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Published byEdmund Shields Modified over 9 years ago
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Pharmacotherapy in older age
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Changes in pharmacokinetics and pharmacodynamics Polymorbidity, risk of DRUG-DISEASE interactions Polypharmacy, risk of DRUG-DRUG interaction Self-sufficience? (vision, mobility of fingers) Social factors? COMPLIANCE
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STOPP Criteria Screening Tool of Older People’s potentially inappropriate Prescriptions
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START criteria „Screening Tool to Alert doctors to the Right Treatment“ an evidence-based screening tool to detect prescribing omissions in elderly patients—include: Antidepressant in the presence of clear-cut depressive symptoms lasting at least 3 months +0
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START criteria an evidence-based screening tool to detect prescribing omissions in elderly patients include: Vitamin D and calcium ACE inhibitor in chronic heart failure, where no contraindication exists
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START criteria an evidence-based screening tool to detect prescribing omissions in elderly patients—include: Warfarin in the presence of chronic atrial fibrillation, if there is no contraindication to warfarin +0
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Pharmacotherapy in older age Start low, go slow! Polymorbidity a polypharmacy →consider benefits vs risks of each drug! STOPP & START
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