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Quinolone disposition in the elderly. Practical implications.

I Nilsson-Ehle1, B Ljungberg

  • 1Department of Infectious Diseases, University Hospital, Lund, Sweden.

Drugs & Aging
|July 1, 1991
PubMed
Summary
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Elderly individuals require careful fluoroquinolone dosing due to age-related pharmacokinetic changes. Dosage adjustments are crucial for antibiotics like ofloxacin and ciprofloxacin to ensure safety and efficacy in older patients.

Area of Science:

  • Pharmacology
  • Geriatrics
  • Infectious Diseases

Background:

  • Fluoroquinolones are commonly prescribed antibiotics for infections in the elderly.
  • Aging significantly impacts drug pharmacokinetics, often requiring dosage adjustments.

Purpose of the Study:

  • To review the pharmacokinetic changes of fluoroquinolones in elderly individuals.
  • To provide guidance on appropriate fluoroquinolone dosing in geriatric populations.

Main Methods:

  • Review of existing literature on fluoroquinolone pharmacokinetics in the elderly.
  • Analysis of age-related changes in drug absorption, distribution, metabolism, and excretion.

Main Results:

  • Ofloxacin elimination is slower in the elderly, necessitating dose reduction.

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  • Ciprofloxacin exhibits increased oral bioavailability in older adults, suggesting lower oral doses.
  • Renal clearance of fluoroquinolones generally decreases with age.
  • Data on other fluoroquinolones (norfloxacin, enoxacin, pefloxacin) in the elderly is limited.
  • Conclusions:

    • Dose adjustments for fluoroquinolones are often necessary in the elderly due to altered pharmacokinetics, particularly renal function decline.
    • Caution is advised when prescribing fluoroquinolones to the elderly due to potential adverse effects and drug interactions.