Polypharmacology in the Older Adults

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dollar list. Her Simvastatin is not on the list. She pays about $150.00 per month for this medication and will be speaking to the physician that prescribed it asking for a substitute on the four dollar list like Lovastatin (Wal-Mart $4 medication list, 2007). JB uses the medical flex account available to her from the hospital as a benefit to pay for her medications, “It keeps my taxes down as that money put aside is pretax” (J. B, personal communication, September 18, 2009).

JB feels that her medications are easy to use and states an understanding as to why she is taking them except for the Verapamil. JB had a heart attack 6 years ago and received two stents during an angiocath. The cardiologist choose to put her on Verapamil as a home medication because she had arrhythmia problems during the procedure and afterwards while still in the hospital. She has not had any arrhythmia problems since leaving the hospital. Her history also contains hypercholesterolemia, hypertension, ...

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