Seniors with memory issues take multiple meds, but most are willing to cut down

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About 58% of seniors who are likely or likely to have dementia are good for their health, yet more than half of them take six or more regular medications – a practice that can, at best, lower the cost of insurance the budget, and worse can result. in poor drug interactions with adverse effects, and even increased symptoms.

But far from older people who refuse to reduce their medication, which includes prescription drugs and over-the-counter supplements and supplements, a new study conducted by UC San Francisco shows that 87% of them respond that they will agree to stop at least. one “if their doctor says it is possible.”

In the study, the researchers followed a national sample of 422 seniors, representing 1.8 million Medicare beneficiaries, taken by the National Health and Nursing Research Center (NHATS). About three-quarters were 75-years-old; 44% possible rabies and 56% had a possible psychiatric disorder, the researchers reported in their study literature The American Geriatrics Society on March 2022.

The likelihood of dementia is determined by NHATS guidelines, which include a mental test, reports from participants or a representative — usually a family member — that the doctor says they have dementia, or a memory-related response, adjustment , judge and act accordingly. dementia from proxies, representing 26% of participants.

Many medications can contribute to its ineffectiveness

In addition to negative interactions and outcomes, polypharmacy also “contributes to the challenge with sustainability, since complex pharmaceutical systems require more time and attention, and increase the likelihood of making mistakes and misuse and misunderstandings,” he said. first author Matthew Growdon, MD, an old man. Researcher at the UCSF Department of Geriatrics and San Francisco VA Medical Center.

“Many drugs can be especially harmful to the elderly misunderstanding, such as benzodiazepines, used to treat anxiety, and oxybutynin, used to treat urinary incontinence. These drugs have a calming effect that increases the risk of delirium and can worsen dementia, ”he said.

While 87% of participants said they were willing to stop at least one of their medications, this increased to 92% of participants taking six or more medications. In addition, 29% in this group agreed “that at least one treatment is not necessary.” This compares with 13% of participants taking less than six pills. Growdon attributed the study to “a medical practice of writing,” and “respect from the patient and clinicians’ side to the authorized physician.”

IN read bara, led by Growdon and Michael Steinman, MD, lead author of the current study, found that the total number of medications in the elderly with dementia was eight compared to three for the elderly without dementia. This division of heads may indicate a “lesser system of care with more skilled physicians caring for my patients, resulting in more medications,” said Steinman, of the UCSF Department of Geriatrics and San Francisco VA Medical Center. .

Lack of comprehension can lead to additional medications for mood, memory and instability

“In addition, self-medication and its complications can lead to exacerbations remedy benefit. This may include medications to help with memory and with mood, and medications for symptoms that people with dementia may experience more, such as fistulas, ”he said.

Other commonly prescribed medications include vitamin D and calcium, as well as medications for high blood pressure, diabetes, constipation and arthritis, the authors note.

“Our goal as geriatricians is to prescribe medications to help seniors achieve their health and career goals, especially those with dementia,” said lead author Kenneth Boockvar, MD, of New Jewish Home, Icahn School of Medicine at Mount Sinai and James J. Peters VA Medical Center, Bronx. “We need to avoid or stop taking drugs that do not adhere to these policies. This is where the download comes in.”

Deprescripting is about improving your health, “rather than taking medication,” Growdon said. “We should strive to ensure that the benefits outweigh the risks, and that we authorize consistent care policies, taking into account their implications. great wine, such as injuries, multiple illnesses, misunderstandings and working status. One thing that this study may add hopefully is that family resilience should not be viewed as a barrier. ”

The challenge of deciding on reducing the use of anticholinergic drugs

hint: Adults with memory problems take many medications, but most are ready to cut (2022, March 10) Retrieved 10 March 2022 from -multiple-meds .html

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