Medication-related-harm (MRH) is especially prevalent in older adults due to changing physiology as the body ages, increased frailty, and the incidence of polypharmacy in this patient group. Giovanni Furlan of Pfizer discusses what makes this patient group so vulnerable to adverse drug reactions, how poor representation and using age alone to define older adults exacerbates this problem, and suggests ways forward in monitoring drug safety in older patients. Tune in to find out:<ul><li>What makes older adults especially at risk of experiencing adverse drug reactions and medication errors</li><li>Why frailty is far more useful than age in predicting adverse drug reaction risk</li><li>How pharmacovigilance in older patients may be improved through pharmaceutical practice and better representation in clinical trials.</li></ul> Want to know more?This interview all started with Giovanni's Uppsala Reports article on how age is insufficient a measure of adverse event risk. Read it <a href='https://uppsalareports.org/articles/looking-beyond-age-to-understand-adverse-reaction-risk-in-older-patients/'>here</a>. For a summary of the key points discussed in this interview, read Giovanni’s paper on the status of <a href='https://link.springer.com/article/10.1007/s40264-020-00949-w'>drug safety in geriatric patients</a>.If our discussion of frailty piqued your interest, read <a href='https://www.sciencedirect.com/science/article/abs/pii/S0047637419300387?via%3Dihub'>this paper</a> on the biology of frailty and how this impacts clinical pharmacology, <a href='https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8966695/'>this multi-centre cohort study</a> that shows frailty is significantly correlated with MRH, and <a href='https://academic.oup.com/ageing/article/49/1/7/5607678?login=false'>this commentary</a> advocating for consideration of MRH as a geriatric syndrome, which needs to be managed as such. As Giovanni mentioned in the interview, Harlan Krumholz was the first to describe post-hospital syndrome. Learn more about this syndrome by reading his <a href='https://pmc.ncbi.nlm.nih.gov/articles/PMC3688067/'>paper</a>.For more on prescribing cascades, their prevention, detection, and reversal, read <a href='https://agsjournals.onlinelibrary.wiley.com/doi/10.1111/jgs.15543'>this paper</a> by Brath and colleagues.Join the conversation on social media Follow us on <a href='https://twitter.com/UMCGlobalSafety'>X</a>, <a href='https://www.linkedin.com/company/109057/'>LinkedIn</a>, or <a href='https://www.facebook.com/UppsalaMonitoringCentre'>Facebook</a> and share your thoughts about the show with the hashtag #DrugSafetyMatters. Got a story to share? We’re always looking for new content and interesting people to interview. If you have a great idea for a show, <a href='mailto:comms@who-umc.org'>get in touch</a>! About UMC Read more about <a href='https://www.who-umc.org/'>Uppsala Monitoring Centre</a> and how we work to advance medicines safety.

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#32 Pharmacovigilance in older adults – Giovanni Furlan

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