Medication reviews work best when the patient and clinician agree what the review is for. One goal, one change and a planned follow-up is often more achievable than a full rationalisation in a single short consultation.
- Ask which medicine the patient would most like to stop, and which they value most.
- Check for drugs started for a temporary reason and never stopped.
- Change one thing at a time and plan a follow-up.
- Write the agreed goal in the notes so the next clinician can continue.
Why it matters
A review without a goal tends to end with no change, and patients disengage.
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