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Drug therapy in the elderly.

L Williams1, D T Lowenthal

  • 1Geriatric Research, Education and Clinical Center, Department of Veterans Affairs Medical Center, Gainesville, FL 32608-1197.

Southern Medical Journal
|February 1, 1992
PubMed
Summary
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Elderly drug therapy is complex due to aging

Area of Science:

  • Gerontology
  • Clinical Pharmacology
  • Pharmacokinetics

Background:

  • Older adults (over 65) represent a significant portion of drug expenditures, projected to increase.
  • Physiological changes associated with aging impact drug absorption, distribution, metabolism, and elimination.
  • Drug therapy in the elderly requires careful consideration of age-related pharmacokinetic and pharmacodynamic alterations.

Purpose of the Study:

  • To highlight the complexities of drug therapy in the elderly population.
  • To emphasize the impact of aging on pharmacokinetic processes.
  • To underscore the importance of physician awareness regarding age-related drug effects.

Main Methods:

  • Review of physiological changes in aging affecting drug disposition.

Related Experiment Videos

  • Analysis of how aging alters drug absorption, distribution, metabolism, and elimination.
  • Examination of potential adverse drug reactions and interactions in older adults.
  • Main Results:

    • Aging affects drug distribution, volume of distribution, and elimination half-life.
    • While overall drug absorption extent is unchanged, absorption rate can be delayed.
    • Physiological changes in body composition and organ function significantly influence drug pharmacokinetics.

    Conclusions:

    • Improving drug therapy for the elderly requires understanding age-related pharmacokinetic and pharmacodynamic changes.
    • Physicians must be cognizant of potential adverse drug reactions and interactions in older patients.
    • Enhanced physician-patient communication and knowledge of drug actions in the elderly can improve care quality.