CADeN | ReCAD

@caden-recad.bsky.social

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

💡 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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💊 The American Society of Clinical Psychopharmacology created a task force of experts in clinical psychopharmacology to develop the 1st international recommendations for deRXing stimulants in adults with ADHD, filling a significant gap in scientific literature on the topic: tinyurl.com/579basy6

consensus statement for ADHD

📸 Snapshot of Dylan Bonnan, pharmacist with a PhD in pharmacoepidemiology, presenting on med. safety to the Fédération des aînés et retraités francophones de l'Ontario (FARFO) on behalf of CADeN! Thank you for sharing your expertise and helping us empower Francophone linguistic minority communities!

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In honour of our 10th anniversary, 10 CADeN members (+1 staff member) were recognized for their exceptional contributions at the International Conference on Deprescribing 2026. Thank you for your leadership and commitment to medication appropriateness and deprescribing! 👏

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💡 A new study evaluated the feasibility and impact of a digital cognitive behavioural therapy (eCBT) program for adults 65+ with insomnia and anxiety: eCBT significantly reduced insomnia & anxiety symptoms, offering a promising, more accessible alternative to in-person CBT. 🔗 tinyurl.com/3c8r2r3u

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Learn how you can apply @deprescribing.bsky.social’s new statin deprescribing guidelines in your practice! Join GeriMedrisk's webinar to dive into evidence-based recommendations for statin use and deprescribing in older adults, case studies and strategies to support shared decision-making.👇👇

deprescribing.org@deprescribing.bsky.social · 3mo ago

Join GeriMedRisk's Geriatric Clinical Pharmacology Rounds on June 2, 2026 from 12:00 to 1:00 PM EST! Our deprescribing.org Co-Director Dr. Wade Thompson will be presenting on, "When to Stop Statins? The New Evidence-Based Statin Deprescribing Guideline" 👉 Registration Link here: buff.ly/0EBtNc8