What is polypharmacy, and why is it a concern in geriatrics?

Polypharmacy refers to the concurrent use of multiple medications by a patient, particularly when this is not medically necessary. In the context of geriatrics, this phenomenon raises significant concerns for several reasons.

Older adults often have multiple chronic conditions requiring treatment, which can lead to the prescription of several medications. While managing these conditions is essential, the use of multiple medications increases the risk of adverse drug interactions, where one medication influences the effectiveness or side effects of another. Furthermore, older adults frequently experience physiological changes that can alter the metabolism of these drugs, making them more susceptible to side effects.

This can lead to a higher incidence of complications such as confusion, falls, and hospitalizations. Additionally, polypharmacy can complicate adherence to medication regimens, as patients may find it challenging to keep track of multiple prescriptions, dosages, and schedules. The cumulative burden of managing several medications can also negatively impact the quality of life for these patients.

In summary, the issue of polypharmacy in geriatrics is critical because it encompasses the complexities and risks inherent in managing multiple medications, ultimately influencing patient safety and treatment outcomes.