Published January 19, 2026 | Version v1
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THE IMPACT OF POLYPHARMACY ON RENAL FUNCTION IN THE ELDERLY AND EARLY CLINICAL MONITORING STRATEGIES

  • 1. Student of General Medicine, Faculty of Medicine Termiz university of Economics and Service
  • 2. Assistant, Department of Fundamental Medical Sciences Termiz university of Economics and Service

Description

Polypharmacy, defined as the simultaneous use of multiple medications, is a widespread and complex clinical problem in modern medicine, particularly among elderly patients. Age-related physiological changes, especially the decline in renal function, significantly increase the nephrotoxic effects of medications in the setting of polypharmacy. This article analyzes the mechanisms through which polypharmacy affects renal function in the elderly, as well as the associated clinical risks and strategies for early detection and monitoring. The study findings demonstrate that optimization of drug therapy, regular laboratory monitoring, and an individualized clinical approach play a crucial role in preventing renal injury in elderly patients.

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References

  • 1. Qodirov A.A. Clinical course of kidney diseases and modern diagnostic approaches. Tashkent: Abu Ali ibn Sino Medical Publishing House, 2019.
  • 2. Karimov B.B., Rahmonov D.T. Clinical features of pharmacotherapy for chronic diseases in the elderly. Uzbekistan Medical Journal, 2020; No. 3.
  • 3. To'raqulov N.M. Pathophysiological basis and clinical consequences of chronic renal failure. Tashkent: Medical Publishing House, 2018.
  • 4. Ismoilov J.X., Abdullayev S.R. Early signs of drug-induced renal injury. Medicine and Innovations, 2021; No. 2.
  • 5. Mamatqulov O.Sh., Yo'ldoshev A.N. Renal dysfunction in arterial hypertension. Clinical Medicine, 2019; No. 6.
  • 6. Rahimova M.K. Optimization of drug therapy and the problem of polypharmacy in elderly patients. Uzbekistan Health Journal, 2021; No. 4.
  • 7. Xolmatov F.S., Qosimova M.N. Clinical significance of albuminuria and glomerular filtration rate. Uzbekistan Nephrology Bulletin, 2022; No. 1.
  • 8. Abdurahmonov U.A. Functional relationship between the kidney and the heart (cardiorenal syndrome). Tashkent: Science and Technology, 2020.
  • 9. Saidov A.M., Tursunova L.K. Modern laboratory diagnostic methods in kidney diseases. Tashkent: Innovative Development Publishing House, 2021.
  • 10. Nurmatov K.Sh. Prevention and clinical monitoring of chronic kidney diseases in the elderly. Republican Scientific and Practical Medical Journal, 2022; No. 2.
  • 11. Jo'rayev B.E., Hamroyev S.S. Nephrotoxic effects of medications and their clinical significance. Theory and Practice of Medicine, 2020; No. 5.
  • 12. Usmonov A.I. Age-related changes in renal function in gerontology. Tashkent, 2019.