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Polypharmacy

Background, Goal and Objectives Polypharmacy PDF
Polypharmacy - weighing up the benefits and harms
Elderly people are at increased risk of drug related problems
Drugs associated with increased risk of adverse drug reactions in elderly people
Common drug interactions in elderly people
Recognising adverse drug reactions
Risk factors for drug related problems in elderly people
A really good recipe for DRP
Drug related harm; terms and definitions
Hospital admissions for adverse drug reactions
Commonly reported adverse drug reactions
References, Bibliography

Risk factors for drug related problems in elderly people

Use of narrow therapeutic index drugs, such as digoxin, warfarin, lithium, anticonvulsants increases the risk of drug toxicity and drug interactions.
Use of multiple drugs increases risks of unpredicted interactions.
Use of drugs commonly associated with drug related problems requiring hospital admissions, such as warfarin, NSAIDs, ACE inhibitors and opioid analgesics.
Use of drugs that have synergistic adverse effects, such as hypotension or sedation.
Use of drugs from multiple prescribers.
Recent commencement of new medicine.
Recent discharge from hospital.
Unsupervised use of over-the-counter or complementary medicines.
When a patient cannot communicate effectively, for example because of Alzheimer’s disease or intellectual handicap.

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