Polypharmacy vs. Deprescribing
نویسنده
چکیده مقاله:
Usually, the elderly and patients with chronic diseases visit several doctors and are supposed to take multiple medications. The multiplicity of medications is called polypharmacy and it may cause side effects, drug interactions and other helth issues for the patient, and it might go as far as the patient might need to go to the hospital and be admitted in ICU, or even further and be the cause of death for the patient. Experts have determined that if a person uses four medications, the fifth one will have the equal chance of risk and benefit for him/her. The constant use of more than 5 drugs is called polypharmacy and its prevalence varies in different societies and various age groups. The phenomenon of polypharmacy is common in elderly and patients with chronic diseases. Since it can be potentially dangerous and it is growing fast globally. Researchers around the world are trying to establish methods to deal with this issue and improve the situation by decreasing the number of un needed medications for their patients. This method is called “Deprescribing” and there is an urgent need that Doctors, pharmacists and other health care professionals get familiar and join this process to serve patients better and and prevent the complications caused by polypharmacy as much as possible.
منابع مشابه
Polypharmacy in Singapore: The Role of Deprescribing
In Singapore, life expectancy has continually increased due to greater accessibility to healthcare, good sanitation and vaccination programs. Ageing patients “accrue” comorbidities, resulting in accumulation of layers of drug therapy. This puts them at increased risk of drug-drug interactions, adverse events due to age-related alterations in pharmacokinetic and pharmacodynamic responses to drug...
متن کاملPolypharmacy in Singapore: The Role of Deprescribing
In Singapore, life expectancy has continually increased due to greater accessibility to healthcare, good sanitation and vaccination programs. Ageing patients “accrue” comorbidities, resulting in accumulation of layers of drug therapy. This puts them at increased risk of drug-drug interactions, adverse events due to age-related alterations in pharmacokinetic and pharmacodynamic responses to drug...
متن کاملReducing inappropriate polypharmacy: the process of deprescribing.
Inappropriate polypharmacy, especially in older people, imposes a substantial burden of adverse drug events, ill health, disability, hospitalization, and even death. The single most important predictor of inappropriate prescribing and risk of adverse drug events in older patients is the number of prescribed drugs. Deprescribing is the process of tapering or stopping drugs, aimed at minimizing p...
متن کاملEvidence-Based Deprescribing: Reversing the Tide of Potentially Inappropriate Polypharmacy
Vol. 23, No. 8 August 2016 JCOM 359 AbstrAct • Objective: To review the adverse drug events (ADEs) risk of polypharmacy; the process of deprescribing and evidence of efficacy in reducing inappropriate polypharmacy; the enablers and barriers to deprescribing; and patient and system of care level strategies that can be employed to enhance deprescribing. • Methods: Literature review. • Results: In...
متن کاملDeprescribing anticholinergic and sedative medicines: protocol for a Feasibility Trial (DEFEAT-polypharmacy) in residential aged care facilities
INTRODUCTION Targeted deprescribing of anticholinergic and sedative medicines can lead to positive health outcomes in older people; as they have been associated with cognitive and physical functioning decline. This study will examine whether the proposed intervention is feasible at reducing the prescription of anticholinergic and sedative medicines in older people. METHODS AND ANALYSIS The St...
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عنوان ژورنال
دوره 0 شماره None
صفحات 0- 0
تاریخ انتشار 2021-12
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