{"id":69788,"date":"2026-02-09T11:33:40","date_gmt":"2026-02-09T18:33:40","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=69788"},"modified":"2026-02-09T16:12:05","modified_gmt":"2026-02-09T23:12:05","slug":"medication-management-why-medication-reviews-are-so-important","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/medication-management-why-medication-reviews-are-so-important\/","title":{"rendered":"Medication management: Why medication reviews are so important."},"content":{"rendered":"
<\/div>
\"Don't
Don’t be afraid to ask questions about your prescriptions and schedule an annual medication review to avoid dangerous and costly consequences when it comes to taking multiple medications. Photo: UCHealth.<\/figcaption><\/figure>\n

Have you been prescribed a new medication or been on the same medication for years? Maybe you’re adding a vitamin to your pill regimen or taking an over-the-counter medication for a new symptom.<\/p>\n

These are all important reasons to have your list of prescriptions, over-the-counter medications and supplements reviewed by a health care professional.<\/p>\n

Why should I have my medications reviewed?<\/strong><\/h2>\n
\"clinical
Gina Harper, clinical manager of pharmacy services for UCHealth in northern Colorado. Photo: UCHealth.<\/figcaption><\/figure>\n

Medicines are meant to help us live longer and healthier. Still, there are dangerous and costly consequences to taking medications incorrectly or mixing certain drugs and supplements, said Pharmacist Gina Harper, clinical manager of pharmacy services for UCHealth in northern Colorado.<\/p>\n

\u201cIt is important for everyone to remember that medications should be used at the smallest dose for the shortest amount of time,\u201d she said. \u201cAnd another mantra: more is not always better.\u201d<\/p>\n

Harper, who performs medication reviews through the UCHealth Aspen Club free medication review program, discusses the importance of a medication review, how often it should be done and concerning issues that may occur.<\/p>\n

\u201cThe biggest reason to have your list of medications assessed is to try and pare down or reduce the amount of medicine you are taking,\u201d Harper said.<\/p>\n

For people on a Medicare drug plan, it is a requirement for you to have access<\/a> to a medication review if you meet certain requirements. Still, a yearly review of medications is also important for anyone taking multiple medicines.<\/p>\n

Who should review my medications?<\/strong><\/h2>\n

Doctors or pharmacists are qualified to perform medication reviews. However, unlike a pharmacist, your provider can act on any prescribed medication changes that might come up during a review.

Medication reviews for people age 50 and older, whether on Medicare, private insurance or uninsured, are available through the UCHealth Aspen Club<\/a>. Membership is free and includes a newsletter announcing these programs and other wellness opportunities.<\/div>\n

\u201cIf you see your provider annually, that is a good time to have your medications reviewed,\u201d Harper said. \u201cIf I have concerns about a prescription medication during a review, I\u2019ll send that person back to the prescribing doctor to talk to them about what I found.\u201d<\/p>\n

Pharmacists cannot prescribe most medications, but are very knowledgeable about how medicines work and interact with others.<\/p>\n

Individuals should also be reviewing their medications. Harper recommends that people write down the prescriptions, over-the-counter drugs and vitamins or supplements they take. It\u2019s also important to note the dosage size for over-the-counter medicines and vitamins.<\/p>\n

When Harper conducts medication reviews, she has the person bring in the bottle for each medicine they are taking because the information on the bottle helps her identify common issues.<\/p>\n

The most common mistakes people make in their medication management<\/strong><\/h2>\n

Managing medications can get complicated quickly. From vitamins to prescriptions, it’s easy to overlook interactions or stay on something longer than needed. A simple review can help keep you safe and help you avoid unnecessary costs. Here are some of the most common mistakes people make in their medication management.<\/p>\n

Supplements and vitamins<\/strong><\/h3>\n

Overlapping supplements<\/strong>. People often take several supplements with overlapping ingredients, so they often get too much of the daily recommended allowance for that particular \u201cgood thing.\u201d<\/p>\n

\u201cWhat I commonly encounter is that people are not comparing the ingredients on supplement bottles. They may be taking a multivitamin, bone health supplement and Vitamin D. Then they end up way over their daily recommendations,” she said. “Vitamin B and D tend to be the ones most overdone.”<\/p>\n

Continuing on a supplement when it is no longer needed.<\/strong> You may start something a year ago, like glucosamine for knee pain, and are still taking it even though you\u2019ve since had that knee replaced, so you don\u2019t need to take that supplement anymore.<\/p>\n

Taking a supplement that interferes with a prescription. <\/strong>Some supplements, such as Vitamin E and Ginkgo, increase your risk of bleeding, just like blood thinners do. Someone on blood thinners should avoid supplements that increase the risk of bleeding.<\/p>\n

\u201cDuring a medication review, I like to see what they are taking and if it makes sense to continue to do so,\u201d Harper said. \u201cPeople can spend hundreds of dollars per month just on supplements.\u201d<\/p>\n

Over-the-counter medication<\/strong><\/h3>\n

Asprin. <\/strong>There are new recommendations regarding a daily dose of baby aspirin<\/a> for cardiovascular health.<\/p>\n

\u201cI see many people who have remained on (baby) aspirin even though those recommendations have changed,\u201d Harper said.<\/p>\n

Older adults who are not at an elevated risk for heart attack or stroke should not be taking a daily baby aspirin, according to the new guidance from the U.S. Preventive Services Task Force. That\u2019s because the bleeding risks associated with taking daily baby aspirin increase as people age. Those risks can outweigh the protective cardiovascular benefits for someone who has never had a heart attack or stroke. Talk with your doctor about the benefits of baby aspirin versus the risks.<\/p>\n

Sleep aids. <\/strong>Another concerning issue Harper sees in these reviews is older adults taking over-the-counter sleep aids (this does not include melatonin).<\/p>\n

Medicines like Tylenol PM have diphenhydramine, which is a \u201cbig no-no\u201d for adults over the age of 65.<\/p>\n

\u201cDiphenhydramine hides in many over-the-counter sleep aids,” Harper said. “Which is directly tied to increased risk of falling, memory loss and urine retention (in adults 65 and older).”<\/p>\n

The info on diphenhydramine is part of the American Geriatrics Society Beers Criteria, a reference tool used by health care professionals that is a compendium of medications potentially to avoid or consider cautiously because they often present an unfavorable balance of benefits and harms for older people.<\/p>\n

Gastric reflux medicine. <\/strong>Harper said she sees people using over-the-counter gastric reflux meds, like Prilosec, not prescribed by a gastroenterologist for an ulcer.<\/p>\n

\u201cBeing on those meds long term can impair your ability to absorb other vitamins, and they can cause other problems,\u201d Harper said. \u201cThis goes back to my advice that you should take the smallest dose for the shortest time.\u201d<\/p>\n

She recommends people speak to their doctor if it has been prescribed, and if they plan to stop taking the medication, not to do it \u201ccold turkey\u201d but rather taper off to avoid uncomfortable gastric issues.<\/p>\n

Pain relief. <\/strong>Harper often hears from older adults that Tylenol doesn\u2019t work for them, so they take a nonsteroidal anti-inflammatory drug (NSAID<\/a>) like Aleve or Motrin. If that person also has high blood pressure, the combination can worsen blood pressure, amongst other problems.<\/p>\n

Prescription medication<\/strong><\/h3>\n

Lifelong medication treatment. <\/strong>\u201cUnfortunately, the thing I see a lot is that something gets started, and it becomes a therapy for life,\u201d Harper said. \u201cIf a patient never got better on that drug, then maybe it should be removed or replaced, especially if there are side effects, like weight gain, that could lead to other issues like high blood pressure or diabetes.<\/p>\n

\u201cA drug that is not treating the underlying disorder and is also causing additional problems is likely not a drug they should be taking.\u201d<\/p>\n

Treating the side effects of prescription medications. <\/strong>When a medicine has side effects that cause that person to take additional drugs to solve the new issues, then Harper said it’s time for them to return to their doctor to ask whether a different care plan is appropriate.<\/p>\n

She also sees the opposite: People do not want to take their medication for their health condition because they fear the side effects. For example, people often hear about the muscle pain that statins can cause, so fear interferes with them taking a statin. Studies show<\/a> that muscle pain or weakness is common in adults, regardless of whether they take a statin tablet. Harper said to talk with your doctor about your treatment plans, so you understand better if your risk for a heart attack or stroke is greater than the risk for adverse side effects from statins.<\/p>\n

Not knowing enough about WHY they’re taking a specific prescription.<\/strong> \u201cIt\u2019s always a good idea to ask questions,\u201d Harper said. \u201cIf you don’t understand the first time, ask two or three more times. If you don’t understand why you need to take something, you’re less likely to comply with it, which will drive down positive outcomes and may cause more problems.”<\/p>\n

Keeping quiet about compliance. <\/strong>Harper stresses the importance of being honest with your doctor about your adherence to prescription medications.<\/p>\n

For example, you show up in your doctor\u2019s office with high blood pressure, but they don\u2019t know you\u2019ve only been 50% compliant with taking your blood pressure medication. They might add another drug or increase your dose, which adds unnecessary risks.<\/p>\n

Along with compliance, be honest about the prescription’s side effects and financial burden, as there might be other options.<\/p>\n

“They assume you’re filling it and taking it as prescribed,” Harper said. “No one wins in these scenarios, so ask questions with an open stance of curiosity and be honest.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

Have you been prescribed a new medication or been on the same medication for years? Maybe you’re adding a vitamin to your pill regimen or taking an over-the-counter medication for a new symptom. These are all important reasons to have your list of prescriptions, over-the-counter medications and supplements reviewed by a health care professional. Why […]<\/p>\n","protected":false},"author":2164,"featured_media":70125,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[6],"tags":[708,1479,4408,3921,2635,3853,3512,1412,586,1210,3997,65,63,351,9187,9171],"class_list":["post-69788","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-healthy-living","tag-adults-65-plus","tag-aspen-club","tag-chronic-disease-management","tag-community-benefits-report","tag-diabetes-management","tag-health-insurance","tag-heart-and-vascular-care-cardiovascular","tag-kidney-disease-hypertension-care","tag-laboratory","tag-medicaid","tag-medicare-help","tag-pain-care-and-management","tag-pharmacy","tag-primary-care","tag-readysetco","tag-senior-care"],"acf":[],"yoast_head":"\nWhy medication reviews are so important - 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