Which of the following principles are applicable when prescribing drugs for the older adult? Se-lect all that apply
a. Start low and go slow.
b. Start with one drug, add two if needed, and stop with three if possible.
c. Use a drug interactions database to identify possible problems.
d. When adverse effects occur, determine if the intended therapeutic value out-weighs the problematic symptoms.
e. Assess the patient's response frequently.
f. Consider drug holidays from time to time.
ANS: A, C, E, F
Prescribing drugs for an older adult is complex and involves numerous considerations. There are six basic principles for safe prescribing:
? Start low and go slow.
? Start one (drug), stop two (if possible).
? Use a drug interactions database to identify possible problems.
? Do not use a drug if the adverse effects are worse than the disease.
? Use as few drugs as possible, choosing non-drug therapies when possible.
? Assess the patient's response frequently.
? Consider drug holidays from time to time.
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