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Related Experiment Videos

Psychotropic prescribing for the elderly in office-based practice

R R Aparasu1, J R Mort, S Sitzman

  • 1College of Pharmacy, South Dakota State University, Brookings, USA.

Clinical Therapeutics
|July 15, 1998
PubMed
Summary

Psychotropic drugs were prescribed in over 12 million visits by elderly patients, with nearly 17% involving potentially inappropriate medications. Factors like patient age and physician specialty influenced this prescribing pattern.

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Area of Science:

  • Geriatric Medicine
  • Psychopharmacology
  • Health Services Research

Background:

  • Psychotropic medication use is common in elderly patients.
  • Concerns exist regarding the appropriateness of psychotropic drug prescribing in older adults.
  • Understanding prescribing patterns is crucial for improving geriatric care.

Purpose of the Study:

  • To determine the prevalence of psychotropic drug prescribing for elderly patients in the US.
  • To estimate the rate of potentially inappropriate psychotropic drug prescriptions in this population.
  • To identify factors associated with inappropriate psychotropic prescribing in the elderly.

Main Methods:

  • Utilized data from the National Ambulatory Medical Care Survey (NAMCS) from 1995.
  • Defined potentially inappropriate psychotropic drugs based on established consensus criteria.

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  • Employed logistic regression analyses to identify predictive factors for inappropriate prescribing.

    • Main Results:

    • Psychotropic medications were prescribed in an estimated 12.02 million visits by elderly patients.
    • Antidepressants and antianxiety agents were the most frequently prescribed psychotropic drugs.
    • Potentially inappropriate psychotropic medications were prescribed in 16.87% of relevant visits, with amitriptyline and long-acting benzodiazepines being common culprits.

    Conclusions:

    • The high prevalence of psychotropic drug prescribing, including potentially inappropriate medications, raises quality of care concerns for elderly patients.
    • Patient demographics, drug characteristics, and physician specialty were associated with inappropriate prescribing.
    • Further research and interventions are needed to optimize psychotropic drug use in older adults.