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How do you counsel patients who are concerned that discontinuation of certain chronic medications may actually perpetuate suffering at the end of life?

Do you ever continue medications such as rate-control agents for tachyarrhythmias, anticoagulation for blood clots, immunosuppression to prevent transplant rejection, etc., for symptom control?
1 Answer
Mednet Member
Mednet MemberInvited Expert
Geriatric Medicine · Icahn School of Medicine at Mount Sinai
Answered on · Updated on

Great question, and it’s very nuanced. I’ll share how I typically approach this based on my experience.

In the end-of-life care setting, when I review a medication list, I go through every single one and ask:

  1. “What is the purpose of this medication in this particular case?”
    • For example, anticoagul...

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