What are the key factors to consider before prescribing medication to older adults according to the AGS Stepwise Approach?

Before prescribing medication to older adults, the AGS Stepwise Approach suggests considering patient goals and preferences, the risk-benefit ratio of the drug, quality of life, cost-benefit ratio, the narrow therapeutic index of the drug, and pill burden. Consulting with a pharmacist, especially a geriatric consulting pharmacist, can also be beneficial.

The AGS Stepwise Approach emphasizes the importance of aligning medication prescriptions with the patient's goals and preferences. It advises evaluating the risk-benefit ratio of the drug, considering how it might impact the patient's quality of life, and assessing the cost-benefit ratio. Additionally, the approach highlights the importance of considering the narrow therapeutic index of the drug and the pill burden, which refers to the number of pills a patient has to take daily. Consulting with a pharmacist, particularly one specializing in geriatrics, is recommended to ensure safe and effective medication management for older adults.