Misuse of prescribed medications in older adults: understanding a facet of the global health and healthcare crisis

The misuse of controlled medicines is a global healthcare crisis with widespread impact that poses challenges for older people, especially given the vulnerability of older people due to age-related health conditions and the complexity of polypharmacy. This study carried out for RAUN and UNODC focuses on prescription medication misuse among older adults, emphasizing person-centred approaches, medication safety in polypharmacy, and safe access to needed medications. Using a mixed-methods empirical strategy combining quantitative and qualitative data (including semi-structured expert interviews and in depth, open interviews with elderly individuals and their caretakers), aimed to understand the impact of the social environment on the misuse of controlled medicines in older people, identify best practices for healthcare providers and caregivers, and assess the pros and cons of digital solutions in preventing older people's misuse of medicines. Findings suggest that prescribing procedures should be improved through a thorough assessment of medical history, consideration of underlying medical conditions, potential interactions, and overall health status. It is crucial to develop educational campaigns for caregivers and older adults, as well as using AI technology to develop user-friendly solutions. In addition, challenging societal stereotypes, fostering interdisciplinary collaboration, and conducting regular medication reviews can help to achieve comprehensive medication management and promote the well-being of older adults. In turn, these findings served the authors to develop policy suggestions for addressing the issue of misuse of prescribed medications in the elderly population (+65), aligning with UNODC’s goals.