The primary assessment of prescribing drugs for the elderly people conducted by pharmacists

T. Schiopu, M. Brumărel, S. Adauji

Abstract


In conditions of the fast growing number of older population the problem of pharmaceutical care for this category of people is more often tackled by international bodies. The most important problem in this area is that the impact of drugs on the elderly people has been insufficiently studied and is not properly interpreted. Aging brings increase in the use of drugs together with the growth in frequency of side effects to a medication, drug-drug interactions, interactions between drugs and the disease and other problemsrelated to the drug use. There is no statistical evidence in the Republic of Moldova related to the health state of people above 65, as well as there is no data about their access to healthcare and pharmacy services. In this context, the studies in geriatric pharmacy are of great current interest and practically significant. The study material was prescriptions collected from public pharmacies within 5 months. In the study 1339 prescriptions were analyzed. The data collected were age, gender, dates of drug prescribing and its dispensing, the amount of the drug dispensed to one patient, the active substance and its dose. Based on the data analyzed the current issues associated with drug therapy, dosing, drug-drug interactions, and side effects have been determined; the practical recommendations for pharmacists related to the treatment advice given to this group of patients, including the volume and quality of the information about the medication dispensed, have been proposed.


Keywords


pharmacists; pharmaceutical care; elderly people; pharmaceutical therapy; expected therapeutical results

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References


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GOST Style Citations


1. Nobili A, Garattini S, Mannucci PM. Multiple diseases and polypharmacy in the elderly: challenges for the internist of the third millennium. Journal of Comorbidity. 2011;1:28–44

2. American Geriatrics Society 2012 Beers Criteria Update Expert Panel. American Geriatrics Society updated Beers Criteria for potentially inappropriate medication use in older adults. J Am Geriatr Soc. 2012;60(4):616–631

3. Beers MH, Ouslander JG, Rollingher I, Reuben D, Brooks J, Beck JC. Explicit criteria for determining inappropriate medication use in nursing home residents. UCLA Division of Geriatric Medicine. Arch Intern Med. 1991;151:1825–32

4. Primejdie D, Bojiţă M, Popa A. Potential inappropriate medication use in community – dwelling elderly patients. A qualitative study. FARMACIA. 2012;60:3

5. Fick DM, Cooper JW, Wade WE, Waller JL, Maclean JR, Beers MH. Updating the Beers criteria for potentially inappropriate medication use in older adults: results of a US consensus panel of experts. Published correction appears in Arch Intern Med 2004;164:298t. Arch Intern Med. 2003;163:2716–24

6. Lee JK, Alshehri S, Kutbi HI, Martin JR. Optimizing pharmacotherapy in elderly patients: the role of pharmacists. Integrated Pharmacy Research and Practice. 2015;4:101—111

7. Nyborg G, Straand J, Brekke M. Inappropriate prescribing for the elderly – a modern epidemic? Eur J Clin Pharmacol. 2012;68(7):1085–1094.

8. Santschi V, Chiolero A, Burnand B, Colosimo AL, Paradis G. Impact of pharmacist care in the management of cardiovascular disease risk factors: a systematic review and meta-analysis of randomized trials. Arch Intern Med. 2011;171(16):1441–1453.

9. Walsh EK, Cussen K. “Take ten minutes”: a dedicated ten minute medication review reduces polypharmacy in the elderly. Ir Med J 2010;103(8):236–8.




DOI: https://doi.org/10.24959/sphhcj.16.51

Abbreviated key title: Soc. farm. ohor. zdor.

ISSN 2518-1564 (Online), ISSN 2413-6085 (Print)