Burden of Anticholinergic Meds in Older Adults Must Be Considered

Share this content:
Burden of Anticholinergic Meds in Older Adults Must Be Considered
Burden of Anticholinergic Meds in Older Adults Must Be Considered

FRIDAY, Dec. 30, 2016 (HealthDay News) -- Anticholinergic medications are frequently prescribed to older adults, but their negative impact should be considered, according to a review published online Dec. 23 in the Journal of Pharmacy Practice and Research.

Noting that anticholinergic medications are often used by older adults to manage a wide range of chronic conditions, Lisa Kouladjian O'Donnell, M.Pharm., Ph.D., from the University of Sydney, and colleagues reviewed the literature published regarding anticholinergic prescribing among older adults.

Anticholinergic medications can have a negative impact in older adults, including central nervous system adverse effects, such as cognitive impairment, confusion, delirium, and falls, as well as peripheral adverse effects such as constipation, dry eyes, and urinary retention. The researchers note that in order to quantify anticholinergic burden, several measures have been developed and validated, including the Anticholinergic Drug Scale, Anticholinergic Risk Scale, and Anticholinergic Cognitive Burden scale. Limited evidence is available for translation of these measures into clinical practice. Interventions, including pharmacist review and integration of anticholinergic burden measures, demonstrate reduction in anticholinergic prescribing. Careful cessation or tapering is involved in deprescribing anticholinergic medication, with consideration of the specific clinical scenario and the pharmacology of the medications.

"Future deprescribing trials may provide further guidance on the implementation of interventions and outcomes of deprescribing anticholinergic medications in clinical practice," the authors write.

Full Text (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!

Already a member?

Sign In Now »


Sign up for myCME e-newsletters


Drug Lookup

Browse drugs by: BrandGenericDisease

More in Home

Plasma Catecholamines Predict Post-Op A-Fib After Cardiac Sx

Plasma Catecholamines Predict Post-Op A-Fib After Cardiac Sx

Composite preoperative catecholamine marker linked to four-fold increased occurrence of POAF

Race, Sex Impact Risk of ESRD for Living Kidney Donors

Race, Sex Impact Risk of ESRD for Living ...

Increased risk of ESRD with black race and male sex; older age tied to increased risk in nonblack donors

Algorithm Integrated Into App Forecasts Glucose Levels

Algorithm Integrated Into App Forecasts Glucose Levels

Method using Gaussian process models produces personalized, nutrition-based forecast

is free, fast, and customized just for you!

Already a member?

Sign In Now »