Lecture 7: Polypharmacy
Gerald is an 89 year old man with established dementia; he attends with worsening confusion, reported by his care home. They had been in touch with his GP earlier in the week, who suggested a course of antibiotics for a UTI, to which he is prone, however this has made no difference.
Gerald has a long history of depression, and in addition has heart failure, and well controlled epilepsy.
He takes the following medication:
Mirtazapine (60 mg od)
Furosemide (40 mg od)
Atenolol (50 mg od)
Captopril (50 mg bd)
Carbamazepine (200 mg od)
Q1: What further information do you need to undertake a medicines rationalisation?
Q2: Which drugs would you stop?
Q3: Which drugs would you start?
Prescribing in Older Adults [University of Nottingham]