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Dr. Brenda Estrada Geriatrician · Ciudad Juárez

Geriatric service

Medication review and polypharmacy · Ciudad Juárez

A full analysis of the treatment to reduce risks, duplication and interactions.

  • Office and home visits
  • Bring someone with you
  • Written plan

When to consult

When should medications be reviewed?

From five daily medications on, the risk of interactions and adverse effects grows markedly. The review is preventive, not only corrective.

When to consult

  • You take five or more medications a day.
  • Several doctors prescribe for you and no one sees the whole list.
  • Dizziness, drowsiness or confusion since a new medication.
  • You do not know what each pill is for, or the schedule is hard to follow.

Before your visit

  • Bring EVERYTHING: prescriptions, boxes, bottles, drops, injections, supplements and herbal products.
  • Note which new symptom appeared and when.
  • Do not stop anything on your own before the visit.

Important points

  • Sleeping pills and anxiolytics are a frequent cause of falls and confusion in older adults.
  • A new symptom after a prescription change points first at the medication.
  • Stopping drugs abruptly can be dangerous: proper withdrawal is gradual and monitored.

During the visit

What is evaluated during the visit?

01 Complete inventory, over-the-counter products included
02 Indication, dose and duration of each drug
03 Duplication and interactions between prescriptions
04 Potentially inappropriate drugs per AGS Beers Criteria
05 Current adverse effects: dizziness, sleep, appetite
06 Kidney function and dose adjustment
07 A gradual deprescribing plan when appropriate
08 A simplified dosing schedule

Step by step

From assessment to a practical plan

01

Book your visit

By WhatsApp or phone. We confirm the time and the current fee before closing the appointment.

02

Prepare your documents

ID, recent test results, prescriptions and every medication, supplements included.

03

The assessment, unhurried

We go drug by drug: indication, dose, interactions and effects on your daily life.

04

Written plan and follow-up

You leave with your instructions explained, the treatment adjustments and the date of the next check.

Expected results

What you can expect from this care

Every person progresses differently; these are realistic goals, adjusted at each follow-up.

Short term
  • A new, clear, written medication sheet
  • Duplication and interactions resolved
  • Simplified schedules
Medium term
  • Less dizziness, drowsiness or confusion
  • Gradual, safe withdrawal of what is unnecessary
  • Better adherence to what actually helps
Long term
  • Fewer drug-related falls and admissions
  • Treatment aligned with the person's goals
  • A periodic review in place

Scientific backing

Trustworthy, verifiable sources

The recommendations on this page follow the guidance of these organizations:

Educational content: it does not replace an individual medical assessment.

Request a medication review

Message me on WhatsApp: I answer personally and we book the right assessment, at the office or at home.

Contact

Leave your details and I will call you during office hours.

Office hours Monday to Friday · 3:00 to 8:00 pmSaturday · 9:00 am to 1:00 pmSunday · closed

Phone and WhatsApp 656 582 1954

Is this an emergency? Chest pain, trouble breathing or a fall with a hard blow do not wait for an appointment: go to the emergency department or call 911.

Leave your details and I will contact you

We get back to you during the next office hours.

Who is the consultation for?

Please do not share clinical data here: we go through it in consultation.

From the blog

Related notes

The questions that come up most in consultation, explained calmly and without jargon.

Frequently asked questions

About this service

Question not here? Send me a WhatsApp message and I will answer personally.

Ask on WhatsApp
Can you stop something another doctor prescribed?

When the risk outweighs the benefit, yes: gradually, monitored and explaining why, ideally coordinating with whoever prescribed it.

Are fewer medications always better?

No. The goal is that each drug brings a real benefit to this person; sometimes one even needs to be added.