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Optimizing pharmacotherapy and deprescribing strategies in older adults living with multimorbidity and polypharmacy: EuGMS SIG on pharmacology position paper.

Authors :
van Poelgeest E
Seppala L
Bahat G
Ilhan B
Mair A
van Marum R
Onder G
Ryg J
Fernandes MA
Cherubini A
Denkinger M
Eidam A
Egberts A
Gudmundsson A
Koçak FÖK
Soulis G
Tournoy J
Masud T
Wehling M
van der Velde N
Source :
European geriatric medicine [Eur Geriatr Med] 2023 Dec; Vol. 14 (6), pp. 1195-1209. Date of Electronic Publication: 2023 Oct 09.
Publication Year :
2023

Abstract

Inappropriate polypharmacy is highly prevalent among older adults and presents a significant healthcare concern. Conducting medication reviews and implementing deprescribing strategies in multimorbid older adults with polypharmacy are an inherently complex and challenging task. Recognizing this, the Special Interest Group on Pharmacology of the European Geriatric Medicine Society has compiled evidence on medication review and deprescribing in older adults and has formulated recommendations to enhance appropriate prescribing practices. The current evidence supports the need for a comprehensive and widespread transformation in education, guidelines, research, advocacy, and policy to improve the management of polypharmacy in older individuals. Furthermore, incorporating deprescribing as a routine aspect of care for the ageing population is crucial. We emphasize the importance of involving geriatricians and experts in geriatric pharmacology in driving, and actively participating in this transformative process. By doing so, we can work towards achieving optimal medication use and enhancing the well-being of older adults in the generations to come.<br /> (© 2023. The Author(s).)

Details

Language :
English
ISSN :
1878-7649
Volume :
14
Issue :
6
Database :
MEDLINE
Journal :
European geriatric medicine
Publication Type :
Academic Journal
Accession number :
37812379
Full Text :
https://doi.org/10.1007/s41999-023-00872-0