Medication Issues

Abstract

Ideal medication management for the older patient requires attention to choice of medication, possible alteration in dose, medication administration schedule, and costs to patients. Alterations in Pharmacodynamics and kinetics with age can influence “best” prescribing practices. Patient adherence may be affected by vision limitations, literacy problems in reading labels or instructions, or manual dexterity issues in manipulating bottles or pills. Cognitive impairment remains a major challenge to appropriate medication use. Adverse consequences of medication administration are more common in older patients, in part due to many of these factors. In addition, the use of multiple medications for coexisting chronic conditions creates increased risk for medication interactions. Careful medication reconciliation remains a cornerstone of successful transitions of care.