Polypharmacy is not just mean by ‘Too many drugs’ it means many medication without a clear purpose.
Polypharmacy occur in elderly people prescription, patients with chronic illness,in long hospital stays .
Why it is dangerous?
◇It may cause drug drug interactions
◇It may leads to poor adherence due to pill burden
◇ There are high risks of confusion, and symptoms sometimes mistakenly considered as new diseases.
How can we avoid harms caused by polypharmacy?
- Regular medication review & deprescribing
- Clear indication for every single drug
- Stop duplicate therapies
- Involve Clinical pharmacists in rounds where they help in providing evidence based indications,deprescribing, finding drug drug interactions,dose optimization and patient education.
- Educate patients to carry an updated medicine list.
Good medication practice is not how many drugs you prescribe, its about how many drug patient actually need!!!
What are your thoughts on Polypharmacy ?
MBH/PS
