Prescribing in older people

David G. Le Couteur*, Sarah N. Hilmer, Nicholas Glasgow, Vasi Naganathan, Robert G. Cumming

*Corresponding author for this work

    Research output: Contribution to journalArticlepeer-review

    39 Citations (Scopus)

    Abstract

    Background Prescribing medications to older people is difficult due to comorbidity, limited evidence for efficacy, increased risk of adverse drug reactions, polypharmacy, and altered pharmacokinetics. Objective This article describes the principles underlying clinical geriatric pharmacology including approaches to evaluating the evidence for risk and benefit, and adjusting dose for age related pharmacokinetic changes. Discussion The challenge for the general practitioner is to balance an incomplete evidence base for efficacy in frail, older people against the problems related to adverse drug reactions without denying older people potentially valuable pharmacotherapeutic interventions.

    Original languageEnglish
    Pages (from-to)777-781
    Number of pages5
    JournalAustralian Family Physician
    Volume33
    Issue number10
    Publication statusPublished - 2004

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