Yvette C. Terrie, BSPharm, RPh
As individuals age, their nutritional
needs change as well. Since many seniors
take prescription medications for
various disease states, there is often the
potential for drug-nutrient interactions,
thus increasing the need for vitamin supplementation
for some individuals. Currently,
there are a variety of multivitamin
products that are formulated to address
the specific dietary needs of individuals
50 and older. These multivitamin
supplements may include higher
levels of calcium, folic acid,
vitamin D, vitamin E, vitamin B6, and
other nutrientsbut not iron, since
individuals 50 and older require less
iron and generally meet their iron
needs through diet alone. Examples
of these multivitamin supplements
are included in the Table.
Before recommending any vitamin
supplements to a patient, pharmacists
should assess the patient's medical history
and medication profile to determine
if there is a potential for a drug-nutrient
interaction. It is also important for pharmacists
to remind patients to take only
the recommended dosages of these supplements,
as well as to stress the importance
of adhering to a balanced diet.
Pharmacists also can refer patients to
registered dietitians when warranted.
Ms. Terrie is a clinical pharmacy writer
based in Haymarket, Va.