Escalating polypharmacy

New drug treatments, new indications for older drug treatments, lower thresholds for treating risk factors in preventative medicine, and an ageing population acquiring multiple pathologies all contribute to the development of polypharmacy. Longitudinal studies document the rise in prescribed medicat...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:QJM : An International Journal of Medicine 2006-11, Vol.99 (11), p.797-800
1. Verfasser: Gorard, D A
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 800
container_issue 11
container_start_page 797
container_title QJM : An International Journal of Medicine
container_volume 99
creator Gorard, D A
description New drug treatments, new indications for older drug treatments, lower thresholds for treating risk factors in preventative medicine, and an ageing population acquiring multiple pathologies all contribute to the development of polypharmacy. Longitudinal studies document the rise in prescribed medications, particularly in the elderly. The potential dangers of adverse drug reactions and interactions, poor adherence and confusion associated with ever-increasing polypharmacy are likely to worsen. Strategies to reduce prescribing will obviously decrease the dangers of polypharmacy. These include more considered prescribing when contemplating additions to patients' already lengthy prescription lists, and external reviews of medicine lists by a doctor or pharmacist. Despite such strategies, polypharmacy seems inevitable and considerations must be given to simplifying patients' multiple drug administrations using single-daily-dose regimens, fixed-dose combination pills, calendar-blister packaging and pill organizers.
doi_str_mv 10.1093/qjmed/hcl109
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_29853096</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1155578231</sourcerecordid><originalsourceid>FETCH-LOGICAL-c447t-177e611d358567cce42ff829e9c6a72951ff4ff270eeb80ba06f84e8722710833</originalsourceid><addsrcrecordid>eNqNkD1PwzAQhi0EoqWwIbEhxMBE6Nk-x_ZYVeVDqsQCs-W6Nm2VNKndDPn3pLQwsMB0d68evdI9hFxSeKCg-XCzKv18uHBFdx2RPsUcMsY1P_7eJRM9cpbSCgBQojolPSqBg2CqT64mydnCbpfrj5u6Ktp6YWNpXXtOToItkr84zAF5f5y8jZ-z6evTy3g0zRyi3GZUSp9TOudCiVw655GFoJj22uVWMi1oCBgCk-D9TMHMQh4UeiUZkxQU5wNyt--tY7VpfNqacpmcLwq79lWTDNNKcND5P0AhEenfjVRzoSmqDrz9Ba6qJq67bw1jGqVQyDrofg-5WKUUfTB1XJY2toaC2fk3X_7N3n-HXx86m9ku_oEPwvkndS1_CA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>229475842</pqid></control><display><type>article</type><title>Escalating polypharmacy</title><source>MEDLINE</source><source>Oxford University Press Journals All Titles (1996-Current)</source><source>EZB-FREE-00999 freely available EZB journals</source><creator>Gorard, D A</creator><creatorcontrib>Gorard, D A</creatorcontrib><description>New drug treatments, new indications for older drug treatments, lower thresholds for treating risk factors in preventative medicine, and an ageing population acquiring multiple pathologies all contribute to the development of polypharmacy. Longitudinal studies document the rise in prescribed medications, particularly in the elderly. The potential dangers of adverse drug reactions and interactions, poor adherence and confusion associated with ever-increasing polypharmacy are likely to worsen. Strategies to reduce prescribing will obviously decrease the dangers of polypharmacy. These include more considered prescribing when contemplating additions to patients' already lengthy prescription lists, and external reviews of medicine lists by a doctor or pharmacist. Despite such strategies, polypharmacy seems inevitable and considerations must be given to simplifying patients' multiple drug administrations using single-daily-dose regimens, fixed-dose combination pills, calendar-blister packaging and pill organizers.</description><identifier>ISSN: 1460-2725</identifier><identifier>EISSN: 1460-2393</identifier><identifier>DOI: 10.1093/qjmed/hcl109</identifier><identifier>PMID: 17030528</identifier><language>eng</language><publisher>England: Oxford Publishing Limited (England)</publisher><subject>Aged ; Aged, 80 and over ; Drug Interactions ; Humans ; Polypharmacy ; Self Administration</subject><ispartof>QJM : An International Journal of Medicine, 2006-11, Vol.99 (11), p.797-800</ispartof><rights>Copyright Oxford University Press(England) Nov 2006</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c447t-177e611d358567cce42ff829e9c6a72951ff4ff270eeb80ba06f84e8722710833</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17030528$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gorard, D A</creatorcontrib><title>Escalating polypharmacy</title><title>QJM : An International Journal of Medicine</title><addtitle>QJM</addtitle><description>New drug treatments, new indications for older drug treatments, lower thresholds for treating risk factors in preventative medicine, and an ageing population acquiring multiple pathologies all contribute to the development of polypharmacy. Longitudinal studies document the rise in prescribed medications, particularly in the elderly. The potential dangers of adverse drug reactions and interactions, poor adherence and confusion associated with ever-increasing polypharmacy are likely to worsen. Strategies to reduce prescribing will obviously decrease the dangers of polypharmacy. These include more considered prescribing when contemplating additions to patients' already lengthy prescription lists, and external reviews of medicine lists by a doctor or pharmacist. Despite such strategies, polypharmacy seems inevitable and considerations must be given to simplifying patients' multiple drug administrations using single-daily-dose regimens, fixed-dose combination pills, calendar-blister packaging and pill organizers.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Drug Interactions</subject><subject>Humans</subject><subject>Polypharmacy</subject><subject>Self Administration</subject><issn>1460-2725</issn><issn>1460-2393</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkD1PwzAQhi0EoqWwIbEhxMBE6Nk-x_ZYVeVDqsQCs-W6Nm2VNKndDPn3pLQwsMB0d68evdI9hFxSeKCg-XCzKv18uHBFdx2RPsUcMsY1P_7eJRM9cpbSCgBQojolPSqBg2CqT64mydnCbpfrj5u6Ktp6YWNpXXtOToItkr84zAF5f5y8jZ-z6evTy3g0zRyi3GZUSp9TOudCiVw655GFoJj22uVWMi1oCBgCk-D9TMHMQh4UeiUZkxQU5wNyt--tY7VpfNqacpmcLwq79lWTDNNKcND5P0AhEenfjVRzoSmqDrz9Ba6qJq67bw1jGqVQyDrofg-5WKUUfTB1XJY2toaC2fk3X_7N3n-HXx86m9ku_oEPwvkndS1_CA</recordid><startdate>20061101</startdate><enddate>20061101</enddate><creator>Gorard, D A</creator><general>Oxford Publishing Limited (England)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7T2</scope><scope>7U2</scope><scope>C1K</scope><scope>7TB</scope><scope>8FD</scope><scope>FR3</scope><scope>F28</scope></search><sort><creationdate>20061101</creationdate><title>Escalating polypharmacy</title><author>Gorard, D A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c447t-177e611d358567cce42ff829e9c6a72951ff4ff270eeb80ba06f84e8722710833</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Drug Interactions</topic><topic>Humans</topic><topic>Polypharmacy</topic><topic>Self Administration</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gorard, D A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Mechanical &amp; Transportation Engineering Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ANTE: Abstracts in New Technology &amp; Engineering</collection><jtitle>QJM : An International Journal of Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gorard, D A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Escalating polypharmacy</atitle><jtitle>QJM : An International Journal of Medicine</jtitle><addtitle>QJM</addtitle><date>2006-11-01</date><risdate>2006</risdate><volume>99</volume><issue>11</issue><spage>797</spage><epage>800</epage><pages>797-800</pages><issn>1460-2725</issn><eissn>1460-2393</eissn><abstract>New drug treatments, new indications for older drug treatments, lower thresholds for treating risk factors in preventative medicine, and an ageing population acquiring multiple pathologies all contribute to the development of polypharmacy. Longitudinal studies document the rise in prescribed medications, particularly in the elderly. The potential dangers of adverse drug reactions and interactions, poor adherence and confusion associated with ever-increasing polypharmacy are likely to worsen. Strategies to reduce prescribing will obviously decrease the dangers of polypharmacy. These include more considered prescribing when contemplating additions to patients' already lengthy prescription lists, and external reviews of medicine lists by a doctor or pharmacist. Despite such strategies, polypharmacy seems inevitable and considerations must be given to simplifying patients' multiple drug administrations using single-daily-dose regimens, fixed-dose combination pills, calendar-blister packaging and pill organizers.</abstract><cop>England</cop><pub>Oxford Publishing Limited (England)</pub><pmid>17030528</pmid><doi>10.1093/qjmed/hcl109</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1460-2725
ispartof QJM : An International Journal of Medicine, 2006-11, Vol.99 (11), p.797-800
issn 1460-2725
1460-2393
language eng
recordid cdi_proquest_miscellaneous_29853096
source MEDLINE; Oxford University Press Journals All Titles (1996-Current); EZB-FREE-00999 freely available EZB journals
subjects Aged
Aged, 80 and over
Drug Interactions
Humans
Polypharmacy
Self Administration
title Escalating polypharmacy
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-24T21%3A40%3A54IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Escalating%20polypharmacy&rft.jtitle=QJM%20:%20An%20International%20Journal%20of%20Medicine&rft.au=Gorard,%20D%20A&rft.date=2006-11-01&rft.volume=99&rft.issue=11&rft.spage=797&rft.epage=800&rft.pages=797-800&rft.issn=1460-2725&rft.eissn=1460-2393&rft_id=info:doi/10.1093/qjmed/hcl109&rft_dat=%3Cproquest_cross%3E1155578231%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=229475842&rft_id=info:pmid/17030528&rfr_iscdi=true