Data from a cross-sectional analysis suggested troubling trends in use of medications by older adults.
Medications that could have a negative effect on cognition are often used by older adults with dementia, based on data from approximately 13 million individuals presented at the
Exposure to CogPIMs was defined as filling a prescription for one or more of the CogPIMs during the study period. Population estimates of the prevalence of use of the CogPIMs were created using survey-weighted procedures, and prevalence trends were assessed using the Cochran-Armitage test. Continued reassessment is needed on appropriateness of anticholinergics, Z drugs, benzodiazepines, and antipsychotics in older patients with dementia, she added.
"Unfortunately, our dataset was not rich enough to include reasons for this increase," she said. In practice,"I have seen patients getting short-term, as needed, prescriptions for a benzodiazepine to address the anxiety and/orafter the loss of a loved one; this may account for a small proportion of benzodiazepine use that appears to be inappropriate because of a lack of associated appropriate diagnosis," she noted.
"Most studies examining potentially inappropriate medications that may impair cognition have been conducted in nursing homes, while this study focuses on community dwelling older adults where most people with dementia live," said Dr Gray, who served as a moderator for the session in which the study was presented.
Diabetes Mellitus Type Ii Type 2 Diabetes Type 2 DM T2DM T2D Diabetes Dementia Benzodiazepines Geriatrics Elder Care Geriatric Medicine Older Adults Seniors Senior Citizens Elderly Antipsychotics Neuroleptics Neuroleptic Drugs Cognition Primary Care
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