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Polypharmacy and Medication Reconciliation

Key considerations: Anticholinergic burden causing cognitive impairment, Drug-drug interactions causing toxicity, Inappropriate medications per Beers Criteria in elderly

Cannot miss

  • Anticholinergic burden causing cognitive impairment
  • Drug-drug interactions causing toxicity
  • Inappropriate medications per Beers Criteria in elderly

Likely diagnoses

  • Polypharmacy (>5 medications)
  • Inappropriate prescribing
  • Medication non-adherence
  • Adverse drug reaction

Red flags

  • >5 medications
  • Age >65
  • Cognitive impairment
  • Renal or hepatic impairment
  • Recent hospitalization
  • Multiple prescribers

Workup

  • history: Complete medication list including OTC and supplements, adherence assessment, side effect screening; exam: Orthostatic vital signs, cognitive screening (if elderly), fall risk assessment; labs: Renal function for dose adjustments, drug levels if applicable (digoxin, phenytoin, lithium); imaging: Not typically indicated; bedside: Beers Criteria review, anticholinergic burden score, drug interaction check

Management

  • immediate: Not applicable — systematic review process; general: Deprescribing: review each medication for ongoing indication, appropriate dose, monitoring; Beers Criteria medications to avoid in elderly: benzodiazepines, anticholinergics, sedating antihistamines, NSAIDs, sliding scale insulin; Simplify regimen (once daily preferred); Involve pharmacist in complex cases; STOPP/START criteria application

Disposition

  • admit: Not applicable; discharge: Outpatient — document changes and communicate to all prescribers; consults: Clinical pharmacist, geriatrics for complex cases

Clinical pearls

  • STOPP/START criteria and Beers Criteria are the two main tools for identifying potentially inappropriate medications in older adults
  • Every medication added increases adverse drug reaction risk exponentially, not linearly
  • Always ask about OTC medications and supplements — they account for many drug interactions

Source and review

  • AGS Beers Criteria 2023, STOPP/START v3 2023. Last reviewed: 2024-11-01