Overview
Background
Dr Shakti Shrestha is Deputy Director of Research and Lecturer in Pharmacy Practice and Medicines Management at the School of Pharmacy and Pharmaceutical Sciences, The University of Queensland (UQ). His research program focuses on optimising medication use in older people and those with life‑limiting illness, with particular interests in deprescribing, medication safety, dementia and palliative care, quality use of medicines, and the implementation of evidence into practice.
Shakti conceived and co‑led the development of De‑TOPPLE, a deprescribing decision‑support framework designed to improve medication optimisation for older adults with limited life expectancy. He also served as a Research Fellow and Queensland site coordinator for the MRFF‑funded EMBRACE trial, evaluating strategies to enhance the implementation of evidence‑based psychotropic prescribing recommendations in Australian residential aged care. His broader research spans medicines optimisation, medication‑related quality of life, pharmacy practice, health services research, and implementation science, forming a coherent program aimed at reducing medication‑related harm and improving care outcomes for older populations, particularly those with palliative care needs.
He has published widely across ageing, medication safety, deprescribing and pharmacy practice, and received the 2025 Best Publication by an Early Career Researcher Award from the UQ School of Pharmacy and Pharmaceutical Sciences. He supervises PhD, postgraduate and undergraduate research projects in medicines optimisation, polypharmacy, deprescribing and medication use in older populations, integrating his research expertise into teaching and research training.
Shakti’s academic and research work is informed by extensive experience across pharmacy practice, clinical research, residential aged care and higher education in Australia, the United Kingdom and Nepal. He was awarded the 2018 Australian Research Training Scholarship for his PhD in Clinical Pharmacy and Pharmacy Practice at UQ and the 2022 Career Development Scholarship, through which he gained further clinical trail experience across Queensland Hospital and Health Services. He holds a Master of Science in Clinical Pharmacology with Distinction from the University of Aberdeen (UK), and Bachelor of Pharmaceutical Sciences with Distinction from Pokhara University (Nepal). During his Master's training in the UK, he gained research experience working with SITS-ISTR (Safe Implementation of Thrombolysis in Stroke-International Stroke Thrombolysis Registry) data within NHS Grampian.
Availability
- Dr Shakti Shrestha is:
- Available for supervision
Fields of research
Qualifications
- Bachelor (Honours) of Pharmaceutical Sciences, Pokhara University
- Masters (Coursework) of Clinical Pharmacology and Therapeutics, University of Aberdeen
- Doctor of Philosophy of Clinical Pharmacy and Pharmacy Practice, The University of Queensland
Research interests
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Quality Use of Medicines
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Medication optimisation / Deprescribing
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Older adults
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Palliative care
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Dementia
Research impacts
Shakti’s research on deprescribing and medication optimisation has informed clinical guidance, professional education, research tools and implementation approaches for older people with life-limiting illness.
His evidence syntheses on deprescribing have been used beyond academic publication. They have informed a Choosing Wisely Italy recommendation on lipid-lowering therapy in people with limited life expectancy, contributed to the US Agency for Healthcare Research and Quality’s Making Healthcare Safer IV review, and been incorporated into CareSearch evidence collections supporting palliative-care practice. His work has also been selected by the Drug and Therapeutics Bulletin (BMJ) to inform practical evidence summaries for healthcare professionals.
Shakti conceived and co-led the development of De-TOPPLE, a person-centred deprescribing framework for older people with limited life expectancy. The framework has been incorporated into professional education, including the Pharmaceutical Society of Australia’s continuing pharmacy education and hospital-pharmacy education in Spain. He also developed the HATD tool, a validated measure of healthcare professionals’ attitudes towards deprescribing. The tool has been requested for translation and use by researchers internationally and is being used in subsequent intervention research.
Through the MRFF-funded EMBRACE trial, Shakti led implementation research examining how evidence-based recommendations for psychotropic medicine use can be translated into Australian residential aged care. His work with residents, family members and multidisciplinary health professionals identified practical strategies to address barriers to guideline implementation and quality improvement. This research has also been featured in Advanced Pharmacy Australia’s MedsScan, extending its reach to pharmacy professionals and aged-care practice.
Works
Search Professor Shakti Shrestha’s works on UQ eSpace
2017
Conference Publication
A HOSPITAL BASED CROSS-SECTIONAL STUDY TO ASSESS VARIOUS TYPES OF NON GLAUCOMATOUS OPTIC NEUROPATHIES
Pandey, Araniko, Shrestha, Shakti, Bhari, Arjun Malla, Thapa, Lekh Jung and DeBuc, Delia (2017). A HOSPITAL BASED CROSS-SECTIONAL STUDY TO ASSESS VARIOUS TYPES OF NON GLAUCOMATOUS OPTIC NEUROPATHIES. HOBOKEN: WILEY.
2017
Journal Article
Opinion of hospital pharmacy practitioners toward the Continuing Pharmacy Education program: a study from a tertiary care hospital in central Nepal
Poudel, Ramesh Sharma, Piryani, Rano Mal, Shrestha, Shakti, Chaurasiya, Roshan and Niure, Bed Prakash (2017). Opinion of hospital pharmacy practitioners toward the Continuing Pharmacy Education program: a study from a tertiary care hospital in central Nepal. Integrated Pharmacy Research and Practice, 6, 157-161. doi: 10.2147/IPRP.S145026
2017
Journal Article
An assessment of surgical outcome with the influencing factors of horizontal strabismus surgery
Pandey, Saraswati, Pandey, Araniko, Bajracharya, Kabindra, Thapa, Hari B, Shrestha, Shakti, Bhari, Arjun M and Rai, Salma KC (2017). An assessment of surgical outcome with the influencing factors of horizontal strabismus surgery. Asian Journal of Medical Sciences, 8 (5), 54-57. doi: 10.3126/ajms.v8i5.17634
2017
Journal Article
Do face-to-face training and telephonic reminder improve dry powder inhaler technique in patients with COPD?
Poudel, Ramesh Sharma, Shrestha, Shakti, Bhatta, Pawan and Piryani, Rano Mal (2017). Do face-to-face training and telephonic reminder improve dry powder inhaler technique in patients with COPD?. International Journal of Telemedicine and Applications, 2017 5091890, 1-6. doi: 10.1155/2017/5091890
2017
Journal Article
Assessment of nurses’ knowledge on rotahaler device in a teaching hospital of central Nepal
Piryani, R. M., Poudel, R. S., Shrestha, S. and Prajapati, A. (2017). Assessment of nurses’ knowledge on rotahaler device in a teaching hospital of central Nepal. Journal of Chitwan Medical College, 5 (4), 27-32. doi: 10.3126/jcmc.v5i4.16548
2017
Journal Article
Knowledge, beliefs, and practices on epilepsy among high school students of Central Nepal
Thapa, Lekhjung, Bhandari, Tirtha Raj, Shrestha, Shakti and Poudel, Ramesh Sharma (2017). Knowledge, beliefs, and practices on epilepsy among high school students of Central Nepal. Epilepsy Research and Treatment, 2017, 6705807-7. doi: 10.1155/2017/6705807
2017
Journal Article
Assessment of insulin injection practice among diabetes patients in a tertiary healthcare centre in Nepal: a preliminary study
Poudel, Ramesh Sharma, Shrestha, Shakti, Piryani, Rano Mal, Basyal, Bijaya, Kaucha, Kalpana and Adhikari, Shital (2017). Assessment of insulin injection practice among diabetes patients in a tertiary healthcare centre in Nepal: a preliminary study. Journal of Diabetes Research, 2017 8648316, 1-6. doi: 10.1155/2017/8648316
2016
Journal Article
Benefit of hospital pharmacy intervention on the current status of dry powder inhaler technique in patients with asthma and COPD: a study from the Central Development Region, Nepal
Poudel, Ramesh Sharma, Piryani, Rano Mal, Shrestha, Shakti and Prajapati, Aastha (2016). Benefit of hospital pharmacy intervention on the current status of dry powder inhaler technique in patients with asthma and COPD: a study from the Central Development Region, Nepal. Integrated Pharmacy Research and Practice , 2017 (6), 7-13. doi: 10.2147/IPRP.S119202
2016
Journal Article
Knowledge, attitude, and practice of stroke among high school students in Nepal
Thapa, Lekhjung, Sharma, Nooma, Poudel, Ramesh, Bhandari, Tirtha, Bhagat, Riwaz, Shrestha, Ashis, Shrestha, Shakti, Khatiwada, Dipendra and Caplan, Louis (2016). Knowledge, attitude, and practice of stroke among high school students in Nepal. Journal of Neurosciences in Rural Practice, 7 (4), 504-509. doi: 10.4103/0976-3147.188635
2016
Journal Article
Feasibility and efficacy of thrombolysis in acute ischemic stroke: a study from National Institute of Neurological and Allied Sciences, Kathmandu, Nepal
Thapa, Lekhjung, Shrestha, Shikher, Shrestha, Pratyush, Bhattarai, Suman, Gongal, D. N. and Devkota, U. P. (2016). Feasibility and efficacy of thrombolysis in acute ischemic stroke: a study from National Institute of Neurological and Allied Sciences, Kathmandu, Nepal. Journal of Neurosciences in Rural Practice, 7 (1), 55-60. doi: 10.4103/0976-3147.172161
2016
Journal Article
Knowledge on obstructive airway diseases and inhaler techniques among nurses
Poudel, Ramesh Sharma, Shrestha, Shakti and Piryani, Rano Mal (2016). Knowledge on obstructive airway diseases and inhaler techniques among nurses. Saudi Journal for Health Sciences, 5 (1), 25-27. doi: 10.4103/2278-0521.182862
2016
Journal Article
Knowledge, attitude and practice on hypertension among antihypertensive medication users
Shrestha, Shakti, Adhikari, Bhojraj, Poudel, Ramesh Sharma, Thapaliya, Kailash, Kharal, Tikaram, Bastakoti, Mahanath and Bhatta, Nanda Kishor (2016). Knowledge, attitude and practice on hypertension among antihypertensive medication users. Journal of the Nepal Medical Association, 55 (204), 86-92. doi: 10.31729/jnma.2848
2016
Conference Publication
Factors affecting the medication taking behaviour of psychiatric patients: a preliminary study from central Nepal
Poudel, Ramesh Sharma, Shrestha, Shakti, Prajapati, Aastha and Piryani, Rano Mal (2016). Factors affecting the medication taking behaviour of psychiatric patients: a preliminary study from central Nepal. Second National Summit of Health and Population Scientists in Nepal, Kathmandu, Nepal, 11-12 April 2016. Kathmandu, Nepal: Nepal Health Research Council.
2015
Journal Article
Stroke subtype, age, and baseline NIHSS score predict ischemic stroke outcomes at 3 months: a preliminary study from central Nepal
Shrestha, Shakti, Poudel, Ramesh Sharma, Khatiwada, Dipendra and Thapa, Lekhjung (2015). Stroke subtype, age, and baseline NIHSS score predict ischemic stroke outcomes at 3 months: a preliminary study from central Nepal. Journal of Multidisciplinary Healthcare, 8, 443-448. doi: 10.2147/JMDH.S90554
2015
Journal Article
Prescription errors and pharmacist intervention at outpatient pharmacy of Chitwan Medical College
Poudel, R. S., Piryani, R. M., Shrestha, S., Prajapati, A. and Adhikari, B. (2015). Prescription errors and pharmacist intervention at outpatient pharmacy of Chitwan Medical College. Journal of Chitwan Medical College, 5 (2), 20-24. doi: 10.3126/jcmc.v5i2.13150
2015
Journal Article
Face-to-face training as an effective approach for instructing rotahaler technique in newly diagnosed cases of asthma and COPD: a pilot study
Poudel, Ramesh Sharma, Shrestha, Shakti, Piryani, Rano Mal, Prajapati, Aastha and Khatiwada, Dipendra (2015). Face-to-face training as an effective approach for instructing rotahaler technique in newly diagnosed cases of asthma and COPD: a pilot study. Journal of the Nepal Medical Association, 53 (198), 150-152. doi: 10.31729/jnma.2780
2015
Journal Article
Face-to-face Training as an Effective Approach for Teaching Rotahaler Technique in Newly Diagnosed Patients of Asthma and COPD
Poudel, R. S., Shrestha, S., Piryani, R. M., Prajapati, A. and Khatiwada, D. (2015). Face-to-face Training as an Effective Approach for Teaching Rotahaler Technique in Newly Diagnosed Patients of Asthma and COPD. Journal of the Nepal Medical Association, 53 (198), 148-150.
2015
Journal Article
Efficacy of combined antithrombotic, statins and anti-hypertensive agents in acute ischemic stroke
Poudel, Ramesh Sharma, Thapa, Lekhjung, Shrestha, Shakti, Khatiwada, Dipendra, Upadhyay, Nijan, Bhandari, Tirtha Raj and Shrestha, Asis (2015). Efficacy of combined antithrombotic, statins and anti-hypertensive agents in acute ischemic stroke. Journal of the Nepal Medical Association, 53 (197), 5-11. doi: 10.31729/jnma.2696
2014
Journal Article
Status of vitamin D and its association with stroke risk factors in patients with acute ischemic stroke in a tertiary care hospital
Thapa, Lekhjung, Shrestha, Asis, Pradhan, Manohar, Bhandari, Tirtha Raj, Shrestha, Shakti, Poudel, Ramesh Sharma, Pokhrel, Baburam and Poudel, Raju (2014). Status of vitamin D and its association with stroke risk factors in patients with acute ischemic stroke in a tertiary care hospital. Journal of the Nepal Medical Association, 52 (195), 935-939. doi: 10.31729/jnma.2719
2014
Journal Article
Intravenous Thrombolysis and Risk Factors for Ischemic Stroke
Shrestha, Shakti, Poudel, Ramesh S.harma, Thapa, Lekh J.ung and Khatiwada, Dipendra (2014). Intravenous Thrombolysis and Risk Factors for Ischemic Stroke. JNMA: Journal of the Nepal Medical Association, 52 (193), 745-750. doi: 10.31729/jnma.2615
Supervision
Availability
- Dr Shakti Shrestha is:
- Available for supervision
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Supervision history
Current supervision
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Doctor Philosophy
Optimising Medication Use in Older Adults with Chronic Kidney Disease
Principal Advisor
Other advisors: Associate Professor Esther Lau, Dr Wubshet Tesfaye
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Doctor Philosophy
Enhancing adherence in people at high risk of chronic kidney disease: Integrating AI technology with a pharmacist-led adherence-intensive review
Associate Advisor
Other advisors: Associate Professor Adam La Caze, Dr Meng-Wong Taing, Dr Jared Miles, Dr Wubshet Tesfaye
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Doctor Philosophy
Enhancing adherence in people at high risk of kidney disease: Leveraging an artificial intelligence(AI)-supported technology
Associate Advisor
Other advisors: Associate Professor Adam La Caze, Dr Wubshet Tesfaye
Media
Enquiries
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