Tag

Polypharmacy

All articles tagged with #polypharmacy

More Pills, Higher Risk: Study Ties Polypharmacy to Mortality in Older Adults
health1 month ago

More Pills, Higher Risk: Study Ties Polypharmacy to Mortality in Older Adults

A study of 7,828 adults aged 65+ followed for about 8.5 years found that taking five or more prescription medications (polypharmacy) is associated with a 38% higher overall mortality risk, with each additional medication linked to roughly a 7% increase. The findings suggest considering deprescribing, but limitations include a single 30-day medication snapshot and the observational nature of the study; patients should review all meds with their clinician.

Five+ Medications Linked to Higher Death Risk in Seniors
health1 month ago

Five+ Medications Linked to Higher Death Risk in Seniors

A University of Michigan study of 7,828 adults aged 65+ (1999–2016) found that taking five or more prescription meds—polypharmacy—was linked to a 38% higher overall mortality risk over ~8.5 years, with each additional drug adding about 7% risk. More than half the participants fell into at least one high-risk category (40% on 5+ meds, 37.6% on meds risky for older adults, 11.4% with major drug interactions). The total number of medications was the strongest predictor of death after accounting for health conditions. The findings could guide deprescribing, but limitations include observational design and a single 30-day medication snapshot, so causation can’t be proven.

"Understanding the Process of De-Prescribing Psychiatric Medications"
health2 years ago

"Understanding the Process of De-Prescribing Psychiatric Medications"

De-prescribing psychiatric drugs is an important consideration, as many psychiatric illnesses can be intermittent and highly variable. For those with a history of only one episode of depression, it may be safe to consider stopping treatment after a period of recovery, typically six months to a year. De-prescribing is also crucial for popular anti-anxiety medications like benzodiazepines, which can be habit forming and have serious potential adverse effects over time. Additionally, rational de-prescribing is essential in cases of polypharmacy, where multiple medications are used simultaneously, to avoid a "psychotropic drug soup" and simplify complex treatments without loss of benefit.

Rising Trend: Youth Taking Multiple Psychiatric Medications
health2 years ago

Rising Trend: Youth Taking Multiple Psychiatric Medications

A study in Maryland found that an increasing number of children and adolescents enrolled in Medicaid are being prescribed multiple psychiatric drugs simultaneously, despite the lack of safety testing and research on the impact of these combinations on the developing brain. The prevalence of "polypharmacy" among this group, defined as taking three or more different classes of psychiatric medications, has risen by 9.5 percent from 2015 to 2020. Concerns have been raised about the long-term effects of simultaneous use of multiple psychotropic medications, especially among vulnerable populations such as youths with disabilities or in foster care.

"Dementia risks: Deprescribing, hormone therapy, and acid reflux drugs under scrutiny"
health3 years ago

"Dementia risks: Deprescribing, hormone therapy, and acid reflux drugs under scrutiny"

A study led by researchers at the Beth Israel Deaconess Medical Center reveals that efforts to deprescribe medications for dementia patients are failing, as there is an increase in overall medication use following a dementia diagnosis. Despite the importance of simplifying medication regimens and reducing adverse drug events, deprescribing guidelines and efforts are not effectively implemented. The study highlights a potential gap in clinical practice and raises concerns about the increased use of central nervous system-active medications, which can adversely affect cognitive function. The findings suggest missed opportunities to reduce burdensome polypharmacy and deprescribe medications with high safety risks or limited likelihood of benefit.

"Deprescribing": Reconsidering Medication Use in Older Adults.
health3 years ago

"Deprescribing": Reconsidering Medication Use in Older Adults.

Many older adults may be on too many medications and could benefit from a medication review with their primary care doctor. About 57% of people age 65 years or older take five or more medications regularly – a concept known as polypharmacy. Patients and caregivers can ask for an honest conversation with their doctor. By reevaluating their medications, older adults can actually lower their chances of potentially harmful side effects, and avoid the spiral of being prescribed even more medications.

"Guidelines for Safer Medication Use in Elderly Patients"
healthcare3 years ago

"Guidelines for Safer Medication Use in Elderly Patients"

The Beers criteria is a guideline to help guide safe prescribing practices in the geriatric population. Adverse events and drug interactions should almost always be on our differential diagnosis with elderly patients. Emergency physicians should be familiar with the Beers criteria, which includes recommendations to avoid certain medications due to potential harm, such as antipsychotics, benzodiazepines, and nonselective NSAIDs. However, the guidelines lack clear citations and discussion of absolute risk, making it difficult to incorporate into evidence-based practice.