Mike Steinman
mikesteinman.bsky.social
Mike Steinman
@mikesteinman.bsky.social
Geriatrician-scientist at UCSF and San Francisco VA. Research interests include deprescribing, polypharmacy, appropriate medication use in older adults. Opinions are my own.
Reposted by Mike Steinman
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.
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....
August 6, 2025 at 3:09 PM
Reposted by Mike Steinman
We talk with Todd Semla & Mike Steinman about their new recommendations of Alternative Treatments to the AGS Beers Criteria published recently in JAGS. #medsky
 
We start with Todd's new pothole analogy😂
 
👉 Full episode: bit.ly/GeriPalEp369
😀 hosts @alexsmithmd.bsky.social | @ewidera.bsky.social
August 14, 2025 at 8:32 PM
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....
July 25, 2025 at 7:14 PM
Reposted by Mike Steinman
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/...
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...
www.washingtonpost.com
July 2, 2025 at 4:48 PM
Reposted by Mike Steinman
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
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 ...
www.frontiersin.org
July 17, 2025 at 4:05 PM
Reposted by Mike Steinman
Dr. @mgrowdon.bsky.social, @wjdeardorff.bsky.social, @mikesteinman.bsky.social & team examine loop diuretics and urinary symptom meds in older adults—highlighting a potential prescribing cascade in *The Journal of Gerontology* academic.oup.com/biomedgeront...
July 20, 2025 at 10:18 AM
Reposted by Mike Steinman
It’s official: we are partnering with @deprescribeus.bsky.social to welcome you in Montréal 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.
May 7, 2025 at 6:44 PM
Reposted by Mike Steinman
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
agsjournals.onlinelibrary.wiley.com
April 21, 2025 at 4:03 PM
Reposted by Mike Steinman
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/...
agsjournals.onlinelibrary.wiley.com
April 23, 2025 at 10:18 AM
Reposted by Mike Steinman
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/
Continued Use of Cholinesterase Inhibitors and Memantine in Hospice - PubMed
Continued Use of Cholinesterase Inhibitors and Memantine in Hospice
pubmed.ncbi.nlm.nih.gov
March 24, 2025 at 10:25 PM
Reposted by Mike Steinman
Planning for ICOD3 has launched! 🚀

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! 👀
March 19, 2025 at 2:14 PM
Reposted by Mike Steinman
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
WHERE WILL YOU BE ON MARCH 7TH!?

Head to www.standupforscience2025.org/local-event-information/ or the link in our bio to find your closest event—or add one if you're hosting one!

#standupforscience2025
March 4, 2025 at 1:54 AM
Reposted by Mike Steinman
CALLING ALL TRAINEES
Are you a scientist or student heading to a @standupforscience.bsky.social ‬rally this Friday?

We want to hear from you. Tell us about yourself and why you’re going, how far you’re traveling, why you’re fired up, and whether there will be car snacks. Call or text us at (646) 767-6532.
March 4, 2025 at 12:38 AM
Reposted by Mike Steinman
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 ☀️
March 4, 2025 at 12:36 PM
Reposted by Mike Steinman
NIH immediately cancelling existing grants on LGBTQ research. “All 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...
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.
www.statnews.com
March 4, 2025 at 3:10 AM
Reposted by Mike Steinman
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 👇(Won't use anything without permission.) www.statnews.com/2025/01/25/t...
Are you affected by the Trump administration’s pause on health communications, science meetings, and reviews?
Have you been affected by the Trump administration’s pause on communications, science meetings, and reviews? @statnews would like to hear from you.
www.statnews.com
January 31, 2025 at 10:48 PM
Reposted by Mike Steinman
London Tube adverts
March 2, 2025 at 1:48 AM
Reposted by Mike Steinman
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.
March 1, 2025 at 3:57 AM
Reposted by Mike Steinman
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.
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.
www.npr.org
February 21, 2025 at 5:10 PM
Reposted by Mike Steinman
So many #Deprescribing guidelines currently in development worldwide 🌎:
➡️ Diuretic Deprescribing
➡️ Statin Deprescribing
➡️ Antidepressant Deprescribing
➡️ Gabapentinoid Deprescribing

Keep your eyes peeled for updates on our Deprescribing Guidelines Repository (DEPOT) page! 👀
buff.ly/3tkhsqH
Deprescribing Guidelines Repository (DEPOT) - Deprescribing.org
buff.ly
February 20, 2025 at 10:31 PM
Reposted by Mike Steinman
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...
Welcome to the new BGS website! | British Geriatrics Society
www.bgs.org.uk
February 21, 2025 at 5:36 AM
Reposted by Mike Steinman
All NIH study sections canceled indefinitely. This will halt science and devastate research budgets in universities.
January 22, 2025 at 8:46 PM
Reposted by Mike Steinman
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
January 22, 2025 at 11:28 PM
Reposted by Mike Steinman
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
January 16, 2025 at 6:59 PM