Too many pills? How to talk to your doctor about reviewing what’s needed

Swallowing a handful of pills is a daily ritual for many people, from young adults coping with anxiety to older adults managing chronic conditions. Overall, 13% of people in the U.S. take five or more prescription drugs. For those 65 and older, that number is 42%.

If you’re taking multiple meds, it’s smart to be aware of potential problems. One pill can lead to a side effect, leading to another pill and another side effect in what experts call a “prescribing cascade.”

Some drugs can cause harm if taken for years. Others stop working or interact badly with a new drug. A drug tolerated well at first can cause side effects later, leading to cognitive decline and injuries from falls.

“Our metabolism changes as we get older,” said Dr. Elizabeth Bayliss, who studies deprescribing at Kaiser Permanente’s Institute for Health Research in Aurora, Colorado. “Everyone’s ability to metabolize the medications they’ve been taking for a…

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