This page states plainly what the material on dwaraa.org is for, and what it is not for.
Effective date: August 21, 2026
The one that matters most
Never stop or change a prescribed medication without speaking to your own prescriber. Several of the drug classes described on this site rebound, or cause a withdrawal syndrome, when they are stopped abruptly. Some must be reduced gradually over weeks or months under supervision. Nothing here is advice about your own medication.
Educational, not clinical
Everything published here is educational. It describes what the published evidence shows about medications commonly reviewed in older adults, and it describes a framework for how that review is approached. It is written to inform a conversation between a person, their family, the staff who care for them, and the clinician who prescribes for them.
It is not a substitute for that conversation, and it cannot be. No page here knows anything about you.
DWARAA is not a healthcare provider
DWARAA does not prescribe, deprescribe, diagnose or treat. It delivers no care, operates no clinic, and holds no clinical records. Reading this site, contacting us, or corresponding with us does not create a clinician–patient relationship with DWARAA, with Sevadar Foundation Inc., or with any physician associated with either.
What the review byline means
Clinical pages on this site carry a line reading “Written and medically reviewed by Dr. Gurpreet Singh Padda, MD, MBA, MHP,” with a date. That attests authorship and clinical review of the content on that date. It is not a statement that care is delivered through this site, and it is not a clinical opinion about any reader.
How we handle evidence
- Every statistic carries a source. Where a figure could not be sourced to a primary record, we left it out and said so on the page.
- Every figure names the population it describes and the criterion used to produce it.
- Where a claim rests on observational rather than randomized evidence, the page says so.
- Where the evidence is contested, both sides are given.
- Where a widely repeated claim is not supported — deprescribing and falls is the clearest example — the page says that plainly rather than working around it.
In an emergency
Call 911. For a mental-health or suicide crisis, call or text 988. Do not use this website, our contact form, email or text messaging for anything urgent.
Do not send us clinical detail
Please do not send symptoms, diagnoses, medication lists, images, or identifying information about a patient or resident through a web form, by email or by text. Those are not secure channels, and DWARAA is not a treating provider. If something requires clinical detail, it belongs with the prescriber or pharmacist who holds the whole record.
Contact
DWARAA
A division of Sevadar Foundation Inc.
4477 Woodson Rd, Suite 203
St. Louis, MO 63134
What the evidence does and does not show
Sedating medications impair gait, balance and reaction time, and their labels say so. That part is not in doubt. What has not been shown is that a deprescribing program reduces fall rates — the trials that tested it were small, short, and mostly measured a medication count rather than a fracture. Those are two different questions, and absence of evidence from underpowered trials is not evidence that the drugs do not cause falls. What the evidence actually shows about deprescribing and falls.