**4. Conclusion**

The patient's condition and goals of care changed over time are the key principles to be considered in deprescription. A comprehensive geriatric assessment should be necessery to detect the risk of polypharmacy, polypharmacy related problems, possibility to reduce the number of medications and anticipate the consequences of withdrawal. Avoiding from over-prescribing and inappropriate medications in older patients is the key step to prevent negative health problems due to polypharmacy. It should be kept in mind that in addition to over-prescribing, under-prescribing appropriate medications is also of concern in older patients. Therefore, a balance is required between over- and under-prescribing.

It should be kept in mind that reducing the number of drugs in the elderly patients in accordance with the evidence based guidelines can be carried without any serious problems and this situation can improve the health parameters of the older patients. In conclusion, prevention of polypharmacy and withdrawing unneccesary and inappropriate medications may be the best clinical decision in older patients.

*Primary Health Care*
