Potential adverse outcomes (falls, impaired cognition, impaired self-care) of psychotropic (benzodiazepines, antidepressants, antipsychotics) and narcotic medication use were examined in a large sample of Canadians 65 years of age and older.
We examined rates of reported falls, Digit Symbol Substitution Test (DSST) scores, and mean number of self-care impairments for those consuming psychotropic and/or narcotic drugs as compared to non-users.
Use of psychotropic drugs and/or narcotics was associated with an increased prevalence of falls, lower DSST scores, and/or number of self-care difficulties.
For example, in subjects who were cognitively normal, the frequency of falls was 60% greater in benzodiazepine users and 120% greater in users of antidepressants as compared to non-users.
Adverse outcomes increased with the number of classes of psychotropic or narcotic medications used.
These effects were most pronounced in cognitively normal subjects where the prevalence of falls increased from 13.9% in those consuming none of the medication classes to 42.6% for users of two or more classes.
In subjects with mild dementia the use of these medications was not associated with any significant differences in the outcomes measured.
Regression models showed that benzodiazepine, antidepressant, and narcotic use remained significant explanatory variables for potential adverse outcomes even after simultaneously considering the effects of several other variables. (...)
Mots-clés Pascal : Psychotrope, Analgésique narcotique, Cognition, Epidémiologie, Toxicité, Médicament, Vieillard, Homme, Canada, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Psychotropic, Narcotic analgesic, Cognition, Epidemiology, Toxicity, Drug, Elderly, Human, Canada, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0202659
Code Inist : 002B02U10. Création : 11/09/1998.