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| Clinical Pearls | Geriatric Considerations |
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Older patients who have multiple disorders sometimes obtain prescriptions from three or four prescribers and three or four pharmacies. They might neglect to inform each prescriber of the various drugs they’re already taking, or a prescriber may fail to discontinue any previous drugs the patient is taking. Older patients might also take one or more nonprescription drugs to relieve common complaints such as stomachache, dizziness, or constipation. Besides the unnecessary expense, this behavior increases the risk of adverse drug reactions and interactions. Because of your close contact with patients, you’re the health care team member who is best able to recognize polypharmacy. Suspect excessive drug use if your patient uses:
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