Antidiabetic medications and polypharmacy
- PMID: 25453298
- PMCID: PMC4860345
- DOI: 10.1016/j.cger.2014.08.017
Antidiabetic medications and polypharmacy
Abstract
Polypharmacy, or the use of multiple medications, is a serious concern for providers who care for older adults, as polypharmacy is associated with medication nonadherence, drug-drug interactions, drug-disease interactions, and adverse drug events. Multiple medications, high chronic disease burden, and age-related physiologic changes make management of older adults with diabetes increasingly difficult. Given high medication burden and potential for increased medication sensitivity in this patient population, it is prudent that providers are aware of potential risks and benefits of antidiabetic medications and implement shared decision-making practices to ensure appropriate care for older adults with diabetes.
Keywords: Adverse drug events; Diabetic complications; Geriatric syndromes; Hypoglycemic agents; Polypharmacy.
Copyright © 2015 Elsevier Inc. All rights reserved.
References
-
- Slone Epidemiology Center Patterns of medication use in the United States. http://www.bu.edu/slone/files/2012/11/SloneSurveyReport2006.pdf. Published 2006. Accessed January 25, 2014.
-
- American Diabetes Association Standards of medical care in diabetes – 2014. Diabetes Care. 2014;37(Suppl.1):S14–S80. doi: 10.2337/dc14-S014. - PubMed
-
- Boyd CM, Darer J, Boult C, Fried LP, Boult L, Wu AW. Clinical practice guidelines and quality of care for older patients with multiple comorbid diseases: Implications for pay for performance. JAMA. 2005;294(6):716–724. doi:10.1001/jama.294.6.716. - PubMed
-
- Murray MD, Darnell J, Weinberger M, Martz BL. Factors contributing to medication noncompliance in elderly public housing tenants. Drug Intell Clin Pharm. 1986;20(2):146–152. - PubMed
Publication types
MeSH terms
Substances
Grants and funding
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical