sadowa:
Now we have someone with a much smaller set of problems. Yet he has an awareness that he is starting to be dictated to by one medicine after another six pills a day at present. Yet where to stop? Which ones to cut back? How much life threatening risk to assume? Thanks.
Sadowa
Sadowa,
This is a question that requires close up knowledge to offer much assistance to you. You need to talk with the physician (or probably several of them, which becomes a problem with older folks) to know the side effects and possible benefits of each medicine. The doctor can offer guidance. In fact, after some point the doctor will not give more pills, but will rearrange the ones currently being taken. I myself take a number of medications, and it is very hard to manage between different doctors, different side effects, several of them reduce mental capacity, etc. It is very hard. Then, of course, if your mental capacity is reduced, then compliance with taking them on time and on the right days becomes problematic and reduces their efficacy. It is a huge balancing act with several health problems. I don’t think it is a suicide issue, however, in situations like these.
Often, I don’t think doctors take into account how the side effects impact a patient. Say the side effects mean the person gets less exercise, because they get severe headaches from the pills. The lowered exercise, even if it is only for six months of a course of pills, could have drastic consequences. The person may not recover back to the previous levels of exercise, say because they have arthritis and it is very hard to get back to movement, and that could increase cholesterol levels, and pose a significant risk to the arteries/heart.
Remember, most of these medicines do not guarantee the person not to die of heart failure or whatever. They probably reduce the risk, but for that particular person, it may not.
I guess I’m saying that if this is a typical older adult with too many medicines, this is not a mortal sin situation, but a balancing act with some personal preference and lifestyle leeway. I suggest trying to hook up with a support group for people with similar conditions. They could offer stories of how they dealt with the side effect problem.