Drugs and the elderly clinical, social, and policy perspectives by Helene L. Lipton

Cover of: Drugs and the elderly | Helene L. Lipton

Published by Stanford University Press in Stanford, Calif .

Written in English

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  • United States.,
  • United States


  • Older people -- Drug use -- United States.,
  • Medication abuse -- United States.,
  • Drug abuse -- United States -- Prevention.

Edition Notes

Book details

StatementHelene Levens Lipton, Philip R. Lee, with contributions by Mark S. Freeland.
ContributionsLee, Philip R. 1924-, Freeland, Mark S.
LC ClassificationsHV5824.A33 L56 1988
The Physical Object
Paginationxv, 263 p. ;
Number of Pages263
ID Numbers
Open LibraryOL2403196M
ISBN 100804712956
LC Control Number87033574

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Wrcch2016.com is the most popular, comprehensive and up-to-date source of drug information online. Providing free, peer-reviewed, accurate and independent data on more than 24, prescription drugs, over-the-counter medicines & natural products.

Posted today in News for Health Professionals. Children and the elderly have different physical characteristics, too.

There’s a different ratio of fat to muscle compared to adults, affecting how drugs are distributed throughout the body. In the elderly, the net effect is that drugs are usually not excreted as quickly, increasing the. In treating patients with highly protein-bound drugs, like phenytoin, one should expect toxic reactions at a normal serum level because more of the drug is unbound, and, hence, active.

Elderly patients with low albumin levels secondary to malnutrition or liver disease will have an even more pronounced effect. Jun 11,  · This approach is the first to not only provide a negative listing, but also integrates positive data into an overall assessment for drugs fit for the aged.

Therefore, Drug Therapy for the Elderly serves as a timely reference for a wide array of physicians.2/5(1). Jul 28,  · In most developed countries, about 2/3 of the population ≥65 years take prescription and over the counter (OTC) drugs. At any given time, an average elderly person uses prescription drugs and two OTC drugs and fills 12–17 prescriptions a year.

The frail elderly patient uses often more than five different wrcch2016.com by: for the elderly I. Think about the necessity for drugs. Is the diagnosis correct and complete. Is drug therapy really necessary. Is there a better alternative. Do not prescribe drugs that are not useful. Think carefully before giving old people drugs that may have major side effects and consider alternatives.

Think about the drug dose. Jul 01,  · wrcch2016.com provides accurate and independent information on more than 24, prescription drugs, over-the-counter medicines and natural products. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment/ Prescribers need to know what other prescriptions patient is taking including herbs and teas.

Drugs such as digoxin and theophylline with a narrow therapeutic index should be carefully evaluated for potential interactions.

Small number of drugs in low doses with simple regimen is good for drug therapy in elderly. Prologue: As a population cohort, the elderly are more dependent upon prescription drugs than any other group. Yet Medicare, the federally operated health insurance program for the elderly and disa Cited by: Jun 01,  · Whether it’s the failure, until this year, of pharmaceutical trials to test drugs on elderly subjects, resulting in unanticipated side effects, or the tendency Drugs and the elderly book view the final years of an elderly person’s life only through the lens of illness and disability.

Psychotropic Drugs and the Elderly: Fast Facts is organized in the same format as Norton's other titles in the highly successful "Fast Facts" series with individual chapters devoted to classes of medications and all critical information presented in easy-to-read tables and charts. With authoritative content and a well-planned presentation, this Cited by: 5.

Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) Be cautious of: long-lasting NSAIDS such as piroxicam (sold under the brand-name Feldene) and indomethacin (Indocin). The concern: NSAIDs are used to reduce pain and inflammation, but in older adults these medications can increase the risk of indigestion, ulcers and bleeding in the stomach or colon; they can also increase blood pressure, affect.

Nov 22,  · With the recognition that the aged constitute an increasing proportion of our patient population, attention is being directed toward understanding the epidemiology, pharmacology and toxicology of drug use in the elderly. As a group, elderly patients have more illness and inevitably take more medications than younger patients.

Although not unique to geriatric medicine, medication errors Cited by: Dec 09,  · The other big drug problem: Older people taking too many pills (iStock) (PeopleImages/Getty Images) The woman was taking 27 drugs four times per day and had been diagnosed with dementia and a.

Summary: The second revised edition of a popular practical guide to the prescribing of drugs for the elderly. Designed to promote a more rational use of drugs, the book emphasizes the many physical and mental conditions associated with aging that must be considered when evaluating symptoms and selecting the most appropriate drug, dose, and formulation.

Gerontokinetics: Pharmacokinetics of Drugs in the Elderly is concerned with the complex processes of how the body handles drugs. After dealing with changes in the anatomy and physiology of the human body with increasing age, the pharmacokinetics of drugs in the elderly is discussed.

In particular, f. Feb 09,  · Elderly patients are often being prescribed medications known to cause adverse side effects in older people. Unsafe Medications Often Prescribed For Elderly. Author: Jeanie Lerche Davis. Jan 01,  · A Canadian study found that although fewer seniors were taking risky drugs from the Beers list, still over a quarter of seniors were taking potentially dangerous drugs.

Another study by researchers at South Dakota State University found that nearly one in 20 hospital visits by senior citizens resulted in prescriptions for inappropriate drugs.

Drinking or using drugs may begin as a method of coping with these difficult psychological and physical changes. The elderly population is less likely to abuse drugs as a method of getting high, or for the euphoric effect, and more likely to instead use them as a form of self-medication, as a way to numb physical and emotional pain.

Jun 01,  · The elderly differ from middle-aged and young adults pharmacologically with respect to the handling of drugs, appropriate dose, response, and adverse effects.

This small book deals with these differences in order to promote efficacious and safe drug use in the elderly. Nov 01,  · Use of illegal drugs has long been assumed to be a problem seen only in the young.

Those of us treating adolescents and pre-adolescents are urged to inquire about street drug use whenever we treat. In brief, old age affects drug absorption, distribution and elimination in a manner which can be suimmarised by the term "worse". Rarely is anything pharmacologically better in the elderly.

They are reluctant to absorb drugs enterally, they are sluggish metabolisers, they more susceptible to side effects and their renal clearance is usually delayed, increasing the half life of most drugs.

used to treat behavioral problems in elderly with dementia31 Chlorpromazine (Thorazine) in patient with history of postural hypotension (C) Fall risk 15 Haloperidol, with blood pressure monitoring Clozapine (Clozaril) between use of drugs on the Beers list and ].

This post collects different PowerPoint presentations on geriatric wrcch2016.com topics are recurrent, such as: physiological changes in pharmacokinetic parameters (absorption, metabolism, elimination), the concept of polypharmacy and classes of drugs that carry a higher risk of use in the elderly.

Geriatric drug therapy. 3 Case study Drugs in the elderly Scenario Lois is a year old woman who has been your patient for a number of years.

Over the last two years, she has had a gradual decline in her cognitive function, primarily manifesting as difficulty with. May 31,  · And even generic drugs don’t always offer cost relief for older adults. Among the sickest elderly, the number giving up basic needs to pay for their medications rose to 10 percent in Author: Shawn Radcliffe.

Note: Citations are based on reference standards. However, formatting rules can vary widely between applications and fields of interest or study.

The specific requirements or preferences of your reviewing publisher, classroom teacher, institution or organization should be applied.

% of elderly outpatients experience ADRs May occur in as many as 44% of hospitalized elderly ADR risk doubles when drug use increases from 1 to 4 drugs; increases fold in elders who use 7 drugs Beers MH, Baran RW, Frenia K. Drugs and the Elderly, Part 1:. This page includes the following topics and synonyms: Medication Causes of Delirium in the Elderly, Drug-Induced Delirium in Older Adults, Altered Mental Status due to Medications in Geriatric Patients.

Oct 07,  · You may order this and other brochures: Educational Resources - Alphabetical wrcch2016.com requests for printed materials to [email protected] or call INFO-FDA. The reduced serum albumin concentration in the elderly could contribute to age-dependent changes in the clinical effects of certain albumin-bound drugs, since pharmacologic activity can be.

In his powerful bestseller The Soul's Code, James Hillman brilliantly illuminated the central importance of character to our spiritual and emotional lives. Now, in this magnificent new book, Hillman completes his exploration of character with a profound and revolutionary reflection.

Use of High-Risk Medications in the Elderly: Review and Revision of Performance Measure. June 3. Lovell P, Vender RB. Management and Treatment of Pruritus. Skin Therapy Letter. 12(1). Nadler SF. Non-pharmacologic Treatment of Pain.

J Am Osteopath Assoc. Cholesterol Lowering Drugs for the Elderly, a Very Bad Idea by Jeffrey Dach MD A Flawed and Corrupted Study A publication by Jonathon Afilalo in the Journal of the American College of Cardiology concludes that," Statins reduce all-cause mortality in elderly patients and the magnitude of this effect is substantially larger than had been previously estimated.

As a result, the elderly are now prescribed more drugs than ever before. Although it is ultimately to their benefit, having multiple medications to deal with can be confusing for both patients and caretakers, and negative outcomes can result from that confusion.

• Supplements, herbals, and over-the-counter drugs Lancet. ;() Slide 8 •2/3 of older adults are on regular medications •People aged >65 account for 1/3 of all potentially inappropriate for the elderly •The Beers criteria were published inrevised in and •Statistical association with adverse drug.

Please keep in mind that these are the prescription drugs most used by the elderly. Drugs that treat chronic conditions such as heart disease, respiratory illness, diabetes and gastrointestinal disorders were identified by the Express Scripts researchers as the leading categories of.

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This page includes the following topics and synonyms: Medication Use in the Elderly, Beers List, Beers List, Beers Criteria, Beers Criteria, Screening Tool of Older Persons potentially inappropriate Prescriptions, STOPP, Medications to Avoid in Older Adults.

Start studying Geriatric Pharmacology. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Polypharmacy is defined as the simultaneous use of multiple drugs to treat a single ailment or condition, or the simultaneous use of multiple drugs by a single patient, for one or more conditions.

As the population is aging, polypharmacy has become an important risk factor for poor outcomes in the elderly. 1,2 Generally, polypharmacy in the elderly occurs because of three factors: demographic.Prescription Prices for the Elderly to wholesalers, retailers, and hospitals; (2) an intermediate point, retail sell-in, at which retail pharmacies acquire pre-scription drugs from wholesalers and manufacturers; and (3) a final point, retail sell-out, at which retail pharmacies dis-pense and .in the labeling for human prescription drugs to include more complete information about the use of a drug or biological product in the elderly (persons aged 65 years and over) (21 CFR (f)(10)).

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