Development of Evidence-Based Dose Individualisation Strategies

Precision dosing of medicines is one of the ways we can make medicine use safer. The concept of precision dosing or dose individualisation is where doses are tailored to each individual patient‘s needs, taking into account their liver and kidney function, interacting medicines and interacting conditions. Utilising pharmacokinetic modelling and simulation, this research program focuses on providing an evidence-based approach to the appropriate prescription and management of medications in clinical practice.

Deprescribing

As people age, medications that were once appropriate (where the benefits outweighed the harms) can become inappropriate (for example, no longer necessary or high risk). Deprescribing is the process of withdrawal of inappropriate medications, supervised by a healthcare professional with the goal of managing multiple medicine use and improving health outcomes. This program of research looks into how older adults and carers feel about ceasing medicines and improving shared decision making as well as the development and implementation of deprescribing guidelines for practitioners.

Psychotropic medicine use in Australian Children

There is global evidence that prescribing psychotropic medicines (medicines that affect the mind) to children is increasing, despite limited evidence to support the efficacy and safety of these medicines in children. This project investigates patterns of use of antidepressant, anxiolytic and antipsychotic (psychotropic) medicines in children in Australia. Of particular interest is psychotropic medicine use in children with autism spectrum disorder due to the increasing prevalence of the disorder, and associated prescribing.