在老年人中,多药和降低处方
Wade Thompson1,2, Emily G McDonald3,4,5
1Department of Anesthesiology, Pharmacology, and Therapeutics, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada;
Annual review of medicine
|September 20, 2023
概括
降低或减少老年人的药物处方是安全的和可行的. 未来的研究应该专注于实际实施策略和最佳结果措施,以实现个性化护理的这一重要方面.
科学领域:
- 老年病的医生 老年病的医生
- 药理学 药理学是指药理学的学科.
- 内部医学 内部医学
背景情况:
- 老年人经常服用多种药物,需要定期检查.
- 处方是个性化老年医疗护理的关键组成部分.
- 老年人的药物治疗方案可能不会在长时间内重新评估.
研究的目的:
- 为了强调老年人抑郁症的重要性.
- 为了确定在研究描述的挑战和机遇.
- 强调需要实用的实施策略.
主要方法:
- 审查现有证据,关于解药的可行性和安全性.
- 分析描述研究所面临的挑战,包括结果措施和情境有效性.
- 检查临床实践中减缓处方的障碍和促进因素.
主要成果:
- 在老年人群中,降低处方通常是可行的和安全的.
- 在确定最佳结局指标时存在重大挑战.
- 不同背景下各种抑郁症描述方法的有效性仍然不确定.
- 障碍物和促进因素显著影响常规的临床减记.
结论:
- 降低处方是老年人药物治疗的重要,但复杂的方面.
- 需要进一步的研究来完善结果指标,并确定有效的减压策略.
- 在日常护理中实践和可持续地实施抑郁症是优先考虑的.
相关概念视频
Drug Therapy
68
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
68
Nonlinear Pharmacokinetics: Dependence of Elimination Half-Life and Dose Clearance
192
The elimination half-life and drug clearance of drugs following nonlinear kinetics can vary with dosage. The Michaelis-Menten parameters and drug concentration influence these factors. As the dose increases, the elimination half-life tends to lengthen, resulting in a reduction in clearance and a disproportionately larger area under the curve. The total clearance can be derived from the Michaelis-Menten equation for drugs following a one-compartment model.
A study on guinea pigs examined the...
A study on guinea pigs examined the...
192
Antidepressant Drugs: MAOIs and Other Agents
270
Atypical antidepressants, including bupropion (Wellbutrin), mirtazapine (Remeron), nefazodone (Serzone), trazodone (Desyrel), and vilazodone (Viibryd), offer unique mechanisms of action. Bupropion weakly inhibits dopamine and norepinephrine reuptake, aiding depression treatment and smoking cessation, with a low risk of sexual dysfunction. Mirtazapine enhances serotonin and norepinephrine neurotransmission, leading to sedation, increased appetite, and weight gain. As a result, it helps treat...
270
Prescription, Nonprescription and Orphan Drugs
761
Prescription drugs require a prescription from a medical practitioner and can only be obtained from a pharmacy. They have many applications, including treating pain, anxiety, and hypertension.
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
761
Antidepressant Drugs: Overview
555
Antidepressant drugs are a class of medications primarily used for treating various mood disorders, including major depression, anxiety disorders, and other related conditions. These medicines work by modulating the neurotransmitter balance within the brain, alleviating depressive symptoms. Antidepressants can be broadly categorized into several groups according to their mechanism of action and chemical structure: Selective Serotonin Reuptake Inhibitors (SSRIs), Serotonin-Norepinephrine...
555
Drug Abuse and Addiction: Pharmacological Phenomena
507
Drug dependence, abuse, and addiction are complex phenomena that can precipitate various abnormal states. Physical dependence refers to a state of pharmacological adaptation to a drug. This adaptation often results in tolerance—a reduced response to the drug after repeated administrations. When the drug use is abruptly stopped, withdrawal symptoms occur due to the body's need to readjust from the pharmacologically induced imbalance. However, tolerance and withdrawal symptoms do not...
507


