Polypharmacy: When More Pills Aren’t Always the Answer

By AB Consulting PharmD

Polypharmacy: When More Pills Aren’t Always the Answer

A Pharmacist’s Perspective on Taking Back Control of Your Health

What factors contribute to polypharmacy in the elderly? As we age, it’s not uncommon to feel like your medicine cabinet is growing faster than your birthday candles. One doctor adds a pill for blood pressure. Another adds one for sleep. Then you get something for stomach upset, another for joint pain—and before you know it, you’re taking 10 or more medications every day.

This is called polypharmacy, and it’s a growing issue in older adults. But here’s what many people don’t realize:

👉 Sometimes, the symptoms you’re experiencing are caused by your medications themselves—not your health conditions.

🚨 What’s the Problem with Polypharmacy?

The more prescriptions you take, the more likely you are to experience:

  • Side effects
  • Drug interactions
  • Falls, dizziness, or confusion
  • Difficulty managing your regimen

Too often, when new symptoms appear, doctors respond by prescribing yet another drug—rather than reviewing if a current medication might be the cause.

💡 So What Can You Do?

As a patient, you have more power than you think. Here are steps you can take to protect yourself:

  • Keep a medication list. Bring it to every appointment.
  • Ask questions. For every drug, ask:  Why do I need this? What are the side effects? How long will I be on it?
  • Don’t assume more is better. Sometimes, less is the key to better health.

Schedule a medication review. A pharmacist can help identify meds that may no longer be needed—or that are causing more harm than good.

💬 Be Your Own Advocate

  • Speak up. Ask for clarity. And don’t hesitate to request a deprescribing plan—a thoughtful, evidence-based approach to reduce unnecessary medications.