Geriatrics is the branch of general medicine concerned with the clinical, preventive, remedial and social aspects of illness in the elderly people. The main objective of this study was to assess the ADR in elderly patients by understanding age related changes in pharmacodynamics and pharmacokinetics factors. The ADR were assessed by using NARANJO's causality assessment scale. Demographic profiles of the patients were higher in the Age group (Table 1) of 60-70 years and found to be 61 (67.8%). Out of 90 patients ADR were seen in 18 (20%) of the patients and in rest of the screened patients ADR were not found 72 (80%) patients. In the total identified 18 ADR, 2 (11.1%) were definite, 5 (27.8%) were possible and 11 (61.1%) were probable. The current study concluded that the ADR were associated with advancing age. Thus there is a need of a systematic proper monitoring of ADR in geriatric patients and have shown that clinical pharmacist can effectively identify, solve and prevent ADR
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