Doctor-led service

Medication Review and Rational Prescribing for Elderly in East London

Structured clinical support designed around your loved one's safety, comfort, and dignity.

Medication review for elderly patients in East London is one of the most impactful clinical interventions available. At Eldercare 24/7, our doctor-led medication review and rational prescribing service identifies dangerous drug interactions, removes unnecessary medications, corrects harmful polypharmacy, and ensures that every prescription your loved one takes is clinically justified and appropriate for their current health status.

Elderly patients are uniquely vulnerable to medication-related harm. Age-related changes in kidney and liver function alter how drugs are metabolised. Reduced body water and increased fat composition change drug distribution. Cognitive decline may affect compliance. And the accumulation of prescriptions from multiple doctors over many years creates a complex web of interactions that no single prescription captures.

Dr Buyisiwe Mhlaba conducts a methodical, evidence-based medication audit for every patient. Each medication is evaluated against current clinical guidelines for elderly patients. Drug-drug interactions are identified and resolved. Medications that are inappropriate for elderly physiology — such as certain sedatives, anticholinergics, and non-steroidal anti-inflammatories — are flagged for deprescribing. Dosages are adjusted to account for renal and hepatic function.

The results of rational prescribing are often remarkable. Patients who were confused regain clarity. Patients who were falling stop falling. Patients who were lethargic regain energy. Patients who were hospitalised repeatedly achieve stability. These outcomes are not coincidence — they are the predictable result of removing medications that were causing harm and optimising those that are genuinely needed.

Our medication review service extends across the greater East London area, serving patients at home in Beacon Bay, Nahoon, Gonubie, Vincent, and Amalinda, as well as residents in frail care facilities and assisted living residences throughout the Eastern Cape.

If your elderly loved one takes multiple medications, has experienced unexplained confusion, falls, lethargy, or repeated hospitalisations, a comprehensive medication review could be transformative. Book a review with Eldercare 24/7 today.

Common Questions

Frequently Asked Questions

We understand that choosing the right care for your loved one involves many questions. Below you will find answers to the most common enquiries from families in our care.

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How many medications is too many for an elderly patient?

While there is no absolute number, patients taking five or more medications are considered to be in polypharmacy, which significantly increases the risk of harmful interactions and side effects. Our medication review evaluates every drug regardless of the total number, but patients on five or more medications benefit most urgently from a comprehensive audit.

Is deprescribing safe for elderly patients?

Yes, when conducted by a qualified doctor using evidence-based protocols. Dr Mhlaba tapers medications gradually while monitoring the patient closely for any adverse effects. Deprescribing removes medications that are causing more harm than benefit, and the process is carefully managed to ensure patient safety throughout.

How long does a medication review take?

A comprehensive medication review typically requires one to two clinical visits. The initial visit involves a full medication audit, patient assessment, and clinical evaluation. A follow-up visit reviews the deprescribing plan, monitors initial changes, and adjusts recommendations as needed.

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