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Falls, as a part of so-called great geriatric problems, cause a decrease in functional capacity and negatively affect the quality of life of older people. Risk factors for falls are divided into internal and external ones. The aim of the article is to describe the problem of falls among the elderly, with particular emphasis on recurring falls and their relationship with polypharmacy and polypragmasy. The work presents the principles of rational pharmacotherapy for older people. It should be emphasized that in addition to rational pharmacotherapy, fall prevention programs, including strength and coordination trainings and education of the elderly in the topic of organizing a safe home environment, should be implemented.