Optimizing pharmacotherapy and deprescribing strategies in older adults living with multimorbidity and polypharmacy: EuGMS SIG on pharmacology position paper

Eveline van Poelgeest, Lotta Seppala, G. listan Bahat, Birkan Ilhan, Alpana Mair, Rob van Marum, Graziano Onder, Jesper Ryg, Marília Andreia Fernandes, Antonio Cherubini, Michael Denkinger, Annette Eidam, Angelique Egberts, A. alsteinn Gudmundsson, Fatma Özge Kayhan Koçak, George Soulis, Jos Tournoy, Tahir Masud, Martin Wehling, Nathalie van der Velde

Research output: Contribution to journalArticleAcademicpeer-review

2 Citations (Scopus)

Abstract

Inappropriate polypharmacy is highly prevalent among older adults and presents a significant healthcare concern. Conducting medication reviews and implementing deprescribing strategies in multimorbid older adults with polypharmacy are an inherently complex and challenging task. Recognizing this, the Special Interest Group on Pharmacology of the European Geriatric Medicine Society has compiled evidence on medication review and deprescribing in older adults and has formulated recommendations to enhance appropriate prescribing practices. The current evidence supports the need for a comprehensive and widespread transformation in education, guidelines, research, advocacy, and policy to improve the management of polypharmacy in older individuals. Furthermore, incorporating deprescribing as a routine aspect of care for the ageing population is crucial. We emphasize the importance of involving geriatricians and experts in geriatric pharmacology in driving, and actively participating in this transformative process. By doing so, we can work towards achieving optimal medication use and enhancing the well-being of older adults in the generations to come.
Original languageEnglish
Pages (from-to)1195-1209
Number of pages15
JournalEuropean Geriatric Medicine
Volume14
Issue number6
Early online date2023
DOIs
Publication statusPublished - Dec 2023

Keywords

  • Appropriate prescribing
  • Deprescribing
  • Multimorbidity
  • Older adults
  • Polypharmacy

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