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Avoiding Overmedication of Elderly Patients.

Jorge G. Ruiz1, Samir Array, David T. Lowenthal

  • 1East Tennessee University School of Medicine and Veterans Affairs Medical Center, Mountain Home, TN.

American Journal of Therapeutics
|November 1, 1996
PubMed
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Overmedication in the elderly involves inappropriate drug use, often ignoring age-related changes and leading to adverse effects. Strategies to prevent this harmful practice are essential for patient safety and effective treatment.

Area of Science:

  • Geriatric Medicine
  • Clinical Pharmacology

Background:

  • Overmedication in the elderly is a significant issue, extending polypharmacy.
  • It arises from ignoring age-related physiological changes, drug interactions, and incorrect prescribing practices.

Purpose of the Study:

  • To define overmedication in the elderly.
  • To identify causes and consequences of overmedication.
  • To discuss prevention strategies.

Main Methods:

  • Literature review on geriatric pharmacotherapy.
  • Analysis of factors contributing to inappropriate drug use in older adults.
  • Synthesis of evidence-based prevention recommendations.

Main Results:

  • Overmedication can result from unaddressed pharmacokinetic/pharmacodynamic changes and drug interactions.

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  • Consequences include adverse drug reactions, increased costs, and noncompliance.
  • It affects elderly individuals across various care settings.
  • Conclusions:

    • Preventing overmedication requires a comprehensive approach addressing prescribing habits and patient-specific factors.
    • Interventions should focus on appropriate drug selection, dosage, and monitoring.
    • Addressing overmedication is crucial for improving health outcomes in the elderly.