The care of older people with safe, effective drugs is a challenge for many reasons:
The prevalence of drug taking verschreibungungspflichtiger increases significantly in older adults with aging. 90% of persons ? 65 years use at least one drug per week,> 40% at least five different medications per week, and 12% ? 10 different medications per week. Women take a more medicine, particularly psychotropic drugs and medicines for arthritis. The highest drug use in frail elderly patients in hospitals and residents of nursing homes; typically an elderly nursing home residents receive 7-8 different drugs regularly. The care of older people with safe, effective medicines is a challenge for many reasons: they use more drugs than any other age group, which increases the risk of adverse effects and Arnzeimittelwechselwirkungen and makes adherence difficult. With them occur more likely to chronic diseases that are aggravated by the drug or influence the response to drugs. Your body’s reserves are generally reduced and may be further reduced by acute and chronic diseases. With aging itself can alter pharmacodynamics (pharmacodynamics in the elderly) and kinetics (pharmacokinetics in the elderly). It may be difficult for them to obtain drugs or to afford them. There are two approaches to optimize pharmacotherapy in the elderly: Indications Correct use of appropriate drugs to the cost-benefit ratio to maximize prevention of adverse drug reactions Since the risk of adverse drug reactions is higher, the fact is that is prescribed too much (polypharmacy) specifically addressed as a major problem in the elderly. However, also must be avoided that too few appropriate drugs are prescribed.