Cardiovascular disorders are the principal root of mortality globally, and pharmacotherapy plays a critical role in managing the conditions and enhancing patient outcomes. Pharmacotherapy is a crucial feature of managing cardiovascular diseases causing mortality worldwide. The pharmacological treatments of cardiovascular diseases entail using medications targeting numerous features of the cardiovascular system, like blood pressure, cholesterol, and the functioning of the heart (Orgah et al., 2020). Common pharmacological interventions include statins to minimize cholesterol levels, beta-blockers to hegemonize blood pressure, and antiplatelet agents to avert blood clots. The use of pharmacotherapy, in amalgamation with lifestyle modifications like diet and exercise, may essentially enhance outcomes for individuals with cardiovascular diseases. However, with any medication, pharmacotherapy for cardiovascular diseases occurs with possible risks and side effects, and it is only supposed to be prescribed by a certified healthcare provider. This essay will explore how age influences the pharmacokinetic and pharmacodynamic processes, how changes in the processes affect the patient’s recommended therapy, and finally, ways of improving the patient’s drug therapy plan.
Aging is a distinguishing factor impacting the pharmacological and pharmacokinetic properties of drugs. Aging is accountable for minimizing the body’s homeostatic capacity by reforming the structural and functional attributes of organ systems. An elevated volume of distribution of drugs and minimized elimination in the elderly is because of the changes in the composition of the body, hepatic functions, and renal functions (Drenthâvan Maanen et al., 2019). These factors are accountable for the changes in the pharmacokinetic profiles of drugs. A minimized metabolism rate and the eradication of the drug in the body are accountable for the escalated half-life of the drug and intensified risks of adverse drug reactions and toxicity. Age is one of the essential and expected factors to be considered during the prescription of medications.
The essential hike in PH occurring with aging causes a deceleration in clearing the stomach and contracted intestinal surface, which can impact the pharmacokinetic properties of the numerous medications the patient is taking. For example, Lisinopril may be absorbed both when taken through the mouth and when it passes through the digestive system. Minimized stomach clearing may increase the amount of medicine absorbed through the digestive system and reduce bioavailability. A minimal intestinal surface area can also lead to a minimized uptake space. As individuals become older, their bodies produce little total body water, reducing the uptake and diffusion of some hydrophilic medications involving digoxin (Islam et al., 2022). In addition, the patient may encounter an increase in the diffusion of lipophilic medications such as metoprolol, which the patient uses for the treatment of high blood pressure, the increase can be a result of the natural surge in the patient’s fat content occurring with aging. As a result of this, the pharmacokinetic mechanisms of diltiazem, digoxin, and Lisinopril may be altered. It would be appropriate to develop adjustments to the patient’s medications, especially those metabolized in the liver, to minimize the buildup of unpredictable concentrations.
The use of several distinct perspectives might possibly enhance the medication procedure for the patient. Prior to administering definite medications, several specific tests must be conducted beforehand (Torres et al., 2019). For instance, it is appropriate to assess the patient’s kidney proficiency so that one can decide whether or not to take the dose of hydrochlorothiazide and Lisinopril has to be adjusted. It is done so that the patient can attain the most significant blood pressure control. Before administering or developing adjustments to any medications, it is appropriate to analyze the possible advantages and the adverse impacts of such medications. By performing such, healthcare providers can ensure that the patient is offered only those medications having the fewest potential side effects. Persons with cardiovascular issues, diabetes, and the elderly are at enhanced risk for adverse impacts from some medications, and medical professionals must take extra precautions (Bh
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