Female doctor giving pill bottles to senior patient at table

Polypharmacy & Deprescribing • Serving Nassau & Suffolk County

Expert Guidance on Medication Safety and Deprescribing

Older adults are often prescribed more drugs than their bodies can safely handle. Geriatric Physician Consultants performs Comprehensive Medication Reviews (CMR) to stop "polypharmacy," reduce dangerous side effects, and ensure every pill you take is truly necessary for your quality of life.

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What Is a Comprehensive Medication Review (CMR)?

A Comprehensive Medication Review (CMR) is a specialized medical evaluation that goes beyond a simple list-check. It is a safety intervention where a geriatrician analyzes your entire drug regimen, including prescriptions, over-the-counter (OTC) drugs, and supplements, against your specific physiological health. The goal is not just to organize pills, but to actively "deprescribe"—safely reducing or stopping medications that are no longer beneficial or are causing harm due to age-related metabolic changes.

Asian senior man with his medicine bottles

Are Your Medications Making You Sick?

Many symptoms attributed to "old age" are actually side effects of medication toxicity. A consultation with Dr. Desire is critical if you are observing:

The "Prescription Cascade":

You are taking a medication solely to treat the side effects of another medication (e.g., taking a pill for dizziness caused by blood pressure meds).

Frequent Falls or Dizziness:

High-risk drugs like sleep aids or blood pressure medications are leading causes of falls in seniors.

Cognitive Fog:

Confusion or memory lapses that may be caused by "anticholinergic" drugs rather than dementia.

Pill Fatigue:

You or your loved one are overwhelmed by the sheer number of daily pills, leading to missed doses or mistakes.

How We Empower You to Manage Medications

Identifying Risks

We review your loved one's medication list with you, pointing out "red flags" and side effects that you should bring to the attention of the prescribing doctor.

The Beers Criteria

We explain which drugs on the list are flagged by the "Beers Criteria" as potentially unsafe for seniors, giving you the knowledge to ask for safer alternatives.

Spotting "Prescription Cascades"

We help you see if a new pill was prescribed just to fix the side effect of an old one, empowering you to ask the primary doctor about simplifying the regimen.

Supplement Safety

We discuss the vitamins and herbal supplements you are giving your loved one, explaining potential interactions so you can make informed decisions at home.

Dr. Nathanael Desire from GPC Consultants

We Subtract When Others Add

Most specialists focus on their specific organ system, cardiologists prescribe for the heart, neurologists for the brain, often without talking to each other. This leads to "Polypharmacy," where patients end up on 10, 15, or 20 medications that interact dangerously. Dr. Nathanael Desire looks at the whole picture. We act as the "gatekeeper" of your physiology. We identify "Prescription Cascades" and stop them, saving you an average of thousands of dollars annually on unnecessary copays and, more importantly, preventing emergency room visits caused by adverse drug events.

Navigating Medicare & Pharmacy Safety Current

Medicare standards emphasize safety, but automated pharmacy checks often miss subtle geriatric risks. We provide the high-level oversight that local pharmacies cannot, ensuring your regimen complies with the latest safety protocols to prevent cognitive decline and falls.

Common Questions About Medication Reviews

1. What is "Deprescribing"?

Deprescribing is the proactive process of tapering off medications that may no longer be beneficial. We help you identify "red flag" drugs in your loved one's regimen so you can advocate for a safe, supervised reduction plan with their prescribing physician.

2. I've been on this medicine for 20 years. Why change it now?

Your body has changed. A dose that was safe at 50 may be toxic at 75 because your kidneys and liver process drugs more slowly. We adjust your regimen to match your current biology.

3. Do you talk to my other doctors?

No. We are a consulting service for you, the caregiver. We arm you with the medical knowledge, terminology, and specific questions you need to effectively communicate with your parent’s primary care physician and specialists.

Medical Consultations from GPC Consultants

Take Less Medicine, Feel More Life.

You have questions. Dr. Desire has answers. Claim your complimentary session today and get the clarity you need to move forward with confidence.