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How to manage multiple meds

Metro Creative Managing medications becomes more complex as seniors typically take multiple drugs and supplements to maintain health.

Polypharmacy, or the practice of managing multiple medications, is a part of life for a significant percentage of seniors. Many prescription and over-the-counter drugs are essential for maintaining health and managing chronic conditions. However, the chemical complexity of mixing so many drugs can lead to dangerous outcomes if one isn’t careful.

Older adults take more medications than any other age group. A report conducted by Age Wave and The John A. Hartford Foundation found that the average senior takes four medications, but more than 15 percent take eight or more. Some medications can create further conditions or worsen existing conditions. Data from the Agency for Healthcare Research Quality show that 15.9 percent of older adults use inappropriate medication.

Structured medication management is essential for seniors’ safety. Here’s how to safely navigate taking multiple medications at once.

• Conduct a medication audit. Take all of the medications and supplements you use to a primary care physician or pharmacist to discuss potential interactions and if any prescriptions can be canceled. Research from Clarest Health indicates that patients taking five to nine medications have a 50 percent chance of experiencing a significant adverse drug event.

• Talk about deprescribing. Speak with a doctor about the process of tapering off medications that may no longer be necessary or are resulting in more harm than benefit.

• Use one pharmacy. Always fill prescriptions from the same pharmacy. Modern systems are equipped with safeguards to flag certain drug-to-drug interactions automatically. Also, the pharmacist is often an underutilized resource. Ask questions and figure out if he or she can conduct a medication review to ensure a regimen for taking medications is as complication-free as possible.

• Utilize smart systems. Rely on smart pill dispensers that unlock only at the correct time to manage high-risk medications. Other pill organizers and digital apps can set reminders to take medications at the appropriate times. An app like Medisafe will notify family members if a dose is missed.

• Link doses to actions. Make medications an automatic part of your day by linking them to activities, like morning pills taken with a cup of coffee or evening pills when you eat dinner.

• Use visual cues. Keep pill organizers in a visible spot so you remember to take the medication.

• Ask for help. If managing medications has become a tall order, ask a friend, family member or a visiting nurse or aide to assist with medication management.

• Update your list. Always maintain a current list of the medications and supplements you are taking, and bring it along to every new medical appointment for further review.

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