Abd Wahab Mohd Shahezwan
Pharmaceutical Care (International Program), Department of Pharmacy Practice, Faculty of Pharmaceutical Sciences, Chulalongkorn University, Bangkok, Thailand.
Department of Pharmacy Practice, Faculty of Pharmacy, Universiti Teknologi MARA (UiTM), Puncak Alam, Malaysia.
Int J Clin Pharm. 2015 Dec;37(6):971-4. doi: 10.1007/s11096-015-0203-3.
Providing appropriate pharmacotherapy to older people can be difficult since older people are more at risk of developing adverse drug reactions due to age-related physiological changes. The use of potentially inappropriate medications (PIMs) among older people is common throughout the globe, and is a cause for concern due to their clinical, humanistic and economic implications. Nevertheless, it appears that doctors and pharmacists have limited knowledge regarding PIMs. Moreover, uninformed older patients may use PIMs without considering their potential negative consequences. There is a need, therefore, to educate doctors, pharmacists and older patients about PIMs. Geriatric pharmacotherapy education with an emphasis on appropriate prescribing, and PIMs, should be included in the medical and pharmacy teachings at the undergraduate, postgraduate and continuing education levels. Moreover, older patients should be informed about PIMs and the possible risks that they may pose.
由于与年龄相关的生理变化,老年人更容易发生药物不良反应,因此为老年人提供适当的药物治疗可能会很困难。在全球范围内,老年人使用潜在不适当药物(PIMs)的情况很常见,由于其临床、人文和经济影响,这令人担忧。然而,医生和药剂师对PIMs的了解似乎有限。此外,不知情的老年患者可能在不考虑其潜在负面后果的情况下使用PIMs。因此,有必要对医生、药剂师和老年患者进行关于PIMs的教育。应在本科、研究生和继续教育层面的医学和药学教学中纳入强调适当处方和PIMs的老年药物治疗教育。此外,应告知老年患者有关PIMs及其可能带来的风险。