Stopping a medicine can seem daunting, especially if you’ve been taking the medicine for a long time. But for many older people, stopping a particular medicine may actually benefit their health. Medicine problems such as side effects and interactions are common when you are an older person. The more medicines you take, the more likely you are to experience these problems. Many older people successfully stop medicines without feeling worse. In fact, you may feel better and improve your quality of life — especially if your symptoms were being caused by your medicines.
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A health professional may recommend you stop taking a medicine because:
Your doctor or another health professional will recommend the best way to stop your medicines when this is necessary. Their advice is very important, as your medicines may need to be stopped carefully.
You may be able to stop a medicine immediately — and this is usually recommended for any medicine that is causing you harm.
But some medicines need to be stopped gradually. This is because they can cause serious symptoms or other problems if you suddenly stop taking them.
Medicines that may do this include:
Stopping medicines like those listed above usually involves slowly reducing your dose over time, or slowly reducing how often you take the medicine.
Exactly how you do this can depend on:
What you are most comfortable with is also important, so let your health professional know if you have any preferences so you can agree on a plan.
You may need to stop taking several of your medicines. This doesn't mean they will all need to be stopped at the same time. A health professional may advise you to stop one or two medicines at a time so it is more manageable and safer for you. Which medicine to stop first will depend on which medicine is clearly not benefiting you, is causing side effects, or is most likely to cause you harm.
When you are stopping a medicine let your health professional know if you are experiencing any new symptoms or changes in how you feel. A medicine may need to be restarted if you realise you were feeling better while taking it, or because you'd like to try stopping it another time. Symptoms you develop when stopping a medicine or reducing the dose may also mean you will need to reduce the medicine more slowly. Sometimes these symptoms get better over time, without you having to restart the medicine or previous dose.
You may find it helpful to have a carer or family/whānau member with you when talking to anyone involved in your health care — especially if English is not your first language.
It’s OK to ask questions
If you have questions about your symptoms or the medicines managing your symptoms, speak with your health professional.
You can also download this information as a pdf (395 KB).
Adapted from NPS MedicineWise (2013), When and how to stop taking a medicine. Reasonable care is taken to provide accurate information at the time of creation. This information is not intended as a substitute for medical advice and should not be exclusively relied on to manage or diagnose a medical condition. NPS MedicineWise and Choosing Wisely New Zealand do not assume any responsibility or liability arising from any error or omission or from reliance on any information in this resource.
This article is part of our content on Choosing Wisely, a campaign encouraging a change in thinking by health professionals and consumers to avoid unnecessary medical intervention.