Some drugs may become unnecessary or even dangerous as the patient ages. Periodic medication review is needed.
More than one-third of older adults in the United States take 5 or more medications. Consider deprescribing.
The balance of risk and benefit may differ considerably for 2 patients of the same age if one is fit and the other is frail.
Frailty may be both a cause and a consequence of cardiovascular disease.
It is most common in patients with renal impairment, can be life-threatening, and requires a multidisciplinary approach.
Consider using chronic weight-loss medications as adjunctive therapy if lifestyle and behavioral strategies are ineffective.
From the Editor
The immune reactivation syndrome can occur when the immune system in an immunosuppressed patient with a partially controlled indolent infection is...
Current Drug Therapy
Weight-loss drugs are not magic pills, but they can help when used along with diet, exercise, and other lifestyle changes.
The Clinical Picture
Imaging shows nodules randomly distributed throughout both lungs, a paradoxical reaction to drug therapy.
Topics: cardiac risk assessment, surgery after PCI, statins, sleep apnea, bridging anticoagulation, and frailty.