Here is a list of medications that a 75-year-old patient is taking at home. All are orally taken except where noted.
Acidophilus 2 twice a day
Colace 100 mg twice a day
Coumadin 5 mg once a day
Detrol 4 mg once a day
Diflucan 50 mg once a day
Duragesic 12 ug transdermal patch every 3 days
Klor-Con 10 meq once a day
Lactulose 30 mL twice a day
Lantus 15 units subcutaneously once a day
Lasix 40 mg alternating with 20 mg every other day
Lisinopril 2.5 mg once a day
Metoprolol 25 mg twice a day
Multivitamin 1 tab once a day
Novolog Sliding Scale subcutaneously with meals [dose varies according to blood sugar]
Oxycontin 20 mg every 12 hours
Prilosec 20 mg once a day
Reglan 5 mg before each meal
Vitamin A 25,000 units once a day
Zoloft 50 mg once a day
Docusate 100 mg twice a day as needed
Hyoscyamine 0.25 mg sublingual every 4 hours as needed
Oxycodone 5 mg every 8 hours as needed
That’s 22 different drugs with a minimum of 24 pills per day and a maximum of 35.
With the Lasix and the sliding scale Novolog, do you think she ever misses a dose or takes a wrong dose?
The above patient is on three narcotics Duragesic, Oxycontin and as needed oxycodone. Add to those meds Zoloft and Reglan. I wonder if she’s drowsy or confused? I bet it will be a big mystery when she falls and breaks her hip.
What effect do you suppose 10 meq of oral potassium per day is having on her total body potassium [total body contains some 3000 meq of potassium] or even serum potassium?
This is not close to the record. I once was consulted on a patient who was on 31 different medications at home. I’m sure that someone has seen a patient taking more than 31 medications. Have you?