For Older Adults with Heart Failure: Can Taking Too Many Medications Reduce the Ability to Perform Daily Activities?

Journal of the American Geriatrics Society Research Summary

As we age, we tend to develop a number of chronic health conditions and concerns. Often, managing health problems can mean that older adults may take many different medications. When older adults take five or more medicines (a scenario health experts call “polypharmacy”), it can increase the risk of harmful side effects.

Polypharmacy can contribute to serious problems including falls, disability, and hospitalizations. Taking more than five medications is especially common among older adults with heart failure, which is the leading cause of hospitalization for people age 65 and older. Doctors often prescribe several different drugs to improve heart failure, but this can increase your risk of harmful side effects and interactions between your medications. Older adults who have trouble performing routine daily activities are at a particularly high risk for the negative effects of taking a large number of medications.

In a new study, researchers examined whether limitations in older adults’ abilities to perform their routine daily activities were linked to taking multiple medications for heart failure. They published their study in the Journal of the American Geriatrics Society. Continue reading

Polypharmacy and Deprescribing

WebDoes the number of medications you’re taking sometimes seem too high? Maybe it’s time for you and your healthcare provider to give your medication list a check-up by taking a closer look at the prescription and over-the-counter (OTC) treatments you take.

As you grow older, you’re more likely to develop health conditions that require taking multiple medications—some of which you may take for a long time. Many older people also take OTC medications, vitamins, or supplements as part of their routine care. As a result, older adults have a higher risk of overmedication, also known as “polypharmacy”—the medical term for taking four or more medications at the same time. Polypharmacy can increase your chances of unwanted reactions (also called “adverse drug reactions”) due to medications taken on their own or together.

To address this increasingly common problem, healthcare providers are focusing on how to reduce the number of medicines older adults are using through a practice called “deprescribing.” Dr. Michael Steinman, a member of the American Geriatrics Society (AGS) and a geriatrician at the University of California, San Francisco, recently appeared on WPUR—Boston’s NPR News Station—to discuss deprescribing with Dr. Barb Farrell, a pharmacist from Bruyère Geriatric Day Hospital in Ottawa, and Laura Landro, assistant managing editor at the Wall Street Journal. Hear what they had to say.

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