Shreya Patel1, Manish Kumar2, Craig J Beavers3, Saad Karamat4, Fawaz Alenezi5. 1. Department of Pharmacy Practice, Fairleigh Dickinson University - School of Pharmacy and Health Sciences, 230 Park Avenue, Florham Park, NJ, 07932, USA. skpatel@fdu.edu. 2. Department of Internal Medicine, Pat and Jim Calhoun Cardiology Center, UConn Health, CT, Farmington, USA. 3. University of Kentucky College of Pharmacy, Lexington, KY, USA. 4. Department of Internal Medicine, Loma Linda University Medical Center, Loma Linda, CA, USA. 5. Duke Department of Medicine, Durham, NC, USA.
Abstract
PURPOSE OF REVIEW: The intent of this review is to provide an update in polypharmacy in older adults and women with a focus on common determinants and strategies to mitigate polypharmacy. RECENT FINDINGS: Polypharmacy is becoming a critical focus in the management of cardiovascular diseases. It may emerge unintentionally while managing multimorbidity in older adults or in the vulnerable subgroup of patients, such as pregnant and lactating females. Clinicians should utilize several approaches such as deprescribing, sex-specific risk assessment, and encouraging healthy lifestyle to minimize inappropriate and unnecessary use of medications. A shared decision-making model along with coordination and collaboration among healthcare providers should be utilized in the selection and management of pharmacotherapies.
PURPOSE OF REVIEW: The intent of this review is to provide an update in polypharmacy in older adults and women with a focus on common determinants and strategies to mitigate polypharmacy. RECENT FINDINGS: Polypharmacy is becoming a critical focus in the management of cardiovascular diseases. It may emerge unintentionally while managing multimorbidity in older adults or in the vulnerable subgroup of patients, such as pregnant and lactating females. Clinicians should utilize several approaches such as deprescribing, sex-specific risk assessment, and encouraging healthy lifestyle to minimize inappropriate and unnecessary use of medications. A shared decision-making model along with coordination and collaboration among healthcare providers should be utilized in the selection and management of pharmacotherapies.
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