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.
Labels: anti-depressant, anti-psychotic, blood pressure, delirium, elderly, fall, Fractures, Osteoporosis, stroke
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