Older Adults

• How do older adults metabolize medications compared to younger patients?

  More slowly than younger patients
• What is the implication of older adults metabolizing medications more slowly?

  Higher risk for higher blood levels and adverse effects
• What does the phrase "start low and go slow" refer to in medication management for older adults?

  Initiating medications at lower doses
• What serious condition is associated with NSAIDs in older persons?

  High frequency of serious GI bleeding
• Why do older people often take multiple medications?

  For one or more chronic conditions
• What can happen when analgesics are added to the medication regimen of older adults?

  Dangerous drug interactions and more adverse effects
• What effects can analgesics such as opioids have on older adults?

  Exacerbate cognitive impairment and ataxia
• Which types of medications can exacerbate cognitive impairment in older adults?

  Opioids, antidepressants, anticonvulsants