Older adults with polypharmacy are predisposed to drug- interactions. In a prospective cohort study of older hospitalized adults taking 5 or more medications, the prevalence of a potential hepatic cytochrome enzyme-mediated, drug-drug interaction was 80. The probability of a drug-drug interaction increased with the number of medications.
В too often, polypharmacy becomes problematic, such as when patients are prescribed too many medications by multiple healthcare providers working independently of each other. Also, drug interactions can occur if no single healthcare provider knows the patients complete medication picture.
В additionally, polypharmacy has been reported to have effects on a patients nutritional status. In older adults, polypharmacy has been associated with a reduced intake of fiber, fat-soluble and b vitamins, and minerals, as well as with an increased intake of cholesterol, glucose, and sodium.
В the use of multiple medicines (polypharmacy) is increasingly common in older people. Ensuring that patients receive the most appropriate combinations of medications (appropriate polypharmacy) is a significant challenge.
В the impact of polypharmacy on the health of canadian seniors ben reason. Canadian institute for health information, toronto, on, canada. 10 reducing the number of medications has been identified as one of the most effective strategies for reducing falls in older adults. Polypharmacy in older oncology patients and the need for an.
Using this definition, surveys estimate that polypharmacy occurs in roughly 20 to 30 of older adults, with half of older adults using nonprescription medications concurrently. 31, 42 on average, community-dwelling older adults take four prescription medications daily. 27 averages are higher in populations with more comorbidities and greater.
Today someone turning 65 years of age can anticipate living another 18 to 20 years (kochanek et al.).
Multiple factors contribute to this problem, and recognizing these factors is an initial step in addressing the problem.