老年人多重用药
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老年人用药,不是“多多益善”
Ren Min Ri Bao· 2026-01-20 06:10
Core Viewpoint - The use of medication among the elderly is a "double-edged sword," where it can either treat diseases or cause harm due to polypharmacy and improper medication management [1][2][3] Group 1: Current Situation of Elderly Medication - A significant portion of elderly individuals (over 60 years old) suffer from multiple chronic diseases, with nearly half having four or more chronic conditions [1] - Approximately 70% of elderly individuals in China take more than five types of medication daily, including prescribed drugs and over-the-counter supplements [1] - The complexity of medication regimens increases management difficulties and poses risks of drug interactions, which can lead to adverse effects such as liver and kidney damage [1][2] Group 2: Causes of Inappropriate Medication Use - There is a widespread misconception among the elderly that "more medication equals better treatment," leading to a lack of understanding of proper medication use [1][2] - Multiple consultations across different specialties often result in fragmented care, where each specialist prescribes medications without considering potential interactions [1][2] - The absence of adequate guidance on rational medication use from healthcare providers contributes to the problem [2] Group 3: Consequences of Inappropriate Medication Use - Inappropriate medication use is gradually undermining the health of the elderly, as their liver and kidney functions typically decline with age, making them more susceptible to medication-related issues [2] - Statistics indicate that approximately 1 in 7 elderly individuals die not from natural aging or diseases, but from inappropriate medication use [2] Group 4: Recommendations for Improvement - Healthcare providers should adopt a "precision medication" approach, ensuring thorough understanding of patients' medical histories to avoid unnecessary prescriptions [3] - Hospitals should implement medication assessment mechanisms for elderly patients with chronic diseases to regularly adjust their medication plans [3] - Community initiatives should focus on educating the elderly about rational medication use through health seminars and personalized consultations [3] - Families should discourage elderly individuals from purchasing unnecessary supplements and ensure they adhere to prescribed medication regimens [3] - Pharmaceutical companies should enhance the readability of medication instructions to cater to the elderly, making them clearer and more accessible [3]