Notes in 04_Polypharmacy and Aging Pharmacology

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Published 02/10/2024 Polypharmacy describes the idea of {{c1::taking many medications}}, usually this happens as patients age and present with multiple acute and chronic c…
Published 02/10/2024 The risk of {{c1::adverse drug reactions (ADRs)}} increases as you increase the number of drugs that a patient is taking
Published 02/10/2024 Results of Medication-related problems (ADRs) in older patients {{c1::Falls}} {{c1::Cognitive loss}} {{c1::Dehydration}} {{c1::Incontinence}} {{c1::De…
Published 02/10/2024 The Concept of {{c2::Prescribing Cascade}} means that the {{c1::adverse drug events from a medication are interpreted as a new medical condition …
Published 02/10/2024 Four Stages of Pharmacokinetics (ADME)[1] {{c1::Absorption}}[2] {{c1::Distribution}}[3] {{c1::Metabolism}}[4] {{c1::Excretion}}
Published 02/10/2024 Changes to Absorption Pharmacokinetics in Older Patients:[1] {{c1::Changes in Rate of absorption}}[2] {{c1::May lead to delay in onset of drug effect}…
Published 02/10/2024 Due to an increase in {{c1::fat}}, and a decrease in {{c1::muscle}} and {{c1::body water}} in Older patients, there is an increase in {{c2::half life}…
Published 02/10/2024 Due to a decrease of {{c1::Albumin}} levels in Older patients, there is an increase in {{c2::serum levels}} of acidic drugs
Published 02/10/2024 In Older patients, there is an increase in the {{c1::permeability}} across the blood brain barrier, which affects the distribution of drugs
Published 02/10/2024 In Older patients, {{c1::Hepatic metabolism}} is less efficient due to a decrease in {{c2::liver mass}} and {{c2::liver blood flow}}
Published 02/10/2024 In Older patients, a decrease of Hepatic metabolism means that there is a:[1] Higher risk of {{c1::toxicity}} from drugs[2] Reduction of {{c1::fi…
Published 02/10/2024 In Older patients, {{c1::Renal Excretion}} is less efficient due to a reduction in {{c2::renal function}}
Published 02/10/2024 In Older patients, a decrease in Renal function means that there is a:[1] Higher risk of {{c1::toxicity}} from drugs[2] Reduction of {{c1::c…
Published 02/10/2024 As you age you become more sensitive to particular medicines; due to: {{c1::change in receptor binding}} {{c1::decrease in receptor number}} {{c1::alt…
Published 02/10/2024 When prescribing in the Aging Population, consider whether {{c1::drug}} therapy is the best therapeutic action
Published 02/10/2024 When prescribing in the Aging Population, start with {{c1::lower doses}} or {{c1::reduced frequency of administration}} of drugs
Published 02/10/2024 When prescribing in the Aging Population, think about the {{c1::side effects}} of a drug compared to its benefits (risk-benefit analysis)
Published 02/10/2024 Prescribing Tools and Guides for Polypharmacy Awareness and Optimization {{c1::Beers’ criteria}} {{c1::START-STOPP criteria}}
Published 02/10/2024 Deprescribing is a {{c1::reduction, substitution, or discontinuation of a drug due to: Adverse drug reactions, Drug-drug interactions, Drug-disease i…
Published 02/10/2024 Conclusion of a systematic review of medication withdrawal trials showed that:There is some evidence that it is safe and/or beneficial to stop {{c1::a…
Published 02/10/2024 Two Medications that cause the Most ADRs are {{c1::Anticholinergics}} and {{c1::Sedatives}}
Published 02/10/2024 Most Common Adverse Effects associated with NSAIDs are {{c1::Renal impairment}} and {{c1::GI Bleeding}}
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