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Reducing overuse of drugs in nursing homes, especially to prevent adverse drug reactions ADRs , is a major health concern and constitutes a challenge for every care giver, even for the most experienced clinicians Petrovic et al.

In the elderly, the risk of ADRs is positively correlated to the number of drugs used. The ADRs, in the elderly, often lead to hospitalization and increased expenditure for medical care Chen et al.

According to Beijer et al. Besides overuse, other considerations must be taken into account to render medications and health conditions secure in the elderly: misuse or under-use of drugs, respect of dosage, appropriate pharmaceutical form in case of deglutition problems.

Other factors to be considered are impairment renal or hepatic function and the clinical characteristics of the patient such as alteration in cognitive function, urinary incontinence Topinkova et al.

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The ADRs, in the elderly, often lead to hospitalization and increased expenditure for medical care Chen et al.