Understanding Polypharmacy: When More Medications Become a Risk

It Doesn’t Happen All at Once

For many patients, medication use increases gradually.

A prescription for blood pressure.
Something for cholesterol.
A new medication after a hospital stay.

Over time, the list grows—and few people stop to ask:

👉 Are all of these still necessary?

This is how polypharmacy begins.

What Is Polypharmacy?

Polypharmacy is commonly defined as taking five or more medications at the same time.

While often appropriate, it increases the risk of:

  • Drug interactions
  • Side effects
  • Medication errors
  • Hospitalizations

And the risk rises with each additional medication.

Why It Happens

Today’s healthcare system is highly specialized.

Patients may see:

  • A primary care provider
  • Multiple specialists
  • Hospital-based physicians

Each provider focuses on a specific condition—but may not always review the full medication picture.

This can lead to:

  • Duplicate medications
  • Conflicting prescriptions
  • Medications prescribed to treat side effects of other medications

When More Becomes Too Much

Polypharmacy can impact daily life more than people realize.

Patients may experience:

  • Fatigue
  • Confusion
  • Reduced mobility
  • Loss of independence

These changes are often mistaken for aging—but may be medication-related.

What Patients and Families Can Do

You don’t have to be a healthcare professional to take an active role.

Start with these steps:

✔ Keep an updated medication list
✔ Review medications regularly with your provider
✔ Ask: “Do I still need this?”
✔ Use one pharmacy when possible

Key Takeaway

👉 More medications do not always mean better care.

Sometimes, the safest step forward is taking a closer look at what’s already being prescribed.

LORI IS EXTREMELY TALENTED!

What a great use of Lori’s talents!

I worked with Lori for several years during my career as an orthopedic surgeon. I know her to be not only compassionate and understanding but also a tireless advocate for what is right.

In difficult situations she was unwavering in her quest to enable me to provide the best possible care for my patients. She knows the system and how to work through it (and around it whenever necessary

LORI JUMPED RIGHT IN

If you are in need of a patient advocate, I would highly recommend Lori Schellenberg. She is extremely knowledgeable, effective, and professional. Knows when to be strong and forceful yet loving and caring with your loved one and your family. I was concerned about an elderly family member who had several severe falls, was forgetting to take medication, not eating healthy and not keeping up with housekeeping yet insistent she was fine and staying in her home. Even though Lori lived out of state she made phone calls on our behalf, made several recommendations to help us provide what our loved one needed and was an intermediary when it was necessary. Lori’s knowledge of geriatrics, continuous care/assisted living facilities, the health care system, long term care insurance and hospice is invaluable. She helped us put together a plan that provided the best and continuous care necessary for our loved one and our family. We are extremely thankful for her help and look forward to continuing to work with her as our loved one moves through the next phases of her life’s journey, thus enabling us to create loving memories.

LORI JUMPED RIGHT IN

My husband underwent nasal surgery 6 months ago, after he had a negative sleep study test and was referred to an ENT doctor due to continued fatigue and snoring.

Unfortunately, he developed two different serious infections, and we were concerned about his ongoing treatment with the ENT. In fact, we were very anxious because he wasn’t getting better but the surgeon was not clear with us as to what to do next.

When describing what was going on, Lori jumped right in, when she found out my husband was actually at the surgeon’s office at that time, and still did not understand the situation. She recommended that my husband ask to have the surgeon come back into the room, and to call her so that she could speak to the surgeon with my husband in the room. Lori was very professional and knowledgeable in her approach with his surgeon. She established a treatment plan, in a way that my husband could understand, and why this was the plan. She also discussed the “what ifs” the current treatment plan did not work. He ordered further tests to be completed prior to his next appointment, if he did not improve.

She followed up with my husband and I to make sure we understood the plan.

By advocating for my husband, Lori relieved a lot of anxiety and stress that this current medical concern was causing, and they felt more confident in the surgeon’s care.

We highly recommend Lori and Stepping Stone Advocacy Services, if you are experiencing a medical condition, and don’t know where to turn for answers. She is experienced and professional, yet able to discuss medical terms in a way that we understood.