Ageing and Pharmacology

The Laboratory of Ageing and Pharmacology aims to ensure that older people receive the best possible healthcare. We focus on improving prevention and management of common challenges in old age like multiple medical conditions, frailty, falls and confusion.

Our team, led by Prof Sarah Hilmer AM, conducts research spanning bench to bedside to optimise personalised medicine for older adults. Older people often take many medications together (polypharmacy) and are vulnerable to adverse drug reactions.  We study the effects of medications, particularly when taken in polypharmacy combinations, by frail older people or those living with dementia.  These people are under-represented in the clinical trials that inform current treatment guidelines. 

We conduct laboratory, clinical, population-based and implementation research to understand the therapeutic effects of and adverse drug reactions from medications in older adults.  We have developed, validated and implemented a pharmacological risk assessment tool, the Drug Burden Index. We study the fundamental mechanisms by which some medications or combinations can cause harm in old age. Our findings help clinicians detect, predict, prevent and reverse functional decline related to medicines.

Our team works closely with older people and multidisciplinary clinicians to align our research with what matters most and implement the findings into practice at scale.  Our research meets the needs of the population of the Northern Sydney Local Health District, which is one of the oldest in Australia. We prioritise research advancement, education, mentorship, capacity building, collaboration, translation and implementation.

We are proudly part of the Penney Ageing Research Unit, which conducts aged care research on the Royal North Shore Hospital campus.

Lead

People

Network

Projects

Professor Sarah Hilmer 

Professor Sarah Hilmer 

Head, Ageing and Pharmacology Laboratory
Head of Department of Clinical Pharmacology, Royal North Shore Hospital
Conjoint Professor of Geriatric Pharmacology, The University of Sydney

Dr John Mach

Senior Research Fellow
Laboratory Manager (Basic Science Branch), The University of Sydney

Dr Lisa Kouladjian-O’Donnell

Senior Lecturer
Faculty of Medicine and Health, The University of Sydney

Dr Kenji Fujita

Research Fellow
Faculty of Medicine and Health, The University of Sydney

Dr Nashwa Masnoon

Postdoctoral Research Fellow
Faculty of Medicine and Health, The University of Sydney

Dr Noriko Sato

Research Fellow
School of Pharmacy, The University of Sydney

Dr Arpita Das

Research Program Manager, Frailty Measurement
The University of Sydney

Sarita Lo

Research Pharmacist, Northern Sydney Local Health District

Kevin Winardi

Scientific Officer, Northern Sydney Local Health District

Temitope Esther Afolabi

PhD Candidate (Pharmacist)
Faculty of Medicine and Health, The University of Sydney
Royal North Shore Hospital (NSLHD) 

Josie Hughes

Research Assistant, The University of Sydney

Shumin Tan

Research Assistant, The University of Sydney

Maureen Bartels

Secretary, Department of Clinical Pharmacology, Royal North Shore Hospital

Dr Edwin Tan 

Associate Professor Edwin Tan 

Sydney Pharmacy School, The University of Sydney

Dr Susan Ogle

Senior Staff Specialist, Department of Aged Care, Royal North Shore Hospital

Books:
A Lasting Conversation: Stories on Ageing
Falling and Flying

Dr Connie Vogler

Program Manager, Sydney Health Partners
Geriatric Medicine, Clinical Academic Group, The University of Sydney

Dr James Hardy

Clinical Senior Lecturer, The University of Sydney
Head of Department and Senior Staff Specialist, Department of Aged Care, Royal North Shore Hospital

Dr Kevin Chang

Clinical Senior Lecturer, The University of Sydney
Senior Staff Specialist, Department of Aged Care, Royal North Shore Hospital

Dr Bonnie Liu

Staff Specialist Geriatrician, Royal North Shore Hospital
Clinical Lecturer, The University of Sydney

Dr Helen Wu

Senior Lecturer, The University of Sydney
Senior Staff Specialist, Department of Aged Care, Royal North Shore Hospital

Dr Carol Hunter

Staff Specialist Geriatrician, Royal North Shore Hospital
PhD Candidate, Faculty of Medicine and Health, The University of Sydney

NSLHD: Rehabilitation and Aged Care; University of Sydney: NHMRC Cognitive Decline Partnership Centre, Charles Perkins Centre Healthy Ageing Node

Basic science

  • Understanding the effects of polypharmacy, Drug Burden Index and deprescribing in ageing

Clinical trials

  • Goal-directed Medication review Electronic Decision Support System (G-MEDSS)
  • Opti-Med: A randomised controlled trial of deprescribing to optimise health outcomes for frail older people
  • Reducing Medication Complexity (SIMPLER study)

Implementation studies

  • Reduce inappropriate polypharmacy in hospital: development and evaluation of resources including educational module, guidelines for clinicians and consumers, quality indicators and use of Drug Burden Index as a clinical risk assessment tool
  • Deprescribing guidelines for clinicians and consumers

Population studies

  • Pharmacoepidemiology: association between drug use and global health outcomes in older people nationally and internationally

Policy

Recommendations for a National Strategic Action Plan to Reduce Inappropriate Polypharmacy: development and implementationNSLHD: Rehabilitation and Aged Care; University of Sydney: NHMRC Cognitive Decline Partnership Centre, Charles Perkins Centre Healthy Ageing Node

Musculoskeletal Research

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