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- $Unique_ID{BRK01593}
- $Pretitle{}
- $Title{Older People and Medicines}
- $Subject{medication aging health problems aged old elderly Older Medicines
- drug age drugs anticoagulants narcotics antihypertensives Barbiturates
- Antihistamines geriatric geriatrics medications Medicine anticoagulant
- narcotic Barbiturate Antihistamine pharmaceutical pharmaceuticals treatment
- treatments}
- $Volume{R-23,T-23}
- $Log{}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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- Older People and Medicines
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- QUESTION: I have noticed that my doctor seems more concerned about all my
- medicines than in my younger days. He has even changed the dose on some
- medicines I have taken for years. Is there any reason for all this checking?
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- ANSWER: Older people use more medicines than the younger ones, and they are
- also much more susceptible to drug reactions and interactions. Most drug
- studies are conducted among young and middle-aged persons, so drug problems
- are not always identified quickly in older people. For this reason and
- several others, caution is important.
- As we age, our bodies change. These changes affect the way drugs are
- absorbed and used in our bodies. For instance, the older adult has a slower
- blood flow to the kidneys. This changes the rate a drug is excreted from the
- body. If the drug stays in the body for a longer period of time than
- expected, the dosage should be altered in order to avoid overloading the body
- with the drug.
- Distribution of the drug in the body's tissues may be altered in older
- people when blood flow slows down and other factors are changed. The older
- body typically has more fat than muscle, so fat-soluble drugs are not
- distributed as they would be in younger persons.
- Older people are usually more sensitive to anticoagulants, narcotics and
- antihypertensive drugs. Barbiturates may create more sedation than usual or
- may cause agitation. Antihistamines, including those found in
- over-the-counter preparations, may create more drowsiness.
- Older individuals also have more chronic health problems that can
- interfere with the actions of drugs, as well as taking the medicines as
- previously prescribed. Health problems become more complex, and this may
- require taking several different drugs prescribed by different doctors. The
- most important piece of advice I can give you is this: whenever medication is
- prescribed, be sure your doctor knows about every other medicine you are
- taking, whether by prescription from another physician or something purchased
- over the counter at your pharmacy. This will permit a careful choice of your
- new medicine, and help avoid drug interaction problems.
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- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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