Cardiovascolar Disturbances
Cardiac arrhythmia
Avoid: antidepressants tricyclics
Urinary Disturbances
Incontinence
Avoid: -blockers
Respiratory Disturbances
Athsma o COPD
Avoid: -blockers
… or with particular conditions
of elderly surgery patients, and 40% of those in care homes receive inappropriate drugs according to the Beers criteria.
(Willcox SM et al – JAMA, 1994
Dhall J et al – Pharmacotherapy, 2002
Hamilton H - BMC Geriatrics, 2009)
Inappropriate drugs: what to do
avoid prescribing drugs which appear on the Beers list
Favour other, safer, therapies
Polytherapy: possible causes
Presence of pluripathologies.
Expectations of the patient and medical prescription.
"Fragmentation of cures".
Recourse to self-medication.
Adverse reactions treated as pathologies.
Elderly people and Chronic Pathologies (data ISTAT 2005)
8,1
28,6
38,0
21,3
6,8
6,4
12,2
37,9
51,9
34,9
12
8,7
16,7
45,2
64,9
46,4
18,8

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