Research and Reviews: A Journal of Pharmacology Review Article
Pharmacology in Clinical and Therapeutic Settings
Abstract
Polypharmacy, which refers to the practice of taking many medications at the same time, is becoming more common among elderly populations as a result of the steadily increasing prevalence of chronic conditions. The clinical and therapeutic consequences of polypharmacy are investigated in this paper, with a particular emphasis placed on drug-drug interactions, altered pharmacokinetics, and patient safety. The physiological changes that occur with advancing age have a substantial impact on the absorption, distribution, metabolism, and excretion of drugs, which in turn increases the likelihood of adverse drug reactions (ADRs) and therapeutic failure respectively. We examine the various methods that are now being utilized for the purpose of optimizing medicine, such as deprescribing protocols, clinical decision support technologies, and personalized pharmacotherapy techniques. In addition, the article covers the role that pharmacovigilance plays in the monitoring of drug safety and provides an overview of upcoming technologies, such as pharmacogenomic testing and artificial intelligence, that are aimed at enhancing the management of medicine for elderly patients. The purpose of this review is to highlight the urgent need for focused treatments to prevent medication-related harm and enhance therapeutic outcomes in aging populations. The review places an emphasis on a patient-centered, interdisciplinary approach.
Keywords
References (10)
- Robertson-Preidler J, Biller-Andorno N, Johnson TJ. What is appropriate care? An integrative review of emerging themes in the literature. BMC Health Services Research. 2017;17(1). doi:10.1186/s12913-017-2357-2
- MacKinnon K, Marcellus L, Rivers J, Gordon C, Ryan M, Butcher D. Student and educator experiences of maternal-child simulation-based learning: a systematic review of qualitative evidence protocol. JBI Database of Systematic Reviews and Implementation Reports. 2015;13(1):14-26. doi:10.11124/jbisrir-2015-1694
- Robertson-Preidler J, Anstey M, Biller-Andorno N, Norrish A. Approaches to appropriate care delivery from a policy perspective: A case study of Australia, England and Switzerland. Health Policy. 2017;121(7):770-777. doi:10.1016/j.healthpol.2017.04.009
- van den Bosch G, Versteeg K, Metselaar S, Koot L, Burchell G, Geerse O, et al. Instruments for Value Elucidation in Older Adults in Clinical Practice—A Scoping Review. Journal of the American Geriatrics Society. 2025;73(4):1267-1287. doi:10.1111/jgs.19356
- Englar RE. Recasting the gold standard – part I of II: delineating healthcare options across a continuum of care. Journal of Feline Medicine and Surgery. 2023;25(12). doi:10.1177/1098612x231209855
- Sizear MMI, Nababan HY, Siddique MKB, Islam S, Paul S, Paul AK, et al. Perceptions of appropriate treatment among the informal allopathic providers: insights from a qualitative study in two peri-urban areas in Bangladesh. BMC Health Services Research. 2019;19(1). doi:10.1186/s12913-019-4254-3
- Ali D, Piffoux M. Methodological guide for assessing the carbon footprint of external beam radiotherapy: A single-center study with quantified mitigation strategies. Clinical and Translational Radiation Oncology. 2024;46:100768. doi:10.1016/j.ctro.2024.100768
- Keyworth C, Hart J, Armitage CJ, Tully MP. What maximizes the effectiveness and implementation of technology-based interventions to support healthcare professional practice? A systematic literature review. BMC Medical Informatics and Decision Making. 2018;18(1). doi:10.1186/s12911-018-0661-3
- Trimarchi L, Caruso R, Magon G, Odone A, Arrigoni C. Clinical pathways and patient-related outcomes in hospital-based settings: a systematic review and meta-analysis of randomized controlled trials. Acta Biomed. 2021 Feb 9;92(1):e2021093. doi:10.23750/abm.v92i1.10639.
- Bertagnolli MM, Singh H. Treatment of Older Adults with Cancer — Addressing Gaps in Evidence. New England Journal of Medicine. 2021;385(12):1062-1065. doi:10.1056/nejmp2106089