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Mike Steinman

@mikesteinman

Geriatrician-scientist at UCSF and San Francisco VA. Research interests include deprescribing, polypharmacy, appropriate medication use in older adults. Opinions are my own.

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21.11.2024
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Latest posts by Mike Steinman @mikesteinman

Check out this updated list of safer, evidence-based alternatives to potentially inappropriate medications (PIMs) for sleep, pain and more!

Resources (incl. CADeN’s EMPOWER brochures) are also included to support informed decision making by patients, caregivers & clinicians looking to replace PIMs.

06.08.2025 15:09 πŸ‘ 5 πŸ” 1 πŸ’¬ 2 πŸ“Œ 0
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We talk with Todd Semla & Mike Steinman about their new recommendations of Alternative Treatments to the AGS Beers Criteria published recently in JAGS. #medsky
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We start with Todd's new pothole analogyπŸ˜‚
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πŸ‘‰ Full episode: bit.ly/GeriPalEp369
πŸ˜€ hosts @alexsmithmd.bsky.social | @ewidera.bsky.social

14.08.2025 20:32 πŸ‘ 11 πŸ” 8 πŸ’¬ 0 πŸ“Œ 0

@deprescribeus.bsky.social @deprescribing.bsky.social @ucsfgeriatrics.bsky.social @gerisoc.bsky.social @caden-recad.bsky.social @alexsmithmd.bsky.social @kencovinsky.bsky.social

25.07.2025 19:15 πŸ‘ 5 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0
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An older adult comes to you on an AGS Beers Criteria medication - or you are thinking of starting one. What can you do instead? New evidence-based, consensus clinical recommendations from @amergeriatrics.bsky.social. Check it out!

agsjournals.onlinelibrary.wiley.com/doi/epdf/10....

25.07.2025 19:14 πŸ‘ 10 πŸ” 6 πŸ’¬ 1 πŸ“Œ 2
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Taking too many prescription drugs can be very risky for older people Too often as patients age, doctors pile on prescriptions. The practice, known as polypharmacy, can be dangerous at any age but is particularly hazardous for elderly people, from raising the risk of de...

UCSF IHPS faculty @mikesteinman.bsky.social and Jonathan Watanabe discuss the dangers of polypharmacy in @washingtonpost.com article.

Taking too many prescription drugs can be very risky for older people

www.washingtonpost.com/health/2025/...

02.07.2025 16:48 πŸ‘ 1 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0
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Frontiers | The US Deprescribing Research Network: a network to catalyze deprescribing science Deprescribing plays a critical role in ensuring safe and effective healthcare for older adults, including but not limited to those with vulnerabilities such ...

Want to learn more about #Deprescribing Networks❓

Great article from @mikesteinman.bsky.social's team detailing the role, rationale, impact, and future directions of the US Deprescribing Research Network:
buff.ly/avt0t9H

17.07.2025 16:05 πŸ‘ 5 πŸ” 2 πŸ’¬ 1 πŸ“Œ 0
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Dr. @mgrowdon.bsky.social, @wjdeardorff.bsky.social, @mikesteinman.bsky.social & team examine loop diuretics and urinary symptom meds in older adultsβ€”highlighting a potential prescribing cascade in *The Journal of Gerontology* academic.oup.com/biomedgeront...

20.07.2025 10:18 πŸ‘ 0 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
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It’s official: we are partnering with @deprescribeus.bsky.social to welcome you in MontrΓ©al for the next International Conference on Deprescribing!

Mark your calendars for Apr 27-29, 2026!

Follow us to stay informed about ICOD2026, including the call for abstracts and registration details.

07.05.2025 18:44 πŸ‘ 13 πŸ” 8 πŸ’¬ 2 πŸ“Œ 3

Insightful editorial in the Journal of the American Geriatrics Society (JAGS) @agsjournal.bsky.social from @drklam.bsky.social and his team, highlighting the following key points (see Thread):

buff.ly/Wo1lnxD

@amergeriatrics.bsky.social

21.04.2025 16:03 πŸ‘ 7 πŸ” 3 πŸ’¬ 1 πŸ“Œ 0

Nearly half of older adults with multimorbidity are open to drug trials, per a study by Drs. Janice Schwartz, John Boscardin, and UCLA colleagues. agsjournals.onlinelibrary.wiley.com/doi/10.1111/...

23.04.2025 10:18 πŸ‘ 3 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0
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Continued Use of Cholinesterase Inhibitors and Memantine in Hospice - PubMed Continued Use of Cholinesterase Inhibitors and Memantine in Hospice

Another great paper led by Dr. Lauren Hunt came out this week about #hospice & #dementia, this time regarding "Continued Use of Cholinesterase Inhibitors and Memantine", published in JAMA IM @jama.com.

pubmed.ncbi.nlm.nih.gov/40126467/
1/

24.03.2025 22:25 πŸ‘ 13 πŸ” 6 πŸ’¬ 1 πŸ“Œ 0
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Planning for ICOD3 has launched! πŸš€

The ICOD3 planning committee met for the 1st time to brainstorm vision & objectives for the meeting, to be held in Spring 2026 in Canada and co-hosted by CADeN & @deprescribeus.bsky.social.

Stay tuned for more info: official dates and venue are coming soon! πŸ‘€

19.03.2025 14:14 πŸ‘ 7 πŸ” 2 πŸ’¬ 1 πŸ“Œ 4

New locations for @standupforscience.bsky.social are still popping up, find the one closest to you!

I’ll be at the University of Montana’s oval here in Missoula at noon this Friday!

#standupforscience2025

04.03.2025 01:54 πŸ‘ 84 πŸ” 24 πŸ’¬ 1 πŸ“Œ 1

CALLING ALL TRAINEES

04.03.2025 00:38 πŸ‘ 73 πŸ” 30 πŸ’¬ 2 πŸ“Œ 0
navy blue background with white text that says "3 days until we stand up for science"

navy blue background with white text that says "3 days until we stand up for science"

On Friday, we Stand Up for Science in locations Nationwide (& internationally!) to support science as a public good that benefits everyone.

Join us! Visit www.standupforscience2025.org for more information & other ways to get involved β˜€οΈ

04.03.2025 12:36 πŸ‘ 504 πŸ” 227 πŸ’¬ 7 πŸ“Œ 33
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NIH terminates ongoing grants for LGBTQ+ research Saying that "research programs based on gender identity are often unscientific," the agency wrote to scientists to cancel current grants.

NIH immediately cancelling existing grants on LGBTQ research. β€œAll the effort we put into building the cohort, all the federal resources that go into building that, are now wasted, essentially.” With @jaceflatt.bsky.social By @angusrohan.bsky.social www.statnews.com/2025/03/03/n...

04.03.2025 03:10 πŸ‘ 35 πŸ” 21 πŸ’¬ 0 πŸ“Œ 3
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Are you affected by the Trump administration’s pauseΒ on health communications, science meetings, and reviews? Have you been affected by the Trump administration’s pauseΒ on communications, science meetings, and reviews? @statnews would like to hear from you.

PLEASE REPOST: Health equity researchers, Please let me know if your centers or programs are being altered, closed, or threatened by your universities to comply with new EOs or if staff are being laid off. Signal: usha.22 or πŸ‘‡(Won't use anything without permission.) www.statnews.com/2025/01/25/t...

31.01.2025 22:48 πŸ‘ 162 πŸ” 132 πŸ’¬ 1 πŸ“Œ 2
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London Tube adverts

02.03.2025 01:48 πŸ‘ 84 πŸ” 14 πŸ’¬ 0 πŸ“Œ 0
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Wow: Jeff Grant, a top career official at the Centers for Medicare & Medicaid Services, retired today. On his way out, Grant sent this letter excoriating Jeffery Anoka, who carried out the DOGE firings, and said Anoka is "ethically and legally bound to restore" the jobs of the fired employees.

01.03.2025 03:57 πŸ‘ 1008 πŸ” 330 πŸ’¬ 14 πŸ“Œ 28
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Measles cases are rising in the U.S. Do adults need a vaccine booster? With a measles outbreak growing in West Texas, and cases popping up across the country, experts say vaccination is your best protection. And it's not just for kids. Some adults may need a booster.

With a measles outbreak growing in West Texas, and cases popping up across the country, experts say vaccination is your best protection. And it's not just for kids. Some adults may need a booster.

21.02.2025 17:10 πŸ‘ 2708 πŸ” 903 πŸ’¬ 169 πŸ“Œ 119
Deprescribing Guidelines Repository (DEPOT) - Deprescribing.org

So many #Deprescribing guidelines currently in development worldwide 🌎:
➑️ Diuretic Deprescribing
➑️ Statin Deprescribing
➑️ Antidepressant Deprescribing
➑️ Gabapentinoid Deprescribing

Keep your eyes peeled for updates on our Deprescribing Guidelines Repository (DEPOT) page! πŸ‘€
buff.ly/3tkhsqH

20.02.2025 22:31 πŸ‘ 10 πŸ” 9 πŸ’¬ 1 πŸ“Œ 0
Welcome to the new BGS website! | British Geriatrics Society

The NEW British Geriatrics Society website is now live. @gerisoc.bsky.social Join a special interest group, see the Meds Optimisation SIG.Free frailty course, multiple modules, self paced, access to many free things. #Carehomes #pharmsky
www.bgs.org.uk/welcome-to-t...

21.02.2025 05:36 πŸ‘ 8 πŸ” 5 πŸ’¬ 0 πŸ“Œ 0

All NIH study sections canceled indefinitely. This will halt science and devastate research budgets in universities.

22.01.2025 20:46 πŸ‘ 12266 πŸ” 4988 πŸ’¬ 586 πŸ“Œ 1166
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What other departments or divisions are doing faculty sessions on teaching how to get on BlueSky? @ucsfgeriatrics.bsky.social is! Thanks @lwaltermd.bsky.social for setting this up! #geriatrics #gerisky

22.01.2025 23:28 πŸ‘ 44 πŸ” 19 πŸ’¬ 1 πŸ“Œ 0
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Many #OlderAdults lose decision-making capacity during #SeriousIllnesses, & some lack family or friends to help make Medical Decisions. How should we Care for the Unrepresented? Guests Joe Dixon, Timothy Farrell, and Yael Zweig.

Ep. bit.ly/GeriPalEp339 - hosted by Drs. Alex Smith and Eric Widera

16.01.2025 18:59 πŸ‘ 15 πŸ” 8 πŸ’¬ 0 πŸ“Œ 0