Wednesday, February 13, 2013

Older people taking psychiatric drugs are more prone to fall


Seniors taking psychiatric drugs may be at extra high risk for 
falling according to a new  research.

Of about 400 elderly people in the study, those who took 
medications including antidepressants and anti-psychotics 
were twice as likely to report having fallen three or more times 
in the previous year, researchers found.

The new study can't prove that falls were due to the effects of 
the drugs, themselves, and not to seniors' underlying medical 
conditions, for example.

But a number of side effects of psychiatric drugs - from 
changes in thinking and attention to drops in blood pressure - 
could put elderly people at greater risk for falls, according to  
the Dr. 

Seniors are especially vulnerable to falls, which at their worst 
can cause hip fractures, head injuries or death.

If possible (psychiatric drugs) should be avoided for elderly 
patients with other risk factors for falling.

In particular, the researchers found a higher rate of multiple falls 
among people taking antidepressants, antipsychotics and 
short-acting benzodiazepines, which include the anxiety drug 
alprazolam (marketed as Xanax) and the insomnia drug 
temazepam (Restoril).

That pattern held after the team took into account any 
depression or cognitive impairment among the seniors, as well 
as their exact age, their living situation and how much they 
typically walked each day.

Seniors and their families should come to each healthcare visit 
with a list of all medications an elderly person is taking and 
what each was prescribed to treat said the Dr. Sometimes, he 
noted, a person gets put on an anti-psychotic for delirium while
in the hospital, for example, and ends up staying on it for years 
for no good reason.
Many of our old people have multiple (conditions) that need 
medication to control them or make them feel better. Every 
time somebody is considering adding something, review 
everything else they're taking to make sure there is a solid 
indication for everything they're already on," the Dr. advised.
Many different factors may raise the risk of falls and fractures, 
such as age, osteoporosis or a history of stroke.
Drugs end up being the thing that you can modify," the Dr. said. 


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