| Prescribing |
- Prescribing in geriatric patient is challenging due to multiple comorbidities
Factors considered in prescribing in old patients:
- Presence of comorbidities: Diabetes HTn, IHD, renal disease, stroke etc
- Previous H/O any adverse drug reaction
- Review of previous edicatio, if present
- Disease presentation; acute or chronic
- Potential side effects/adverse effects
| Deprescribing |
SAQ. Mention the steps to follow in deprescribing in an elderly patient.
- Deprescribing in geriatric patient sometimes necessary because polypharacy ay cause side effects
Factors considered (steps to follow) in deprescribing:
- Introduction
- Regular follow up
- Regular review of medication instead of prescription
- Withdrawal of drug by controlled manner to prevent withdrawal effect
- Effective counseling
- Involve patient and caregiver in decision making
| Polypharmacy |
SAQ. Factors leading to polypharmacy: