The Views of Indian Practitioners on Deprescribing

  • Kumari Sweta
  • Doorva Bhat
  • Ganesan Rajalekshmi SaraswathyEmail author
  • E. Maheswari
Concise Research Reports


Deprescribing, “a structured approach to drug discontinuation”1 is rapidly becoming a trend worldwide. Though the Western world has accepted and adopted this approach towards prudent and rational therapy, the concept continues to be controversial in developing countries. The decision to deprescribe any medicine is complicated by the dearth of risk-benefit data and risk of therapeutic failure or withdrawal symptoms. But deprescribing has proven to be a legitimate solution to the age-old challenges of non-adherence, polypharmacy, risk of adverse drug reactions (ADRs), and use of potentially inappropriate medications (PIMs). As the responsibility of prescribing and monitoring of drug therapy falls primarily on physicians, understanding their views on deprescribing is of utmost importance. Hopefully the decision is made after weighing both the risks and benefits of deprescribing.


This study is an observational, questionnaire-based survey of 422 registered medical...


Compliance with Ethical Standards

Conflict of Interest

The authors declare that they do not have a conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was taken from all involved participants. This article does not contain any studies with animals performed by any of the authors.


  1. 1.
    McKean M, Pillans P, Scott IA. A medication review and deprescribing method for hospitalised older patients receiving multiple medications. Int Med J. 2016;46(1):35–42.CrossRefGoogle Scholar
  2. 2.
    Bhat DB, Saraswathy GR, Sweta K. Development and validation of the perceptions, attitudes, and challenges of physicians towards deprescribing (PACPD-12) questionnaire. J Am Med Dir Assoc. 2018. 19:1135-1136CrossRefGoogle Scholar
  3. 3.
    Nadarajan K, Balakrishnan T, Yee ML, Soong JL. The attitudes and beliefs of doctors towards deprescribing medications. Proc Singap Healthc. 2018;27(1):41–48.CrossRefGoogle Scholar
  4. 4.
    Iyer S, Naganathan V, McLachlan AJ, Le Conteur DG. Medication withdrawal trials in people aged 65 years and older. Drugs Aging. 2008;25(12):1021–1031.CrossRefGoogle Scholar

Copyright information

© Society of General Internal Medicine 2019

Authors and Affiliations

  • Kumari Sweta
    • 1
  • Doorva Bhat
    • 2
  • Ganesan Rajalekshmi Saraswathy
    • 1
    Email author
  • E. Maheswari
    • 1
  1. 1.Department of Pharmacy Practice, Faculty of Pharmacy M.S. Ramaiah University of Applied SciencesBangaloreIndia
  2. 2.Department of Pharmacy PracticeM.S.Ramaiah College of PharmacyBangaloreIndia

Personalised recommendations