Good for the elderly
In addition to antibiotics, anticoagulants, digoxin, diuretics, hypoglycemic agents, antineoplastic agents, and non-steroidal anti-inflammatory drugs (NSAIDs), there are a number of other medications that are commonly used by the elderly, and these are responsible for 60 percent of adverse drug reactions (ADRs) that result in hospitalization and 70 percent of ADRs that occur in hospital.
In addition to antibiotics, anticoagulants, digoxin, diuretics, hypoglycemic agents, antineoplastic agents, and non-steroidal anti-inflammatory drugs (NSAIDs), there are a number of other medications that are commonly used by the elderly, and these are responsible for 60 percent of adverse drug reactions (ADRs) that result in hospitalization and 70 percent of ADRs that occur in hospital.
Adverse medication responses in the elderly hospitalized population: improper prescribing is a primary source of these events. Drugs have an aging effect. doi: 10.2165/00002512-200522090-00005. 2005;22(9):767-77. doi: 10.2165/00002512-200522090-00005.
Older people are more vulnerable to the dangers associated with certain drug classes (e.g. analgesics, anticoagulants, antihypertensives, antiparkinsonian medicines, diuretics, hypoglycemic drugs, psychedelic drugs). Despite the fact that certain medications are suitable for use in younger individuals, some are so dangerous that they should be avoided in the case of older persons.
Prescriptions for elderly patients are difficult to write. Adverse drug events are widespread in older adults living in community settings, with prevalence rates as high as 78 percent in some cases 28 and incidence rates as low as 1. 89 per 100 resident-months in others 29, and precipitating rates ranging from 5.8 percent to 23 percent in other cases.
Diuretics, warfarin, non-steroidal anti-inflammatory drugs (NSAIDs), selective serotonin reuptake inhibitors, beta-blockers, and angiotensin-converting enzyme (ACE) inhibitors are the drug classes that have been found to be most frequently associated with adverse drug reactions in the elderly, according to epidemiological studies.
CVS were the most often reported medication types that resulted in ADRs, followed by anticoagulants/antiplatelets and chemotherapeutic medicines, in that order (Figure 3 and Table S5). This was true for both ADRs that occurred before to admission and those that occurred during admission (Figure 3).
Increased Sensitivity to a Wide Range of Drugs: The problems of decreased body size, altered body composition (more fat, less water), and decreased liver and kidney function cause many drugs to accumulate in the bodies of older people at dangerously higher levels and for longer periods of time than in younger people.Many drugs accumulate at dangerously higher levels and for longer periods of time in older people than in younger people.
It is possible to have idiosyncratic adverse drug responses that affect a variety of organs, including the liver and skin. It is also possible to have more broad hypersensitivity reactions while taking certain medications.
Even while the kidneys and liver receive a disproportionate amount of attention when it comes to adverse responses, the lungs are also at risk of being damaged. Even while the kidneys and liver receive a disproportionate amount of attention when it comes to adverse responses, the lungs are also at risk of being damaged.
Gastric pH decreases in the elderly, which in the case of some medications changes the solubility and, as a result, will impair the rate of absorption of the medication. A decrease in intestinal blood flow is also seen, which has the potential to delay or restrict medication absorption.
The AGS Beers Criteria® are divided into five major categories, which are the same as in 2015: (1) drugs that may be unsuitable in older individuals; (2) medications that may be improper in older adults with certain diseases; (3) medications that should be used with extreme caution in older adults; (4) medications that should be avoided in older adults with specific circumstances
An adverse drug response (also known as an adverse drug effect) is a wide word that refers to any undesirable, inconvenient, or even deadly side effects that a medicine may cause. Toxicity can include adverse medication responses; nevertheless, the term ″toxicity″ is most usually used to refer to the effects of overindulging in a substance.
Increased body fat, decreased body water, decreased muscle mass, as well as alterations in renal and hepatic function, as well as changes in the Central Nervous System, are all manifestations of this condition. Adverse drug responses (ADRs) can occur in elderly adults as a result of these changes.
Many psychiatric medicines, including olanzapine (Zyprexa), quetiapine (Seroquel), and haloperidol (Haldol), have been linked to the development of hallucinations, as have others, including zolpidem (Ambien), eszopiclone (Lunesta), clonazepam (Klonopin), lorazepam (Ativan),
In addition to having significant anticholinergic and sedative qualities, paroxetine has been shown to have deleterious effects on cognitive function. It is well knowledge that anticholinergic drugs such as paroxetine are possibly unsuitable for use in the elderly people suffering from dementia and cognitive impairment.