Polypharmacy is the simultaneous use of multiple medications (typically 5+), usually to treat a single issue. It is especially common in areas like pain management, where several different kinds of medication, including antidepressants, muscle relaxants, opioids, and antiepileptics are often used to create an effect greater than their parts.

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Polypharmacy is associated with an increased risk of adverse drug and polypharmacy in older adults: a repeated cross-sectional study.

• Polypharmacy often leads to potentially inappropriate medications (PIMs) • Frameworks used for evaluating PIM use include Beers and STOPP criteria • PIMS are highly prevalent in older adults, ranging from 20-30%, consistent finding in several countries • Sedative-hypnotics, antidepressants, and benzodiazepines demonstrate a significant Polypharmacy exposes older adults to an increased risk of adverse drug reactions [1,2,3], and has a significant impact on mortality and the likelihood of hospitalization [4, 5]. Several interventions aimed at reducing this risk have been suggested, with a notable focus on detecting and reducing potentially inappropriate prescriptions [ 6 ]. Older adults are particularly vulnerable to the negative outcomes associated with polypharmacy because both increasing age and number of medications received are positively correlated with the risk of adverse events. 3 However, the use of multiple medications may be clinically appropriate and necessary in patients with multiple chronic conditions. What about polypharmacy? • Polypharmacy is a common issue in older adults in all settings • Consequences of polypharmacy include ADRs, PIMs, nonadherence, drug interactions, functional decline, and geriatric syndromes (falls, cognitive impairment) • Can increase risk of ADEs, emergency care, and hospitalization Polypharmacy has been shown to increase the risk of falls in older adults, even after adjustment for age, disability, types of medication and co-morbid conditions (Ziere et al., 2006). Medications commonly involved included blood pressure medications, diuretics, laxatives, anti-cholinergics, hypnotics and benzodiazepines.

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About 4 in 10  The goal of this continuing education module is to help healthcare providers recognize and prevent problems of polypharmacy in older adults. After studying the  Definition. Polypharmacy describes the use of multiple drugs by a single patient to treat one or more conditions. It is most common among elderly patients, ages  Review Article. Adverse Outcomes of Polypharmacy in Older People: Systematic. Review of Reviews. Laurie E. Davies MPharm, MSc a,*, Gemma Spiers PhD a,  Mar 1, 2020 Older adults are more likely to experience polypharmacy and adverse drug effects.

However, there is a grow-ing concern that many older adults are using an inappropri-ately high number of medications. In particular, complex combinations of drugs can shift the benefits of individual Older People5. Polypharmacy and the elderly Polypharmacy has no strict defi nition.

Feb 2, 2017 Managing hypertension in elderly patients is complicated. Recent studies have shown that elderly patients may benefit from aggressive 

Handledare: Olivia Örtlund. Examinator:  av MLJ Uusvaara — The influence of educational level on polypharmacy and inappropriate drug use: a register-based study of more than. 600,000 older people. J Am Geriatr Soc 2009  av J Backström — the number of elderly living with HIV is increasing.

Polypharmacy in older adults

Polypharmacy in Older Adults. Polypharmacy, by definition, is the concurrent use of several different medications consumed by a person. Often these multiple medications are in the same class and are used to treat more than one chronic condition. Older individuals are often faced with issues of polypharmacy due to multiple chroni ….

Polypharmacy in older adults

Eur J Clin  Fratiglioni, Aging Research Center och docent Mårten Lagergren, Stiftelsen Stockholms Trajectories in Older Adults With Five Clinical Indicators. polypharmacy as factors associated with all-cause mortality in older people: a population-. Quality of care and support for older persons (engelsk version) review the older persons medication especially in the case of polypharmacy  LIBRIS titelinformation: Factors associated with emergency department revisits among older adults in two Swedish regions [Elektronisk resurs] A prospective  of the Aging Population; Acute Versus Chronic Illness; Polypharmacy; Dementia; 4: End-of-Life Care of Older Adults Introduction; What Is Palliative Care?; in the Elderly; Introduction; Management Considerations in Elderly Patients with  av T Larsen — äldre (eng.

Polypharmacy in older adults

Polypharmacy in Older Adults With advances in medical treatment people are living longer. Today someone turning 65 years of age can anticipate living another 18 to 20 years ( Kochanek et al., 2011 ). Polypharmacy continues to grow in importance because of aging populations. Many countries are experiencing a fast growth of the older population, 65 years and older.
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However, not all studies found these associations [ 13 ]. Polypharmacy is the concurrent use of multiple medications, usually five or more, and is prevalent in the elderly American population.

Polypharmacy is a common observation among older adults secondary to their complex medical needs requiring management with 1 or more medications.
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Care for these elders is often suboptimal compared with that of elderly people without diabetes. Issues include polypharmacy, decreased cognition, deficiencies 

Polypharmacy can further directly lead to a decreased quality of life and impaired function in older adults, which is very important to them (Sloan, 2009). Part 1 of this two-part article explored the causes of polypharmacy, who is at risk for polypharmacy, the importance of addressing this iatrogenic disease, and some of the tools currently available that have been used to try to identify and Statistics on Polypharmacy • According to a report cited by the Department of Health and Human Services (1998), as many as 30% of older adults are taking 8 or more medications • 80% of older adults ingest an average of 3 prescription medications on a daily basis • 45% of older adults are taking at least one non-prescription medication on Polypharmacy, the use of multiple medications by one individual, can be a rational response to managing complex health problems in older adults [2]. However, there is a grow-ing concern that many older adults are using an inappropri-ately high number of medications.


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av AL Juola · 2018 — polypharmacy and adverse effects of drugs (Onder et al. 2012a, 2012b). Furthermore, drug metabolism changes with age, predisposing older people to adverse 

Gahche J, Bailey RL, Potischman N, et al.