Drug prescribing for older adults

Optimizing drug therapy is more essential part of caring an older person. The process of prescribing a medication is much complex and it includes: deciding which a drug is indicated, choosing the best drug, determining a dose and schedule appropriate for the patient's physiologic status, monitoring for effectiveness and toxicity, educating the patient about expected side effects, and indications for seeking consultation. Avoidable adverse drug events (ADEs) are the most serious consequences of inappropriate drug prescribing to the older aged people. Premarketing drug is a trial that often exclude geriatric patients and it approved doses may not be suitable for older adults.

  • Consider nondrug treatment
  • Discuss goals of care with the patient
  • Start with a low dose
  • Explain the uses and adverse effects of each drug

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