Medications & Older Adults

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On October 28, 2012, Posted by , In Medication Information, By ,,, , With Comments Off on Medications & Older Adults

To help prevent medication side effects and other drug-related problems in older adults, the American Geriatrics Society (AGS) has updated and expanded their resource guide for potentially dangerous or inappropriate medications for older adults.

As you get older, your body changes. These changes can increase the chances that you’ll have side effects when you take medications. Older people usually have more health problems and take more medications than younger people. Because of this, they are also more likely to experience dangerous drug-drug interactions. Every year, one in three adults 65 or older has one or more adverse (harmful) reactions to a medication or medications. This is why it’s important for researchers to identify and help reduce use of drugs that are associated with more risks than benefits in older people.

The AGS resource guide was last updated in 2003 and was recently updated in 2011. The criteria should be updated regularly because new drugs continue to be marketed and new studies continue to provide information on the safety of existing medications.

Using a time-tested method for developing care guidelines, and following the recommendations of the Institute of Medicine, members of an AGS expert panel reviewed more than 2,000 high-quality research studies about medications prescribed for older adults.

Based on the review of this research, the experts identified:

  • 34 medications and types of medications that are “potentially inappropriate” for older people. Healthcare providers should consider avoiding drugs on this list when prescribing for adults 65 or older. These medications pose a higher risk of side effects, may not work as well in an older person, and may be replaced with safer or more effective medications or non-drug remedies.
  •  Medications used for 14 common health problems that are potentially inappropriate for older adults. Older adults often have other diseases or disorders in addition to these 14 health problems that the medications may make worse.
  • 14 types of drugs that are potentially inappropriate and should be used only with caution in older adults. Drugs on this list may cause medication-related problems and may not be completely effective. However, they may be the best choice available for certain older patients. Healthcare providers need to carefully monitor how these drugs are working and keep an eye out for side effects. And older adults who take these medications or their caregivers need to let their healthcare professionals know if these drugs don’t seem to be working, or appear to be causing side effects.

What You Can Do

To lower the chance of drug-related problems:

  • Keep a list of all of the medications you take—both non-prescription and prescription. This includes any supplements that you take, such as vitamins. You should also write down the doses, and bring it with you whenever you see a healthcare professional. This way, he or she will know what drugs and supplements you are taking and can check whether these might be causing side effects, or could cause side effects, if taken along with new medications.
  • Ask if any of your medications are known to cause side effects. And if so, ask what they are—so you can watch for them. If you think you may be having a bad reaction to a drug, tell your healthcare professional. You should also speak with your healthcare provider if a drug you are taking appears in the 2012 AGS Beers Criteria and you are concerned that it may be causing side effects or other problems. You should not simply stop taking a medication because you think it may not be working or causing side effects, or because it is included in one of the three lists mentioned above. You should never stop taking medications without first checking with a healthcare professional.
  • Keep in mind that if a drug you take is on one of the lists in the AGS Beers Criteria, this does not necessarily mean that it poses greater risks than benefits for you. The way you respond to a medication or medications can differ from the way other people respond to it. This is why the experts who updated the criteria use the phrase “potentially inappropriate.” While the drugs on the lists may cause side effects in some older adults, they won’t necessarily cause these problems in all older people.

Source:  http://www.healthinaging.org

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