Prescribing Drugs for an Aging Population

Explore the complexities of prescribing medications for the elderly population in this comprehensive lecture by Dr. Mehrdad Ayati, Clinical Assistant Professor of Medicine at Stanford University. Delve into the challenges of polypharmacy, the impact of aging on drug metabolism, and the importance of personalized medicine for older adults. Learn about drug-drug interactions, drug-nutrient interactions, and the potential risks associated with over-the-counter and herbal medications. Gain valuable insights into the principles healthcare providers should follow when managing multiple medications for elderly patients, and discover the future trends in geriatric pharmacotherapy. This informative presentation offers essential knowledge for healthcare professionals, caregivers, and anyone interested in improving the health outcomes of aging populations through proper medication management.

Intro
Objectives
Aging Population ! Are coming ...
Rate of Growth (2006-2030)
History of Medications
Drugs and Elderly
Pharmacotherapy of the elderly is very complex
And more important
Prescription Cascade
Taking medication
Absorption
Metabolism
Two Pathway
Drug-Drug Interaction
Drug-Nutrient Interaction
Grapefruit
OVER-THE-COUNTER MEDICATIONS
Problem ??
Herbal Medications
Ginkgo for Memory
Valerian
PERSONALIZE MEDICINE
Serotonin Reuptake Inhibitors
Proton pump inhibitors
Acetylcholinesterase inhibitors
Plavix (clopidogrel)
Future ????
Distribution or Vd
Hydrophilic drugs
Another issue, Binding
Albumin
Competition
Pharmacodynamics
What we can do ??
Principles for health care providers
Do not forget
Way to Future