CADeN | ReCAD

@caden-recad.bsky.social

Canadian Medication Appropriateness and Deprescribing Network (CADeN). Reducing harm, raising awareness & promoting health w/ safer alternatives. #deprescribing

Next week, Research Committee member Shanna Trenaman will present at #ISPEAnnual2026 in Milan to explore methodological issues in clinical trials & observational studies on deprescribing across health care settings. 📅 Aug. 31 | 5:15 p.m. CEST We’re excited to see deprescribing on a global stage!

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🩺 What if students could practise high-value prescribing before clerkship? Last year, students brought resource stewardship & deprescribing to life through realistic mock OSCEs with residents & junior medical students. 📣 Our 2026–27 Student Funding Program opens next week. What will you create? 💡

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🗞️ Hot off the press! Check out our Aug newsletter for updates on: • the '26–'27 Student Funding Program, • our Meds & Heat resource, • the next Int’l Deprescribing Journal Club, • prescribing practices in acute care, • a new research protocol on PIMs in adults <65. 🔗 tinyurl.com/s2yfxmba

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🤝 Learning together. Last year, a student-led lunch-&-learn brought medical & pharmacy students together for interactive case discussions on medication-related problems & safe deprescribing strategies. 📣 Our 2026–27 Student Funding Program opens later this month. What could you create? 💡

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💊 “I took them like candy for 35 years.” At 81, Georges Marcoux, past Public Awareness Committee member, shares his journey away from decades of sleeping-pill use: cognitive behavioural therapy, new sleep habits, & supported deprescribing. Read his story here: tinyurl.com/mru32scy (French only)

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🎲 A board game about prescribing cascades? Last year, students turned that idea into Cascada!—an interactive learning activity that helped healthcare students explore medication safety through play. 📣 Our 2026–2027 Student Funding Program opens later this month. What could you create?

🧩 Medication reviews may need to look beyond the medication list. A new longitudinal study found lonely older women were more likely to initiate potentially inappropriate pain & psychotropic meds, highlighting the importance of addressing social needs in med. optimization. 🔗 tinyurl.com/3xx994te

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💡 Got an idea to promote medication appropriateness and deprescribing? Last year, healthcare students across Canada turned their ideas into workshops, simulations, documentaries, and more. 📣 Applications for our 2026–2027 Student Funding Program open in late August. What will you create? 🚀

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Some medications can make it harder to cope with extreme heat. 🌡 We're pleased to see Heal Canada adapt our evidence-informed article on medications & heat waves for the June issue of E3 Advocacy, helping this important information reach even more Canadians (pp. 108–112). 📚 tinyurl.com/4cbun8jf

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Clinicians have tools to identify potentially inappropriate medications (PIMs) in older adults—but what about adults under 65? A new protocol led by our researchers outlines an international modified Delphi study to build expert consensus on PIMs for adults aged 18–65 years. 🔗 tinyurl.com/kpyyverh

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😴 A new CMAJ study found 13.2% of older adults filled a sedative prescription within 7 days of discharge; ~1 in 3 were new users. New use was linked to higher risks of falls, ED visits, readmissions & 30-day mortality; prior use was also linked to higher 30-day mortality. 🔗 tinyurl.com/3zjurw9t

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Every prescription is a clinical decision & an environmental one. 🌱 A CFP review highlights the ECO-Rx framework, with strategies to reduce the envir. impacts of medications through evidence-based prescribing, med reviews, non-pharmacological therapies and deprescribing. 🔗 tinyurl.com/yswtdnxd

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🌡️ Certain medications can increase the risk of dehydration and heat-related illness during heat waves. Family physician Dr. Frédéric Picotte spoke on 98.5FM to share key info from our Meds & Heat article as well as practical considerations for patients during hot weather. 🎧 tinyurl.com/59cxhh24

Pour les cardiaques et les diabétiques | Attention à l'hydratation durant les canicules

Écoutez à ce sujet le Dr Frédéric Picotte, médecin de famille, en compagnie de l'animatrice Catherine Brisson.

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✍🏼 The first benzodiazepine prescription may shape what happens next. An Ontario study of >1.8 million adults found that initial prescriptions >7 days, long-acting benzodiazepines, & multiple benzodiazepines initiated were associated with a lower likelihood of discontinuation. 🔗 tinyurl.com/2h7np7b2

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New report from Canada’s Drug Agency: PIM use in older adults with major neurocognitive disorder (2013-2023) Overall PIM use declined; following an MNCD diagnosis, benzodiazepine & anticholingeric use drop but antipsychotic use increased & is sustained. Full report here: tinyurl.com/486hat2d

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👏 Un article inspirant sur le programme de réduction des antipsychotiques chez les aînés d'un CHSLD. À travers le parcours de Gisèle, on découvre les bienfaits de la déprescription et d’une approche centrée sur la personne : tinyurl.com/yr3n3v7m

Moins de médicaments pour une meilleure qualité de vie

Le CHSLD Saint-Joseph a mis en place un programme pour réduire l’usage inapproprié d’antipsychotiques chez ses résidents qui présentent des troubles cognitifs.

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📸 Pharmacist & researcher Marie-Laure Baroud presenting on med. safety to members of the Centre Polyvalent des Ainés et Ainées in Rimouski-Neigette! She covered the risks of medication overload, deprescribing & the role patients/caregivers play in this process. Thanks for sharing your expertise!

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👏 Last week, Robin Guyer and Dr. Emily McDonald presented the work of our Indigenization Working Group at the RI-MUHC’s Beyond the Paper Knowledge Mobilization Grant event. As recipients of the grant, they spoke about CADeN's co-creation of medication safety tools aligned with Indigenous priorities.

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Maude Plourde, pharmacist at the CIUSSS de la Capitale-Nationale, presented on medications & cognition to staff at Quebec City Geriatric Expertise Centre, covering the impact of anticholinergic meds on cognition & tools to help communicate this to older adults. Thank you Maude for your work! 🧠💊

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A recent Hospital News article highlights findings from a study by the Canadian Medical Protective Association and Network members reinforcing that patient-centred communication, follow-up, & shared decision-making are essential for safe and successful deprescribing. 🔗 tinyurl.com/6km5cexf

Deprescribing medications in older adults: What the data reveals about safer care

Uncover the challenges of deprescribing medications in older adults and the need for clear communication and multidisciplinary care.

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