- Title
- Pharmacology
- Creator
- Martin, Jennifer H.
- Relation
- Geriatric Medicine: A Problem-Based Approach p. 43-57
- Publisher Link
- http://dx.doi.org/10.1007/978-981-10-3253-0_4
- Publisher
- Springer
- Resource Type
- book chapter
- Date
- 2018
- Description
- Most therapeutics have no evidence on safety, efficacy and dose in the older age groups. Changes in physiology with age and the added burdens of comorbidity and concomitant medications affect the way drugs are handled in the body. These changes also affect how drugs work in the body. Non-pharmacological interventions should be considered first, if possible. Starting with the lowest dose possible and increasing only if efficacy has not been achieved and higher doses are tolerated. A consideration of deprescribing (including dose reductions) should be undertaken at every visit of every doctor managing health problems in the older age groups.
- Subject
- deprescribing; adverse drug reactions; ADRs; total annual direct medical costs; higher free fraction; postural blood pressure drop
- Identifier
- http://hdl.handle.net/1959.13/1413312
- Identifier
- uon:36609
- Identifier
- ISBN:9789811032530
- Language
- eng
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