Pharmazeutische Anwendungshilfen in der Gerontopharmakologie

Abstract

The administration of drugs is often subject to error when performed by geriatric patients, resulting in reduced therapeutic effects. In particular, the correct administration technique for different dosage forms is a problem in elderly patients with limited audiovisual and ergonomic abilities. In addition to physician and carer intervention, community pharmacists can also contribute to solving outpatient problems of this kind at the time of issuing the drugs. This should preferably be done in collaboration with the respective medical practice. Some of the most common problems in drug administration, as well as the corresponding solutions offered by the pharmacist, are featured in the present paper. Inhalers, injection devices and ophthalmic solutions often cause difficulties for geriatric patients, as do even simple dosage forms such as drops. Pharmacy-based solutions to these problems include for instance: taking over the assembly of complex devices comprising multiple components, instructing patients in the proper use of additional dosing aids or adapting the administration technique to the patient's abilities.