过度地使用药物

药片消耗量增加的原因是什么？

我们用药过度了吗？

在马来西亚，慢性疾病是死亡的主要原因⁴

65岁以上的成年人中有39%服用五种或以上药物⁵

65岁以上的成年人中有59%服用不必要的药物⁶

突然停止服药之前应做的事情

确保您不服用不需要的药物或补充剂的步骤

• 确保您所有的医生都知道您正在服用的每种药物
• 保留一份您服用所有药物的清单，包括处方药、非处方药和补充剂。与药瓶一起制定一个“药物日历”，并在每次服药时做记录
• 询问您的医疗保健提供者，为什么他或她为您开某种或多种药物。例如，询问该药物是否用于治疗某种疾病，如何正确服用以及需要服用多长时间
• 要求您的医疗保健提供者对您服用的所有药物进行审查。在下次与医疗服务提供者见面时，带上您的所有药物（处方药、非处方药、补充剂、中草药产品）。最好将药物保存在其原容器中。医疗保健提供者可以审查这些药物，以帮助确定所有药物都是必需的并且可以一起服用
• 若您对正在服用的药物和补充剂有任何疑问，则询问您的药剂师
• 每年至少进行一次“药物检查”。检查您的药柜以清除旧药或过期药，并请医生或药剂师检查您现在服用的所有药物

参考

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2. Shah BM, Hajjar ER. Polypharmacy, adverse drug reactions, and geriatric syndromes. Clin Geriatr Med. 2012;28:173-186.
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4. Malaysia [Internet]. Institute for Health Metrics and Evaluation. 2019 [Cited 3 October 2019]. Available from http://www.healthdata.org/malaysia
5. Kantor ED, Rehm CD, Haas JS, Chan AT, Giovannucci EL. Trends in prescription drug use among adults in the United States from 1999-2012. JAMA. 2015;314(17):1818-1831.
6. Top 6 Safety Tips for Stopping Your Meds [Internet]. Drugs.com. 2019 [Cited 26 August 2019]. Available from https://www.drugs.com/article/safety-tips-stopping-meds.html
7. Maher RL Jr, Hanlon JT, Hajjar ER. Clinical consequences of polypharmacy in elderly. Expert Opin Drug Saf. 2014;13(1):1-11.
8. Agency for Healthcare Research and Quality. 20 Tips to Help Prevent Medical Errors: Patient Fact Sheet. [Internet]. Ahrq.gov. 2019 [Cited 28 Jun 2019]. Available from https://www.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/care-planning/errors/20tips/20tips.pdf
9. Taking Control of Your Medicines [Internet]. www.heart.org. 2019 [Cited 28 Jun 2019]. Available from https://www.heart.org/en/health-topics/cardiac-rehab/managing-your-medicines/taking-control-of-your-medicines
10. Counsel on Family Health. Medicines and You. A Guide for Older Adults. [Internet]. Acl.gov. 2019 [Cited 28 Jun 2019]. Available from https://acl.gov/sites/default/files/news%202018-01/MedandYouEng_0.pdf
11. Why You Need to Take Your Medications as Prescribed or Instructed [Internet]. U.S. Food and Drug Administration. 2019 [Cited 28 Jun 2019]. Available from https://www.fda.gov/drugs/special-features/why-you-need-take-your-medications-prescribed-or-instructed