As we get older, our bodies process medications differently. Changes in the liver and kidneys, shifts in body composition, an increased nervous system sensitivity, and chronic health conditions can cause medicines to have stronger effects or to stay in the body longer. This can increase the risk of both side effects and falls.
Medication reviews and small changes can help reduce this risk and support your safety and independence.
- Why medications matter for fall risk
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Some medications can increase the chance of falling by causing side effects such as:
- Dizziness or light‑headedness
- Drowsiness or slowed reaction time
- Confusion or memory changes
- Blurred vision or balance problems
- Low blood pressure when standing
- Low blood sugar, which can lead to weakness or confusion
You might be at a higher risk of medication‑related falls if you:
- Are aged 65 or older
- Take 4 or more medications
- Have had a fall in the past 12 months
- Have vision, hearing, or sensory issues
- Take medications that cause drowsiness, dizziness, or changes in blood pressure or blood sugar
- Medications to be aware of
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Some types of medications are more likely to affect balance, alertness, or blood pressure. Not everyone will experience side effects.
Do not stop taking medication on your own, talk to your healthcare provider or pharmacist. The goal of this list is to awareness and regular medication reviews.
Review our Strong and Steady Fall Prevention Clinic Resources: What Medications Should I Be Aware Of?
- Steps you can take to stay safe
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Learn about your medications
- Know the purpose of each medication
- Understand common side effects
- Ask about interactions with other medications or supplements
- Keep an up‑to‑date list to review with your healthcare team
Take medications as prescribed
- Follow instructions carefully
- Ask questions if directions are unclear
- Do not stop a medication suddenly without medical advice
Review medications regularly
- Tell your healthcare provider if you have had a fall
- Notice if symptoms such as dizziness or balance problems started after a medication change
- Request a medication review at least once a year
Bring all medications to your review, including:
- Prescriptions
- Over‑the‑counter products
- Vitamins and supplements
- Herbal products
- How pharmacists can help
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Pharmacists can support fall prevention by:
- Reviewing all medications and supplements you take
- Checking for drug interactions
- Helping you understand how and when to take medications
- Discussing options to reduce side effects
- Providing guidance on vitamin D and calcium
- Administering vaccines, which can help prevent an illness that may lead to falls
Questions to ask your pharmacist:
- What is this medication for?
- How do I know if it is working?
- What side effects should I watch for?
- Can this medication affect my balance, memory, or risk of falling?
- Can I take this safely with my other medications or supplements?
- What should I do if I miss a dose?
- Who should I follow up with, and when?