Several conditions, several medicines
Blood pressure, sugar, cholesterol, stomach, joint pain: each has its medicine, and sometimes each was prescribed by a different doctor. This page explains why all of them should be reviewed in one place, and what you and your family can do.
Why does this happen?
Someone with several conditions will naturally take several medicines, and older adults are the most likely to be in this position. The trouble starts when each doctor sees only part of the list. Two medicines may have been prescribed for one problem, or a medicine that was once needed may still be going.
What are the risks?
- More side effects: the more medicines, the higher the chance of side effects. Some also raise the risk of falls.
- Interactions: one medicine can change how another works. Some interact with alcohol or even some foods, and some interactions are serious.
- Mistakes: you lose track of which medicine you took and when.
- Unneeded medicines: you take something you no longer need.
Who is at higher risk?
- People taking 5 or more medicines
- People prescribed medicines by more than one doctor
- Older adults, because the body handles medicines differently with age and a medicine may stay in the body longer
- People admitted to hospital, who see new doctors
How is a medicine review done?
All the medicines go on the table together: prescription and non-prescription, vitamins, supplements and herbal products. Then for each one we ask what it is for, whether it is still needed, and whether the dose should change. Recent test results play a part in this decision, especially kidney function.
Any change must be made with your doctor. Do not stop a medicine unless your doctor tells you to.
What can you do?
- Write a full list of your medicines. Keep one copy at home and one with you.
- Show the list to every doctor you see, and each time ask if all of these are still needed.
- For each new medicine, ask how to take it and whether it interacts with what you already take.
- Take your medicines exactly as directed, and do not skip doses.
- A weekly pill organizer may help.
- If you go into hospital, take the list with you.
A sample of this list is in the patient guide.
Frequently asked questions
Can I book for my father or mother?
Yes. If you come with them, bring all their medicines and results.
A medicine has caused a side effect. Should I stop it?
Do not stop it yourself. Call your doctor and describe the side effect. If the patient is very unwell, call 115.
Should I mention supplements and herbal products?
Yes. Vitamins, supplements and herbal products belong on the list and can affect other medicines and test results.
The first step, a calm conversation.
Go to the booking page or talk to support. Have your earlier results and your medicine list ready.