1.  Number of meds:  Can there be too many medications? There is no evidence that the number of medications indicates a problem. Example, Dr. Wong had a patient with 32 medications. When examined closely looking at all the issues, medical problems, medication interactions, etc. When all was said and done, the expert opinion was, they needed all 32 for the most benefit. But there is such as thing as pill burden and you can ask your pharmacist to help with this.
2. Unwanted medication interactions or medications considered inappropriate for older adults: Beer’s criteria (link). Your pharmacist knows this list as does your doctor. This is a guide based on established evidence. It’s not a rule book. Your pharmacist can help you with this, looking at all your medications.
3. Managing medications is a TEAM sport: The pharmacist is a key player in your health care team, especially as an older adult or caregiver for an older adult. To get the best help from your pharmacist use only one pharmacy. And at the one pharmacy connect with one pharmacist, if possible. (Pharmacists actually have more training in medication than most physicians get in their training.) Your pharmacist also works with your physicians.
4. Medication synchronization: Special help from your pharmacist — some pharmacies may be able to set up a schedule for your medications where they all are refilled at the same time.
5. Typical issues making medication management for older adults difficult: Difficulty with swallowing. Difficulty reading labels related to diminished eye sight. Memory and cognitive challenges that make it difficult to process information about medications. Complex scheduling. This is where being a caregiver can really help.
6. Keeping track: Have I taken my meds? Did my loved one take their medications? Medisets are really helpful. There are paper and pencil charts like they used to use in hospitals and nursing homes — Medication Administration Record, (view here).
7. Over the counter (OTC) or supplements: Check with your doctor, or your pharmacist about these. Example — using Benadryl (diphenhydramine) for sleep. This medication Is not recommended for older adults, see Beer’s criteria — above. (view article)
8. Hospitalizations: (before and after) Have a list of current medications. Send all their medications to the hospital. Be prepared for managing new challenges (new and different medications) after discharge. Get as much written information as you can. Ask your pharmacist to help with this.
9. Side effects from medications to look out for, and more special tips for caregivers: Be observant, note and report any changes for possible need to seek medical help. Side effects can occur even after the medication has been taken for a while. Manage special circumstances for medication administration: frequency, before or after meals, difficulty with swallowing, what meds can be crushed. Keep a current list of your loved ones medication. Have it ready to use if they have an emergency and they are taken to hospital.

Some common symptoms and side effects to look for: