![]() ![]() In addition, participants described emotional bonds between themselves and their medicines, identifying them as ‘forces for good’-substances which allowed them to maintain their health through the intercession of God. The doctor-patient relationship and the family network held particular significance to study participants. Polypharmacy is enacted through networks of interpersonal and socio-material relationships. Interviews were conducted with a bilingual researcher at home and were designed to elicit narratives of patients’ experiences of polypharmacy in the context of their biographies and daily lives. All participants were prescribed ten or more regular medications (a pragmatic marker of ‘higher risk’ polypharmacy) and were aged over 50. Participants were recruited from GP practices in East London. In-depth narrative interviews were conducted with 15 first-generation Pakistani patients using the Biographical Narrative Interview Method. Understanding how British Pakistani patients understand and manage polypharmacy in the context of their daily lives is crucial to avoiding harmful polypharmacy. Most existing research on medication practices within South-Asian communities centres on adherence, leaving the social and moral dimensions of polypharmacy unpacked. This study focuses on medication practices among Urdu-speaking Pakistani patients, a significant ethnic group in the UK. Older adults and those from ethnic minority backgrounds are disproportionately affected by polypharmacy. It can be burdensome and risky for patients and costly to healthcare systems. Polypharmacy is a growing and major public health issue. ![]()
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