NYC’s Leading Integrative Health Care Center
NYC’s Leading Integrative Health Care Center
Every year, thousands of patients suffer from adverse drug reactions, interactions, and overprescription. At Patients Medical in New York City, we believe in precision—not polypharmacy. Our integrative approach to Prescription Drug Optimization Therapy evaluates your current medications, health status, genetics, and lifestyle to help you achieve the safest, most effective regimen possible.
We don’t just manage prescriptions—we optimize your entire treatment journey.
Prescription Drug Optimization Therapy (PDOT) is a functional and holistic evaluation of a patient’s medications to reduce risks, enhance efficacy, and eliminate unnecessary drugs. It is especially critical for individuals taking multiple prescriptions for chronic conditions like:
We take into account not just the drugs you take—but who you are.
If you’re taking 3 or more prescription drugs, you’re at risk for:
Instead of piling on more prescriptions to treat side effects, we work to eliminate the root cause.
Our team uses advanced functional medicine testing to uncover why certain medications may be causing more harm than help. Common underlying issues we explore include:
To build a safe and effective medication plan, we may run tests such as:
We offer a range of natural, evidence-based solutions designed to reset your metabolism:
We review every drug you’re taking—prescribed or over-the-counter—to evaluate:
We analyze your body’s ability to detoxify, metabolize, and respond to medications based on lab results and your genetic profile.
If appropriate, we work with your prescribing physician to slowly reduce or discontinue unnecessary medications, replacing them with natural or lifestyle-based therapies.
To minimize drug-induced nutrient depletion or side effects, we may recommend:
In many cases, addressing the root lifestyle factors—like poor diet, lack of movement, and unmanaged stress—can reduce the need for long-term prescriptions.
David, 67, was taking 12 medications for diabetes, blood pressure, and cholesterol—and still felt terrible. After comprehensive lab testing, we discovered:
We worked with his primary care physician to:
Six months later, David reported improved clarity, reduced fatigue, better lab numbers—and fewer side effects.
Medical Director of Patients Medical
A holistic pain management physician
Consult Dr. Emine Cosar, MD. For Gynecology
Prescription drug optimization therapy is a comprehensive review of your medications—prescription, over-the-counter, and supplements—to ensure they are safe, effective, and necessary. It’s designed to reduce side effects, eliminate drug interactions, and improve your overall health using a personalized, integrative approach.
Anyone taking three or more medications (a condition known as polypharmacy) can benefit. It is especially helpful for older adults, people with chronic conditions like diabetes or hypertension, and those experiencing unexplained symptoms that could be drug-related.
Yes, if it’s clinically safe and appropriate. We develop a gradual tapering plan in collaboration with your prescribing doctor, and we often recommend natural or lifestyle-based alternatives to support the transition.
We do not alter or discontinue prescriptions without proper consultation and, if necessary, coordination with your primary care provider or specialist. Our goal is to work collaboratively for your safety and wellness.
Yes. When possible and appropriate, we suggest herbal remedies, supplements, dietary changes, and other natural therapies that support the same goals as your medications—without the side effects.
We use functional medicine labs, genetic testing (pharmacogenomics), and a thorough health history to assess how your body responds to each drug. This helps us identify interactions, toxicity risks, or nutrient depletions caused by long-term use.
You may undergo liver and kidney function tests, micronutrient panels, genetic drug metabolism testing, hormone testing, or gut health assessments, depending on your symptoms and current medications.
The timeline varies per patient. Some adjustments can be made in a few weeks, while more complex cases may require a 3–6 month plan with ongoing monitoring and support.
Patients Medical is an out-of-network provider. However, we provide itemized receipts (superbills) for you to submit for possible reimbursement. Lab tests may be partially covered depending on your plan.
You can schedule a consultation by calling 212-794-8800 or visiting our website. During your first appointment, we’ll review your health history, current medications, and determine next steps including any lab testing.
Patients Medical specializes in gently helping the patient identify the root cause of their medical issues and then assist them to recover from their problems to help them move forward to good health.
To schedule an in person on Tele-medicine appointment, please call our office at (212) 794-8800 or email us at info@PatientsMedical.com We look forward to hearing from you
Patients Medical PC
1148 Fifth Avenue, Suite 1B New York, NY 10128
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All information presented in this website is intended for informational purposes only and not for the purpose of rendering medical advice. Statements made on this website have not been evaluated by the Food and Drug Administration. The information contained herein is not intended to diagnose, treat, cure or prevent any disease. Patients Medical.
