Tom Ballard, ND's blog


Drug Side Effects in the Elderly
January 6, 2011, 10:09 am
Filed under: Commentary, Medications | Tags: , , ,

The elderly aren’t the only ones being prescribed pharmaceuticals, but they’re more likely to be taking several. Along with children, the elderly are most likely to have adverse reactions to medicines. This is mostly due to their lessened ability to detoxify and remove chemicals from the body.

From: Worstpills.com (Public Citizen)

Each year, more than 9.6 million adverse drug reactions occur in older Americans. The referenced study found that 37% of these adverse reactions were not reported to the doctor, presumably because patients did not realize the reactions were due to the drug. This is not too surprising considering that most doctors admitted they did not explain possible adverse effects to their patients.

The following national estimates are based on well-conducted studies, mainly in the United States:

  • Each year, in hospitals alone, there are 28,000 cases of life-threatening heart toxicity from adverse reactions to digoxin, the most commonly used form of digitalis in older adults. It is estimated that as many as 40% or more of these people are using this drug unnecessarily, even by pro-pharmaceutical researchers. Therefore, many of these injuries are preventable.
  • Each year 41,000 older adults are hospitalized—and 3,300 of these die from ulcers caused by NSAIDs (nonsteroidal anti-inflammatory drugs, usually for treatment of arthritis). Thousands of younger adults are hospitalized due to these drugs.
  • At least 16,000 injuries from auto crashes each year involving older drivers are attributable to the use of psychoactive drugs, specifically benzodiazepines and tricyclic antidepressants. Psychoactive drugs are those that affect the mind or behavior.
  • Each year 32,000 older adults suffer from hip fractures—contributing to more than 1,500 deaths—attributable to drug-induced falls. In one study, the main categories of drugs responsible for the falls leading to hip fractures were sleeping pills and minor tranquilizers (30%), antipsychotic drugs (52%), and antidepressants (17%). All of these categories of drugs are often prescribed unnecessarily, especially in older adults, according to medical experts that are not anti-drugs. The in-hospital death rate for hip fractures in older adults is 4.9%. Multiplying this times the 32,000 hip fractures a year in older adults attributable to drug-induced falls, 1,568 older adults die each year from adverse drug reactions that cause hip fractures. Continue reading
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