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Anticholinergic Burden in the Elderly Population: An Emerging Concern
Hudson Pierce1, Dominique Thomas1, Tirsit Asfaw1
1Department of Urology, Weill Cornell Medicine, New York, NY, USA.
European Urology
|April 2, 2019
Summary
Antimuscarinic medications for overactive bladder increase anticholinergic burden, posing risks for older adults. Standardizing risk assessment and reevaluating prescribing practices are crucial for elderly patient safety.
Area of Science:
- Geriatric Pharmacology
- Urology
- Clinical Pharmacy
Background:
- Antimuscarinic drugs are a cornerstone therapy for overactive bladder (OAB).
- These medications contribute to the cumulative anticholinergic burden.
- High anticholinergic burden is linked to adverse health outcomes in the elderly population.
Discussion:
- The study highlights the significant risks associated with anticholinergic burden in older patients treated with antimuscarinics for OAB.
- It emphasizes the need for a critical review of current prescribing habits for these medications in geriatric populations.
- The association between anticholinergic burden and adverse events necessitates a proactive approach to patient management.
Key Insights:
- Antimuscarinics, while effective for OAB, elevate anticholinergic burden.
- Adverse outcomes in the elderly are demonstrably linked to this increased burden.
- Current prescribing practices require reevaluation to mitigate risks.
Outlook:
- Standardization of anticholinergic risk assessment tools is recommended.
- Developing evidence-based guidelines for anticholinergic prescribing in the elderly is essential.
- Future research should focus on safer alternatives and optimized management strategies for OAB in older adults.
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