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Cardiolucent

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Medication Coordination and Reconciliation

A deliberate review of every prescription, over-the-counter medication, and supplement you take — designed to streamline your regimen, eliminate redundancy and interaction risk, and apply evidence-based recommendations to minimize pill burden without compromising care.

Why this matters

Most patients are on more medications than they need.

The longer you've been under care, the more your medication list grows. Each physician adds. Few subtract. Supplements, prescription drugs, over-the-counters, and historical prescriptions that no one explicitly stopped accumulate into regimens with real cost — financial, adherence-related, and clinically. Polypharmacy independently raises the risk of adverse events, drug-drug interactions, and falls. Pill burden lowers adherence to the medications that actually matter.

Medication coordination and reconciliation is the structured work of going through your complete regimen — every line — and asking, for each item: is this still indicated? Is this dose right for your current physiology? Does this conflict with anything else you take? Is there a single agent that could replace two? Is there evidence supporting this supplement, and if so, is the dose meaningful?

Prescriptions, supplements, OTCs — the whole list.

Reconciliation covers everything you actually take, including the medications you forget to mention because they've been part of your routine for years. Bring the bottles. Bring the supplements. Bring the things you took twice last week but didn't tell your other doctors about. Dr. Kedan goes through each one, identifies overlap and unnecessary additions, applies evidence-based criteria (Beers criteria for adults over 65; deprescribing guidelines for proton pump inhibitors, statins, antidepressants, and others where appropriate), and proposes a streamlined regimen with the rationale spelled out.

Integrated into a comprehensive visit, with written follow-up.

Reconciliation is built into a Cardiolucent comprehensive evaluation rather than offered as a separate transactional service. You leave the visit with a written, structured medication plan: what stays, what changes (with dose and timing), what's discontinued and why, and what to discuss with your other physicians before making changes that overlap their care. Dr. Kedan communicates directly with your other prescribers when a change crosses specialty lines — nothing happens in a vacuum.

Common Questions

Frequently Asked Questions

Will you change medications my other doctors prescribed?
Not unilaterally. When a recommendation crosses another physician's lane (e.g., adjusting a diabetes medication, modifying a psychiatric drug, changing an anticoagulant a hematologist started), Dr. Kedan communicates directly with that physician and the change is made collaboratively. The goal is integration, not stepping on toes.
I take supplements — will those be reviewed?
Yes. Supplements, vitamins, herbal products, and over-the-counter medications are all reviewed alongside prescriptions. Some supplements interact meaningfully with cardiac medications (St. John's Wort, fish oil at high doses, red yeast rice, vitamin K and others). Some are evidence-supported at the right dose. Some are doing nothing. The point of the review is honest assessment — keep what helps, discontinue what doesn't.
What should I bring to the visit?
The simplest approach is to bring every bottle of everything you take — prescriptions, supplements, OTCs. Pictures of the bottles work fine. If you have a pharmacy printout of your prescription list, bring that too. The more complete the picture, the more useful the reconciliation.
How is this different from a pharmacist's medication review?
A pharmacist review focuses primarily on drug-drug interactions and adherence support — important work that we encourage. A cardiologist's reconciliation adds clinical judgment about indication, ongoing necessity, and the cardiovascular implications of the full regimen. Many patients benefit from both layers.
Will this lower my prescription costs?
Often yes, as a side effect of deprescribing what's no longer needed and consolidating to single-agent alternatives where appropriate. We don't position this as a cost-savings exercise — the goal is clinical — but lower pill counts and fewer brand-name medications usually translate to lower out-of-pocket spend.

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Medical Disclaimer

The information on this site is for general educational purposes only and is not medical advice, diagnosis, or treatment. Reading this site does not create a doctor–patient relationship. Always consult a qualified healthcare professional for personal guidance. If this is an emergency, call 911. Mentions of medications, devices, or procedures are informational and not endorsements. Full medical disclaimer.

†Some listed indications involve investigational/off-label use. Learn more.