthma 0 chronic obstructive lung disease 0 Inhaled steroids asthma 0 chronic obstructive lung disease 0 Leukotriene antagonists asthma 0 chronic obstructive lung disease 0 Anticholinergics asthma 0 chronic obstructive lung disease 0 Anti-ulcerants H2 antagonists heartburn/GERD 0 ulcer prevention 0 PPIs heartburn/GERD 0 ulcer prevention 0 Sucralfate ulcer prevention Misoprostol ulcer prevention Diuretics Thiazides blood pressure 0 heart failure 0 "Diuretics (Furosemide, Metolazone, Torsemide)" blood pressure 0 heart failure 0 Aldosterone antagonists blood pressure 0 heart failure 0 Antiepileptics "Epilepsy (Gabapentin,Phenytoin, Valproate, Carbamazepine, Others" epilepsy 0 pain 0 Tranquilizers Benzodiazepines anxiety 0 panic disorder 0 Thyroid Thyroid hypothyroid symptoms 0 prevention but no symptoms 0 Calcium antagonists Calcium antagonists blood pressure 0 angina 0 arrhythmia 0 Antirheumatics NSAIDs osteoarthritis 0 rheumatoid arthritis 0 Acetaminophen osteoarthritis 0 rheumatoid arthritis 0 Biologics rheumatoid arthritis 0 Hormones Estrogen/progesterone menopausal symptoms (hot flashes etc) 0 "risk prevention (CV, bones)" 0 Testosterone andropause symptoms (vitality etc) 0 risk prevention (CV other) 0 Angiotensin 2 blockers Angiotensin 2 blockers blood pressure 0 heart failure 0 Vitamins/supplements Vitamins/supplements actual vitamin deficiency 0 prevention vitamin deficiency 0 Hypnotics/sedatives Benzodiazepines insomnia 0 Non-benzodiazepine sedatives insomnia 0 Anti-clotting Warfarin afib/valve 0 NOAC afib/valve 0 Anti-resorption Bisphosphonates osteoporosis 0 Raloxifene osteoporosis 0 Osteoporosis other osteoporosis 0 Uric acid Colchicine gout 0 Xanthine oxidase inhibitors(allopurinol/febuxostat) gout 0 Gout other gout 0 Urinary tract Alpha-blockers benign prostatic hyperplasia 0 5-alpha reductase inhibitors benign prostatic hyperplasia 0 Incontinence incontinence 0 Corticosteroids Corticosteroids inflammatory conditions 0 Cholinesterase inhibitors Cholinesterase inhibitors Alzheimer's 0 Antipsychotics First generation antipsychotics agitation in dementia 0 schizophrenia 0 bipolar 0 depression 0 Second generation antipsychotics agitation in dementia 0 schizophrenia 0 bipolar 0 depression 0 Antimigraine Triptans migraine 0 Migraine other migraine 0 Nitrates Nitrates angina 0 Digoxin Digoxin heart failure 0 arrhythmia 0 Parkinson's Parkinson's Parkinson's 0 Erectile dysfunction Erectile dysfunction erectile dysfunction 0 IBD IBD inflammatory bowel disease 0 Weight loss Weight loss weight loss 0 ADHD ADHD ADHD 0 Antihistamines Antihistamines allergies 0 Antiarrhythmics Antiarrhythmics arrhythmia 0 Gastrointestinal other "Gastrointestinal other (antacids, domperidone, metoclopramide)" heartburn/GERD 0 Heparin Heparin clotting disorder 0 Smoking cessation Smoking cessation smoking cessation 0 ASA previous heart attack or stroke 0 osteoarthritis 0 rheumatoid arthritis 0 afib/valve 0 Anticonstipation Constipation constipation 0 Antidiarrhea Diarrhea diarrhea 0 Antinausea Nausea nausea 0