The Overlooked Role of the Pharmacist
When we consider aging well and maintaining cognitive health, we often focus on diet, exercise, and regular medical check-ups. However, one critical and frequently overlooked resource is your local pharmacist. Pharmacists play a pivotal role in supporting healthy aging, particularly in managing medications and supplements that can impact memory, alertness, and overall brain function.
In this post, we’ll explore why your pharmacist should be a key partner in your journey to age well, how medication reviews can prevent cognitive decline, and practical steps you can take to optimize your medication management for better health outcomes.
The Importance of Medication Management in Aging
As we age, our bodies undergo significant changes that can affect how we process medications. What worked well in your 50s may have very different effects in your 70s or 80s. This is why medication management is crucial for seniors, particularly when it comes to preventing cognitive decline.
A comprehensive medication review can help identify drugs or supplements that may cause side effects such as drowsiness, confusion, or memory problems. Your pharmacist is uniquely positioned to spot these issues and collaborate with your physician to adjust your regimen as needed.

The Value of a Medication Review
One of the best ways to safeguard your cognitive health is to schedule regular medication reviews with your pharmacist. This process involves bringing all your medications—prescriptions, over-the-counter drugs, and supplements—to your pharmacist for a thorough evaluation.
Why Pharmacist Medication Reviews Matter
- Prevent Drug Interactions: With multiple doctors prescribing medications, it’s easy for drug interactions to slip through the cracks.
- Identify Redundant Medications: Sometimes, people take more than one medication for the same condition, which increases the risk of side effects.
- Adjust Dosages for Age: As metabolism slows with age, medications can accumulate in the body, potentially leading to more potent side effects.
The classic “Brown Bag Day”—where seniors bring all their medications in a bag for review—may be less common today, but the principle remains vital. Pharmacists can catch issues that even seasoned healthcare providers might miss.

Common Medications That Affect Cognitive Health
Certain classes of medications are known to affect memory, alertness, and overall cognitive function, especially in older adults. These include:
- Benzodiazepines and Anti-Anxiety Medications: While effective, these drugs can cause drowsiness, confusion, and increase the risk of falls.
- Sleep Medications: Many older sleep aids have significant cognitive side effects, making them risky for seniors.
- Gastrointestinal Medications (PPIs): Long-term use has been linked to cognitive issues in some cases.
If you’re concerned about your cognitive health, discuss these medications with your pharmacist. There may be newer alternatives with fewer side effects, and your pharmacist is often the first to know about these options.
Practical Tips for Managing Your Medications
1. Keep an Updated Medication List
Always carry an up-to-date list of your medications, either on an index card in your wallet or as a photo on your phone. This is invaluable in emergencies when you may not be able to communicate your medication history.
2. Use One Pharmacy Whenever Possible
Polypharmacy—using multiple pharmacies—can make it challenging to track all your medications and increase the risk of dangerous interactions. Stick to one pharmacy and inform your pharmacist about any new prescriptions or changes.
3. Schedule Regular Medication Reviews
Don’t wait for problems to arise. Proactively schedule medication reviews with your pharmacist and involve your physician in any recommended changes. Never stop a medication without consulting your healthcare provider.
4. Consider Sleep Hygiene Over Sleep Medications
Sleep is vital for brain health, but many sleep medications have cognitive side effects. Work with your pharmacist to explore non-drug approaches like sleep hygiene before turning to medication. If sleep aids are necessary, ask about newer options with fewer risks.
5. Be Cautious with Supplements
Even natural supplements like melatonin can have diminishing returns or side effects if used long-term. Use supplements only as needed and consult your pharmacist for guidance.

Building a Pharmacist Partnership for Healthy Aging
Your pharmacist is more than just a dispenser of pills—they are a medication management expert and a critical ally in your quest to age well. By fostering an open relationship with your pharmacist, you can:
- Prevent unnecessary cognitive decline
- Reduce your risk of adverse drug interactions
- Stay informed about the latest, safest medication options
Take Action Today for Better Cognitive Health
Aging well is about more than just luck—it’s about making informed choices and building a team of experts to support you. Make your pharmacist a central part of that team. Schedule a medication review, keep your medication list handy, and don’t hesitate to ask questions about how your prescriptions might affect your brain health.
Remember: Never make changes to your medication regimen without consulting both your pharmacist and your physician. Together, you can create a plan that supports cognitive health and helps you thrive as you age.
Ready to take the next step? Visit your local pharmacy and start the conversation today. Your brain—and your future self—will thank you.