Polypharmacy and Medication Management for Seniors

By Vigel Varkey, M.D., Buffalo Medical Group – Primary Care
As people age, managing multiple health conditions often requires taking several medications — a practice known as polypharmacy. While necessary, polypharmacy can increase the risk of drug interactions, side effects, and missed doses, making medication management a critical part of senior healthcare.
Understanding Polypharmacy. Polypharmacy typically refers to the use of five or more medications simultaneously. It’s common among older adults due to chronic conditions like diabetes, hypertension, and arthritis. However, taking many medications increases the risk of adverse drug interactions and complications such as dizziness, confusion, or falls.
Tips for Managing Medications
Keep an Updated Medication List: Maintain a current list of all prescription drugs, over-the-counter medications, and supplements. Include dosages, timing, and the purpose of each medication.
Use a Pill Organizer: Weekly or monthly pill organizers can help prevent missed or double doses. Some even come with alarms or smartphone apps for reminders.
Set a Routine: Take medications at the same time each day, linked to daily activities like meals or bedtime, to build consistency.
Review Medications Regularly: Schedule periodic reviews with your healthcare provider or pharmacist to assess the necessity of each medication and eliminate duplicates or outdated prescriptions.
Avoiding Drug Interactions
Disclose Everything: Always inform your doctor about all medications, including vitamins and herbal supplements.
Ask Before Adding New Medications: Even over-the-counter drugs can interact with prescriptions. Always consult your provider first.
Use One Pharmacy: Filling all prescriptions at the same pharmacy allows the pharmacist to monitor for potential interactions.
Communicating with Your Provider
Report Side Effects Promptly: If you notice new symptoms like fatigue, confusion, or stomach upset, let your provider know immediately.
Ask Questions: Understand why each medication is prescribed, how to take it, and what side effects to watch for.
Bring a Caregiver: If possible, have a family member or caregiver attend appointments to help track information and ask questions.
Effective medication management can significantly improve the quality of life and reduce health risks for seniors. Open communication with healthcare providers and consistent routines are key to staying safe and healthy while managing multiple medications.
Vigel Varkey, M.D., is a primary care physician at Buffalo Medical Group’s 6950 South Transit Road Lockport location. Buffalo Medical Group has primary care physicians who are accepting new patients at locations throughout Western New York. To learn more or to schedule an appointment, call 716-656-4471 or visit BuffaloMedicalGroup.com.