One of the greatest drivers of polypharmacy is the fragmentation of modern healthcare. Many patients, especially those with long-term illnesses, see several different specialists. You might go to a cardiologist, a rheumatologist, and a urologist, and each doctor prescribes a new medicine without a comprehensive check of your full, current medication list.
Often, doctors fail to ask a simple but essential question: "Are we treating a real disease, or are we treating a symptom caused by another pill I or someone else prescribed?"
Bad drug reactions are a catastrophic problem. They cause about 10% of all hospital stays and are shockingly cited as the fourth leading cause of death in the world! Yet, studies suggest that more than 90% of drug side effects are never properly reported or documented by patients or doctors. Patients simply stay quiet, they feel worse and worse, and they never think to ask if the very medicines meant to help are actually the source of their problems. This silence is dangerous and underscores why talking to your doctors is absolutely critical.
Protecting Your Brain: Diet and Proactive Steps
The path toward mitigating medication-related dementia risk involves proactive steps focusing on medication management, diet, and lifestyle changes.
1. Medication Review and DeprescribingThis is the most crucial step. Doctors, and often more effectively, pharmacists, should regularly check and adjust medications, especially for older patients, to ensure they are only taking what is truly necessary.
Deprescribing: This clinical practice involves systematically reducing or stopping medications that are no longer beneficial or may be causing harm. It requires a doctor's guidance, but patients should initiate the conversation, asking: "Can we safely reduce or stop this medication?"
Pharmacist Consultation: Pharmacists are experts in drug interactions. Schedule a full medication review with your local pharmacist to identify potential conflicts and unnecessary prescriptions.
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