In today’s healthcare environment, medications play an essential role in managing acute and chronic conditions. However, as time goes on, many patients find themselves taking multiple prescriptions that may no longer be necessary, beneficial, or safe. This is where deprescribing—a thoughtful, patient-centered approach to reducing or stopping medications—becomes an important part of comprehensive care.
At Matthew Goldenberg D.O., deprescribing is viewed not as “taking patients off medications,” but as optimizing treatment to support long-term health, safety, and quality of life.
What Is Deprescribing?
Deprescribing is a systematic, supervised process of identifying medications that may be unnecessary, ineffective, or potentially harmful and safely reducing or discontinuing them. This process is always individualized and done in collaboration with the patient.
The goal is not to eliminate medications indiscriminately, but to ensure that every medication has a clear purpose, benefit, and safety profile for the patient’s current health status.
Why Deprescribing Matters
Many patients—especially older adults or those managing multiple conditions—take several medications at once. This is known as polypharmacy, and it can increase the risk of:
- Adverse drug reactions
- Drug-to-drug interactions
- Cognitive impairment or dizziness
- Falls and injuries
- Fatigue and reduced quality of life
- Medication non-adherence
Deprescribing helps reduce these risks while ensuring patients receive the right amount of treatment—not more, not less.
Common Medications Considered for Deprescribing
While every patient is different, medications often reviewed during deprescribing include:
- Sleep aids and sedatives
- Anti-anxiety medications
- Certain pain medications
- Acid reflux medications
- Blood pressure or diabetes medications when goals change
- Medications prescribed years ago without reassessment
A thorough review ensures that medications still align with a patient’s current health goals and lifestyle.
How the Deprescribing Process Works
At Matthew Goldenberg D.O., deprescribing is a careful, step-by-step process:
- Comprehensive Medication Review
All prescriptions, over-the-counter drugs, and supplements are evaluated. - Risk–Benefit Assessment
Each medication is reviewed for necessity, effectiveness, and potential harm. - Patient-Centered Discussion
Patient preferences, concerns, and health goals are central to every decision. - Gradual Tapering (When Needed)
Certain medications require slow, supervised dose reductions to prevent withdrawal or rebound symptoms. - Ongoing Monitoring
Symptoms, lab values, and overall well-being are closely followed throughout the process.
Benefits of Deprescribing
Patients who undergo thoughtful deprescribing may experience:
- Fewer side effects
- Improved energy and mental clarity
- Reduced fall risk
- Better medication adherence
- Lower medication costs
- Greater confidence in their care plan
Most importantly, deprescribing supports whole-person, osteopathic care—treating the individual, not just the diagnosis.
Deprescribing and Osteopathic Medicine
As a Doctor of Osteopathic Medicine, Matthew Goldenberg, D.O. emphasizes a holistic approach that considers how medications interact with the body’s natural ability to heal and self-regulate. Deprescribing aligns closely with osteopathic principles by focusing on balance, prevention, and patient empowerment.
Frequently Asked Questions (Q&A)
Is deprescribing safe?
Yes, when done under medical supervision. Deprescribing is a structured process designed to reduce risk—not increase it.
Will I have to stop all my medications?
No. Deprescribing focuses on appropriate medications, not eliminating necessary treatment.
Can I deprescribe medications prescribed by another doctor?
Yes. Coordination with other healthcare providers is often part of the process to ensure continuity and safety.
What if my symptoms return?
Medications can be adjusted or restarted if needed. Deprescribing is flexible and responsive to your body’s needs.
How long does deprescribing take?
It varies. Some changes happen quickly, while others require weeks or months of gradual adjustment.
Is deprescribing only for older adults?
No. Anyone taking long-term medications may benefit from periodic review, regardless of age.
Is Deprescribing Right for You?
If you are taking multiple medications, experiencing side effects, or wondering whether all your prescriptions are still necessary, deprescribing may be an important step toward better health.
A personalized consultation can help determine the safest and most effective approach for your situation.
Contact Information
Matthew Goldenberg D.O.
2708 Wilshire Blvd
Santa Monica, CA 90403
📞 Phone: (424) 276-0777
🌐 Website: https://docgoldenberg.com
📅 Book An Appointment: Available through the website