Polypharmacy — What It Means and How Your GP Can Help Reduce Medication Burden

What polypharmacy means

Polypharmacy generally refers to using multiple medicines at the same time, often to treat several health conditions. For many people, multiple medicines are appropriate and necessary. However, as health needs change over time, some medicines may become less helpful, unnecessary, or even risky — especially in older adults or people with complex health needs.

Why medication burden matters

The more medicines someone takes, the higher the chance of side effects, interactions, confusion about dosing, difficulty remembering schedules, and financial strain. Polypharmacy can also increase the risk of falls, dizziness, hospitalisation, and reduced quality of life. Medication burden is not only about the number of medicines — it is about how manageable, safe, and still relevant they are to your health goals.

How medication lists grow over time

Medicines are often added during hospital admissions, specialist visits, or after health events. Sometimes treatments that were once essential are never reviewed, even after the original problem improves. Without regular review, medication lists can become complicated and harder to manage safely.

Why reviewing medicines with your GP helps

A medication review is a structured, thoughtful process — not simply “stopping tablets.” Your GP looks at each medicine, why it was started, whether it is still needed, what risks it carries, and whether there are safer or simpler options. This may involve collaboration with pharmacists, specialists, and aged-care teams where appropriate.

Deprescribing — safe, planned reduction

Deprescribing means carefully reducing or stopping medicines that are no longer beneficial or may be harmful. It is done gradually and safely, with monitoring and patient input. The goal is to support safer care, reduce side effects, and improve quality of life — not to remove essential treatment.

What you can do

Bring all medicines (including over-the-counter products, supplements, and herbal remedies) to appointments. Ask questions, share concerns, and talk about what matters most to you — comfort, independence, symptom control, or reducing risk. Your preferences guide decision-making.

Polypharmacy does not always need to be feared — but unmanaged medication burden does deserve attention. The right review can make care safer, simpler, and more aligned with your health goals.

This article provides general health information only and does not replace medical advice. Please speak with your GP for personalised care.