Low-value Care

Medication Overload: America’s Other Drug Problem

Abstract: We hear a lot about how the opioid crisis is destroying families and communities. But the scope and impact of medication overload is much bigger: in the last two decades the number of older adults taking five or more medications has increased 300 percent. There’s also been a spike in the number of serious adverse drug events (ADEs). These alarming facts and others are outlined in a new report from the Lown Institute titled, “Medication Overload: America’s Other Drug Problem.” Jana talks with the report’s co-authors: Judith Garber, a Health Policy and Communications Fellow at the Lown Institute; and Shannon Brownlee, Senior VP at the Institute and author of the book, “Overtreated: Why Too Much Medicine is Making Us Sicker and Poorer.” Judith and Shannon talk about the dangers of medication overload, what’s driving the practice, solutions that have been effective in tackling the problem and what you can do to prevent adverse drug events.

Date Published: April 11, 2019

Author(s): Jana Panarites

Publication: Agewyz Podcast

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To eliminate medication overload, serious cultural, educational, and policy changes are needed. This action plan offers recommendations for policymakers, health care institutions, clinicians, and patients across five key categories to reduce harm from multiple medication use. Suggested Citation: Eliminating medication overload: A national action plan. Working Group on Medication Overload. Brookline, MA: The Lown Institute, 2020. DOI: https://doi.org/10.46241/LI.YLBW4885

Pharmaceutical marketing is a significant factor in the growing public health crisis of medication overload, which puts millions of older adults at risk of preventable harm and premature death. This issue brief provides recommendations to reduce pharmaceutical industry influence by limiting pharma sales rep visits to clinicians and direct-to-consumer advertising.

This issue brief provides recommendations for clinical practice guidelines and electronic health records that would give clinicians the information they need to appropriately prescribe and deprescribe.