J 2010

Consumption of medications in elderly and risks of polypharmacotherapy - do we have adequate information?

MATĚJOVSKÁ KUBEŠOVÁ, Hana; Josef HOLÍK; Pavel WEBER; Vlasta POLCAROVÁ; Jan MATĚJOVSKÝ et al.

Základní údaje

Originální název

Consumption of medications in elderly and risks of polypharmacotherapy - do we have adequate information?

Název česky

Spotřeba léků v seniorské populaci a rizika polyfarmakoterapie

Název anglicky

Consumption of medications in elderly and risks of polypharmacotherapy - do we have adequate information?

Autoři

MATĚJOVSKÁ KUBEŠOVÁ, Hana; Josef HOLÍK; Pavel WEBER; Vlasta POLCAROVÁ; Jan MATĚJOVSKÝ; Kamila GREPLOVÁ a Jan ŠLAPÁK

Vydání

Belgorod state university scinetific bulletin.Medicine Pharmacy, Belgorod, 2010, 1990-5327

Další údaje

Jazyk

ruština

Typ výsledku

Článek v odborném periodiku

Obor

30201 Cardiac and Cardiovascular systems

Stát vydavatele

Rusko

Utajení

není předmětem státního či obchodního tajemství

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/10:00045986

Organizační jednotka

Lékařská fakulta

Klíčová slova česky

farmakoterapie ve vyšším věku - volně prodejné léky - polypragmázie - lékové interakce - compliance - nežádoucí vedlejší účinky

Klíčová slova anglicky

pharmacotherapy in elderly; over the counter drugs; polypragmasia; drug interactions; compliance; unwanted side effects
Změněno: 6. 2. 2013 20:31, prof. MUDr. Pavel Weber, CSc.

Anotace

ORIG EN

V originále

Background: Drug interactions and unwanted side effects can cause up to 30% of admissions of elderly patiens to the hospital. The massive OTC medications advertisement provokes considerations, how many of these non prescribed drugs we must calculate to be able to guess the probability of drug interactions and unwanted side effects. On the other hand they can influence negatively the patients compliance. Patiens and methods: Students of 6th year of medical faculty going through their pregraduate practice interviewed randomly selected seniors treated by their general practitioners. They asked for number, kinds and costs of OTC medications. These interview were done during years 2001/2002 and results were compared with interviews done in years 2004/2005. Results: Alltogether 252 women and 148 men of average age 78,7 years were interviewed. The number of OTC drugs increased from 2,26 to 2,32 kinds of drugs. These OTC medicaments were not bought at all by 34% of pateints, 66% of seniors referred weekly or monthly buying of these medicaments. Considering different kinds of OTC drugs 44% of seniors buy pain killers, 58% vitamins, 37% food supplements, 36% non steroid antiinflammatory drugs, 46% drugs against common could, 30% laxatives. General practitioners were informed about taken OTC by 20% of OTC byuers only. Conclusions: Two thirds of seniors buy OTCs, so their polypragmasia becomes even more complicated. The most important potential among OTCs These results should remember the necessarity of thorough assessment of patiens as for all used drugs.

Anglicky

Background: Drug interactions and unwanted side effects can cause up to 30% of admissions of elderly patiens to the hospital. The massive OTC medications advertisement provokes considerations, how many of these non prescribed drugs we must calculate to be able to guess the probability of drug interactions and unwanted side effects. On the other hand they can influence negatively the patients compliance. Patiens and methods: Students of 6th year of medical faculty going through their pregraduate practice interviewed randomly selected seniors treated by their general practitioners. They asked for number, kinds and costs of OTC medications. These interview were done during years 2001/2002 and results were compared with interviews done in years 2004/2005. Results: Alltogether 252 women and 148 men of average age 78,7 years were interviewed. The number of OTC drugs increased from 2,26 to 2,32 kinds of drugs. These OTC medicaments were not bought at all by 34% of pateints, 66% of seniors referred weekly or monthly buying of these medicaments. Considering different kinds of OTC drugs 44% of seniors buy pain killers, 58% vitamins, 37% food supplements, 36% non steroid antiinflammatory drugs, 46% drugs against common could, 30% laxatives. General practitioners were informed about taken OTC by 20% of OTC byuers only. Conclusions: Two thirds of seniors buy OTCs, so their polypragmasia becomes even more complicated. The most important potential among OTCs These results should remember the necessarity of thorough assessment of patiens as for all used drugs.