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Psychotropic Medications and Older Adults: Update ...
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The document discusses the safety considerations and appropriate use of psychotropic medications in older adults. It emphasizes the need for careful prescribing and tailored treatment in this population due to age-related changes in pharmacokinetics and pharmacodynamics. The Beers Criteria for Potentially Inappropriate Medication Use in Older Adults is referenced as a guideline for identifying inappropriate psychotropic medications for use in elderly patients.<br /><br />The document provides case studies illustrating the application of these considerations in various settings, such as outpatient, nursing home, and inpatient psychiatry. It highlights the importance of comprehensive team care, including collaboration with other healthcare professionals and regular monitoring of patients.<br /><br />The main recommendations include the use of non-pharmacological approaches whenever possible to avoid or reduce the use of psychotropic medications. When medications are necessary, it is advised to start at low doses and closely monitor for adverse events, particularly in elderly patients with dementia. The document also discusses the potential risks and side effects associated with the use of psychotropic medications, such as falls, cognitive impairment, and extrapyramidal side effects.<br /><br />Overall, the document provides a comprehensive overview of the safety considerations, appropriate use, and potential alternatives for psychotropic medications in older adults. It emphasizes the need for individualized care and close monitoring to ensure the best possible outcomes for this vulnerable population.
Keywords
Psychotropic medications
Older adults
Safety considerations
Pharmacokinetics
Pharmacodynamics
Beers Criteria
Inappropriate medication use
Comprehensive team care
Non-pharmacological approaches
Adverse events
Funding for SMI Adviser was made possible by Grant No. SM080818 from SAMHSA of the U.S. Department of Health and Human Services (HHS). The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement by, SAMHSA/HHS or the U.S. Government.
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