Ten Commandments of Polypharmacy – Part 1

Real Life Pharmacology - Pharmacology Education for Health Care Professionals

Eric Christianson, PharmD; Pharmacology Expert and Clinical Pharmacist

Education, Health & Fitness, Medicine

5 • 716 Ratings

🗓️ 25 April 2024

⏱️ 15 minutes

🔗️ Recording | iTunes | RSS

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Summary

On this special episode, I provide some real-life examples and layout 5 of my 10 commandments of polypharmacy.

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Here are the first 5 commandments that are addressed in the podcast.

1. Thou shalt not start, ask for, dispense, or administer medication without reviewing a medication list that is accurate, up to date, and complete with over-the-counter medications and supplements

2. Thou shalt consider utilizing non-drug approaches and interventions to solve patient problems before initiating medication

3. Thou shalt assess if a medication is effective before adding a new medication for the same condition

4. Thou shalt consider any new symptom is an adverse effect of another medication until proved otherwise

5. Thou shalt not start a medication without an appropriate indication and assessing appropriate lab work

Transcript

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0:50.6	Hey all, welcome back to the real life pharmacology podcast on this episode today. This is going to be
0:57.6	one of two episodes. I'm going to tackle polypharmacy, and particularly the Ten Commandments of Polypharmacy
1:07.0	that I developed over the years. Obviously, this isn't an end-all, be-all, but some of the most important things that you can do or recognize when working with patients and medications.
1:18.6	So that's where I'm going to go with this today.
1:21.5	I'm going to start with my number one through five of the Ten Commandments of Polypharmacy on this episode.
1:34.3	And on the following episode next week, we'll cover the last five, six through ten there. So without further ado, let's get started.
1:37.3	Number one commandment of Polypharmacy.
1:41.3	Thou shall not start, ask for a dispense, or administer a medication without
1:45.1	reviewing a medication list that is accurate, up to date, and complete, including over-the-counter
1:52.5	medications and supplements.
1:55.7	I've seen this numerous times, whether it be in a long-term care facility or a patient at home, where they develop a new condition, and we simply try to treat that condition.
2:11.8	We don't try to rule out what else is going on.
2:14.9	And when you work with patients a lot, you'll understand that they generally don't report everything
2:21.0	that they're taking.
	...

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