Old man, be careful! Taking these three kinds of drugs is easy to cause falls

For the elderly, falls can produce a series of injuries that can not be ignored, and it is the first cause of death. There are many factors causing falls in the elderly, among which drugs are the important factors. The types, dosage and combination of drugs can increase the risk of falls, and drug restructuring can effectively reduce the risk. < p > < p > for chronic diseases, drugs that may cause falls include: drugs acting on the central nervous system, cardiovascular drugs, hypoglycemic drugs, etc. In addition, multiple medication is also an important cause of falls. Drugs can lead to abnormal consciousness, spirit, vision, gait, balance and other aspects, leading to falls. Central nervous system drugs mainly include: antipsychotics such as quetiapine and clozapine; antidepressants such as mirtazapine and paroxetine; antiepileptic drugs such as carbamazepine and sodium valproate; sedative hypnotics such as lorazepam; anti Parkinson drugs such as levodopa and pramipexole; opioid analgesics such as fentanyl and morphine. Cardiovascular drugs mainly include diuretics such as furosemide and torasemide, and antihypertensive drugs such as prazosin and terazosin. These two drugs can cause orthostatic hypotension and fall. Digoxin, as a representative of cardiotonic drugs, may have arrhythmia, diplopia and other symptoms leading to falls. Hypoglycemic drugs mainly include insulin and its analogues, and various oral hypoglycemic drugs. Oral drugs such as gliclazide, repaglinide, metformin, acarbose, etc. may cause falls due to hypoglycemia. < / P > < p > the elderly with high risk of falling or those who have fallen in the past should consult clinical pharmacists and specialists to adjust fall related drugs before using the above drugs. The risk of adverse reactions of the same kind of drugs is different. The drugs with low risk can be selected according to the strength of sedation and muscle relaxation. For psychotropic drugs such as antidepressants, sedatives and hypnotics, we should give priority to non drug treatment methods such as behavioral therapy and psychotherapy, reduce the use of psychotropic drugs, and maintain the minimum dose when necessary. When taking antihypertensive drugs, the time of orthostatic hypotension is often at the beginning of taking or when adjusting the dosage. In order to avoid the occurrence of orthostatic hypotension, patients with long-term bedridden should slowly get out of bed or sit for a few minutes before standing to facilitate blood return. At the same time, the elderly should try to avoid reducing venous reflux, such as standing for a long time, especially in hot weather. The venous return of standing position can be increased through the way of dorsiflexion of feet, squatting or bending, so as to speed up the heart rate and raise the blood pressure. For the people with poor venous return, we can consider wearing elastic stockings to increase venous return blood volume when standing upright and reduce postural hypotension. < p > < p > the elderly with diabetes should carry carbohydrate food with them. Once hypoglycemia occurs, they can eat it immediately. However, for patients taking acarbose and other α – glucosidase inhibitors, glucose or honey should be used to correct hypoglycemia, and sucrose or starch food is less effective. < / P > < p > multiple drug use is common in the elderly, and adverse drug interactions can increase the risk of falls. It is suggested that the efficacy and safety of all drugs should be reevaluated every six months, and clinical pharmacists should be consulted for drug restructuring. The type and quantity of medication should be reduced as much as possible, dosage should be adjusted if necessary, and comprehensive protective measures should be taken to prevent falls. Privacy Policy