Ten Commandments of Polypharmacy – Part 1
Real Life Pharmacology - Pharmacology Education for Health Care Professionals
Eric Christianson, PharmD; Pharmacology Expert and Clinical Pharmacist
4.9 • 773 Ratings
🗓️ 25 April 2024
⏱️ 15 minutes
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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
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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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