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15 - Optimization of Drug Use in Older People

A Key Factor for Successful Aging

from Part I - Biomedical Aspects

Published online by Cambridge University Press:  10 January 2019

By
Mirko Petrovic ,
Annemie Somers ,
Sophie Marien  and
Anne Spinewine
Edited by
Rocío Fernández-Ballesteros ,
Athanase Benetos  and
Jean-Marie Robine
Rocío Fernández-Ballesteros
Affiliation:
Universidad Autónoma de Madrid
Athanase Benetos
Affiliation:
Université de Lorraine and Institut national de la santé et de la recherche médicale (INSERM) Nancy
Jean-Marie Robine
Affiliation:
INSERM
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Summary

Older people use more drugs than any other age group. The prescription strategy constitutes a major challenge. Polypharmacy, inappropriate prescribing and drug-related problems in older people are important problem of public health as a link exists with significant morbidity and mortality and with a large waste of health resources. The main target is the balance between an unsustainable number of different prescription drugs to treat various chronic diseases and the failure to take preventive measures in these older patients. In this review, the difficulties in prescribing in the older population and the identification, prevention and optimization of inappropriate prescribing and drug related problems in older people are respectively discussed. Medication reconciliation, medication review, tools for detection of potentially inappropriate prescribing, use of health information technology, adherence optimization, patient-tailored pharmacotherapy en judicious drug cessation are highlighted as a part of collaborative and integrative approaches.
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The Cambridge Handbook of Successful Aging , pp. 237 - 262
Publisher: Cambridge University Press
Print publication year: 2019

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