ArticlePolypharmacy in the Elderly: Maximizing Benefit, Minimizing HarmBallentine, Noel H. MD, FACPAuthor Information Division of General Internal Medicine, Department of Medicine, Pennsylvania State University College of Medicine, Hershey. Corresponding Author: Noel H. Ballentine, MD, FACP, Division of General Internal Medicine, Department of Medicine, Suite 4100, UPC2 Pennsylvania State University College of Medicine, 500 University Dr, Hershey, PA 17033 (firstname.lastname@example.org). Critical Care Nursing Quarterly: January-March 2008 - Volume 31 - Issue 1 - p 40-45 doi: 10.1097/01.CNQ.0000306395.86905.8b Buy Metrics Abstract The purpose of this article is to define our current understanding of appropriate prescribing and outline the potential hazards of overprescribing, while acknowledging the benefits of modern pharmacologic treatment. Finally, we discuss practical strategies to attempt to achieve optimal prescribing patterns for the elderly. Polypharmacy, as well as inappropriate prescribing, for the elderly is a major problem and a challenge that contributes to costs, adverse drug events, confusion, compliance issues, and errors in management. A systematic approach to drug monitoring is an important aspect of appropriate prescribing. Attention to prescribing of medications, consistent review of medication lists, and reevaluation of indications and outcomes of prescribing are essential to ensure that polypharmacy is minimized and safety for patients is maximized. This article acts as a practical review for caregivers in multiple practice situations including acute care hospitals, outpatient settings, long-term care, and home care. © 2008 Lippincott Williams & Wilkins, Inc.