Polypharmacy and the Elderly: Drugs to Avoid and Use with Caution in Heart Failure Robert L Page II, Pharm.D., MSPH, FHFSA, FCCP, FAHA, BCPS, BCGP Professor of Clinical Pharmacy Clinical Specialist, Division of Cardiology Section of Advanced Heart Failure/Transplant University of Colorado Schools of Pharmacy and Medicine
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Polypharmacy and the Elderly: Drugs to Avoid and Use with ... · Polypharmacy and the Elderly: Drugs to Avoid and Use with Caution in Heart Failure Robert L Page II, Pharm.D., MSPH,
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Polypharmacy and the Elderly:Drugs to Avoid and Use with Caution
in Heart Failure
Robert L Page II, Pharm.D., MSPH, FHFSA, FCCP, FAHA, BCPS, BCGP
Professor of Clinical Pharmacy
Clinical Specialist, Division of Cardiology
Section of Advanced Heart Failure/Transplant
University of Colorado Schools of Pharmacy and Medicine
Financial Disclosure: There are no financial or other relationships to disclose related to this presentation
Unlabeled/Unapproved Uses Disclosure: None
Objectives• Given an older adult with heart failure, delineate specific tools to
evaluate drug complexity in order to minimize polypharmacy.
• Given an older adult with heart failure, evaluate the patient’s medication regimen and identify which medications could cause or exacerbate heart failure symptoms.
• Discuss best practices to avoid polypharmacy in the older adult with heart failure.
• Provide patient education regarding OTC and herbal supplements to avoid in the patients has heart failure.
Polypharmacy: Definition
“As older patients move through time, often from physician
to physician, they are at increasing risk of acclamation layer
upon layer of drug therapy, as a reef accumulates layer upon