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Medication management in the elderly.

Mark A Stratton1, Robert C Salinas

  • 1College of Pharmacy, University of Oklahoma, P.O. Box 26901, 1110 N. Stonewall, Oklahoma City, OK 73190-5040, USA.

The Journal of the Oklahoma State Medical Association
|April 12, 2003
PubMed
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Managing medications for older adults is crucial due to increased risks of errors and adverse drug reactions. This review offers strategies for healthcare providers to optimize prescribing for the elderly population.

Area of Science:

  • Geriatric Medicine
  • Pharmacology
  • Internal Medicine

Background:

  • The aging population in the United States is rapidly increasing.
  • Older adults often present with multiple chronic conditions requiring complex medication regimens.
  • This demographic is at higher risk for medication-related problems, including treatment failures, errors, and adverse drug reactions.

Purpose of the Study:

  • To review the challenges in prescribing medications for elderly patients.
  • To examine the impact of aging and disease on medication compliance, pharmacokinetics, and pharmacodynamics.
  • To provide actionable strategies for healthcare practitioners to enhance their prescribing practices for older adults.

Main Methods:

  • Literature review focusing on geriatric pharmacotherapy.

Related Experiment Videos

  • Analysis of age- and disease-related factors influencing drug response.
  • Synthesis of evidence-based strategies for medication management in the elderly.
  • Main Results:

    • Age and disease significantly alter drug absorption, distribution, metabolism, and excretion (pharmacokinetics).
    • Physiological changes in older adults can also modify drug effects at the target site (pharmacodynamics).
    • Patient compliance with medication regimens is often impacted by various factors in the elderly.

    Conclusions:

    • Prescribing for older adults necessitates a thorough understanding of age-related physiological changes.
    • Healthcare providers should adopt tailored strategies to mitigate risks and improve therapeutic outcomes in geriatric patients.
    • Optimizing medication management is essential for the well-being of the growing elderly population.