University of Miami division of clinical pharmacology therapeutic rounds: Issues in prescribing for geriatric patients and emerging practice guidelines

Adam G. Golden, Michael A. Silverman, Richard A. Preston

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

The geriatric population accounts for over 12% of the United States population and consumes over 25% of all prescription medications. Polypharmacy and patient noncompliance are often encountered in caring for these patients. These issues along with a variety of age-related physiologic changes and the presence of multiple medical illnesses place the elderly at an increased risk for adverse drug reactions. Especially worrisome is the use of long-acting benzodiazepines and anticholinergic medications in this population. The problem of adverse drug reactions is a common clinical problem that is of great public concern as the number of older persons in the United States continues to grow. In response, a variety of proactive measures have been developed. These measures include the development of consensus criteria for inappropriate medications, federal government regulation, expansion of the role of clinical pharmacists, and computer-assisted prescribing protocols.

Original languageEnglish (US)
Pages (from-to)341-348
Number of pages8
JournalAmerican journal of therapeutics
Volume6
Issue number6
DOIs
StatePublished - Nov 1999

Keywords

  • Adverse drug reactions
  • Geriatrics
  • Polypharmacy

ASJC Scopus subject areas

  • Pharmacology

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