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Analgesics in the elderly
Aging & Mental Health
|February 6, 2002
Summary
Elderly patients using weak opioid analgesics long-term may develop dependence. A study found 40% of long-term users met criteria for Dependence Syndrome, highlighting a need for further research.
Area of Science:
- Geriatric Medicine
- Pharmacology
- Pain Management
Background:
- Long-term use of weak opioid analgesics is common in elderly patients.
- Potential for tolerance and dependence with prolonged opioid use requires investigation.
Purpose of the Study:
- To investigate the prevalence of opioid dependence in elderly patients on long-term weak opioid analgesics.
- To assess potential tolerance and dependence issues in this demographic.
Main Methods:
- A semi-structured questionnaire using Diagnostic Criteria for Research (DCR-10) for Dependence Syndrome.
- Sample of 25 elderly patients on continuous low-potency opioid analgesics for at least one year.
- Prevalence assessment within a primary care setting.
Main Results:
- An estimated 40% of patients on low-potency opioids met DCR-10 criteria for Dependence Syndrome.
- Approximately 2.8% of the elderly GP population were on continuous opioid therapy for over a year.
- The study is believed to be the first of its kind in primary care.
Conclusions:
- A significant proportion of elderly patients on long-term weak opioid analgesics may develop dependence.
- The findings suggest a higher-than-expected prevalence, warranting critical examination and further research.
- The specificity of DCR-10 as a screening tool in this context requires further validation.