The objective of this article was to review the recent literature (1990–1995) on drugs and falls in the older population. A computerized literature search identified 19 research articles. The quality of each study was critically evaluated, and a consistent risk relationship between the use of psychotropic drugs and falls was identified. Moreover, polypharmacy and certain cardiovascular agents may be associated with falls. Finally, it is controversial as to whether certain agents (eg, analgesics, hypoglycemics) are associated with falls. Future studies are necessary to better understand the relationship between drugs and falls in the older adult.