It depends on the case my friend. Note evrything you read in the book is applicable in real life. We cannot force patients, we can discuss , offer explain pros and cons. If that patients BP was 120/80 for example, well, asymptomatic , on those meds for many years and the 80 year old auntie die die dont wanna change the meds, u cant do anything right?

Fam med is a discussion with the patient. It depends on what the discussion was. If patient understands, doesnt want to streamline the meds but optimising sub-optimal doses and cutting out the rest of the meds cause these are the doses she is familiar with and taking for 20 plus years what can u do by giving 1 month TCU??

OFC if auntie want to change meds or wasnt even offered, then that is a lapse
Dont anyhow slam people la... doesnt mean whats correct on paper happens in real life. Hello, cant force patients u know, ultimately their choice