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Managing polypharmacy through medication review tools - pros and cons
Evelina Gavazova1, Radiana Staynova1, Daniela Grekova-Kafalova1
1Medical University of Plovdiv, Plovdiv, Bulgaria.
Folia Medica
|May 1, 2024
Summary
Managing polypharmacy in older adults is crucial. Medication review and deprescribing tools help reduce adverse drug events, improve adherence, and lower healthcare costs for elderly patients.
Area of Science:
- Geriatric Medicine
- Clinical Pharmacy
- Health Informatics
Background:
- Inappropriate polypharmacy is prevalent in elderly patients.
- This leads to adverse drug reactions, nonadherence, and elevated healthcare expenses.
- Medication review and deprescribing are key interventions.
Purpose of the Study:
- To review existing tools that support medication review and deprescribing.
- To categorize these tools based on their functionalities.
Main Methods:
- Literature review of tools for medication review.
- Categorization of tools based on support type: medication lists, guiding principles/algorithms, and symptom tracking.
Main Results:
- Multiple tools exist to aid medication review.
- Tools offer varied support, including identifying high-risk medications, providing prescribing guidance, and symptom monitoring for drug-related issues.
Conclusions:
- Developed tools can significantly enhance the effectiveness of medication reviews.
- These tools are vital for managing polypharmacy and improving patient outcomes in the elderly.
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