A major problem with medical treatment for the elderly is
the large number of prescription medications the average older person is
taking. Many older patients continue prescriptions with a number of doctors and
specialists and no one doctor, not even the primary care physician, often knows
the number or extent of medications being taken.
On average, a person over age 75 has five prescription drug
medications and is using at least two over-the-counter medications as well as
taking herbal supplements.
Over-the-counter medications and herbal preparations are not entirely
harmless. Adverse reactions can occur
between various preparations of non-prescription drugs and often do occur
between certain prescription drugs.
It is also surprising to some people that herbal supplements
can cause drug interaction as well and in some cases might even result in death
when used improperly with other medications.
Here is a list of herbal supplements that may interact or
interfere with prescription drugs but this is not all-inclusive and there may
be problems with other preparations as well.
·
Ginkgo Biloba
·
St. John's Wort
·
Saw Palmetto
·
Ginseng
·
Yohimbine
·
Senna Or Cascara
Doctors and pharmacists are generally careful about
overdosing or using harmful mixtures of drugs, but other than amounts based on
body weight, most prescription drugs do not have recommended dosages for older
people. Often the doctor must experiment to find the right dosage and the
problem is that many older people or their families fail to recognize drug
reactions or they fail to report any problems to the doctor.
The elderly person or a responsible family member should
always consult with the doctor and ask that doctor if a preparation and the
amount being recommended is safe for an older person or what side effects are
involved. It is not inappropriate to challenge a physician about medications.
If prescription drugs are bought through a trusted pharmacist, the pharmacist
may also be willing to consult on the safety of dosages for an older person.
Without the proper feedback, under-dosage or over-dosage
might occur and effective treatment of the condition is not possible. The cruel reality is improper dosage may
cause more severe problems than the condition being treated.
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