Objective The objectives of this work are to mention older adults’ vulnerability factors, to identify main causes of poisoning among ibero-american older adults, and to describe accident and poisoning prevention strategies in the elderly. Materials and Methods A theme-based review was carried out. ScienceDirect , Scopus , Embase, BIREME OPS – OMS data bases were used to search the following words: “Older adults/adulto mayor”, “elderly/tercera edad”, “poisoning/intoxicación”, “overdoses/sobredosis”. The search was restricted to published articles from 2000 and cases related to poisonings among older adults (≥ 60 years old). Results There is a need to strengthen a positive ageing model including strategies that handle social risks associated with the identified inequities among older adults. One of the risks that face older adults is intentional or unintentional poisonings related to drugs. Most poisoning prevention strategies focus on children as vulnerable populations in which older adults are included. Conclusions Older adult populations are growing at a constant rate therefore poisoning prevention strategies specially designed for this group are needed.