Clinical Practice Update 106

Christine Jacobs, MD, Sumaya Ased, PharmD

Medications have a unique role in the geriatric patient. In a study from 1988-2010, it was found that prescribing had doubled for the elderly patient, and that the number of patients taking more than 5 medications had tripled. A psychological symptom in an elderly patient may be a drug side effect. Pharmacokinetic changes in the geriatric patient also lead to increased drug concentrations, and pharmacodynamic changes lead to heightened drug sensitivity which can have behavioral effects. Some classes that will be reviewed in this presentation include antibiotics, cardiac, and gastrointestinal medications. This session will identify behavioral side effects of commonly used medications, including new medications, touch briefly on medications to avoid, and outline a step-wise approach in deprescribing therapy.