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Reducing multi-medication in the elderly

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  1. Introduction
  2. Consequences of multi medication
  3. Effectiveness
  4. Job security
  5. Patient comfort
  6. Non-drug alternatives
  7. Cost
  8. Conclusion
  9. Bibliography

The multi medication is generally defined as taking more than four concomitant medications. However, it can also be defined as the prescribing or use more drugs than those actually needed to care for a patient. The latter definition adds a qualitative dimension, that of the adequacy of the prescription, including the notion that only one unnecessary medication can cause side effects that could have been avoided.

The multi medication in the elderly is a well known phenomenon and many studies have been conducted on this topic. Studies in the United States on patients living in institutions reported that they simultaneously take on average six to eight different medicines.

[...] It also shows that for patients taking less medication than the average at the entrance ( 2.9 1.6 there is a significant increase in the number of drugs prescribed to the output ( 3.8 Consequences of multi medication The consequences of this multi medication are essentially three types. First, the multi medication can lead to problems of non-compliance. It exists in all age groups and does not appear to increase with advance in age. However, it was shown that the higher the number of drugs increases, less adherence to treatment is good. [...]


[...] With the advance in age, some diseases occur more frequently and are against- indications for use of certain medications. This includes all anticholinergic drugs in the presence of a glaucoma, prostatic hypertrophy, an weakening intellectual or other impairment of the central nervous system. Is an individual dosage is necessary? Cockroft formula for estimating renal function clinically and calculate the necessary adaptation dose in renal insufficiency, especially with regard to drugs eliminated by the kidneys and that the therapeutic range is narrow (digoxin, lithium , theophylline). [...]

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