Inappropriate Medication Use in The Elderly of Amir Kola and Related Factors

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Abstract:

Background: Due to the inappropriate drug use by the elderly leading to adverse drug reactions and side effects, this study aimed to determine the rate of inappropriate medication use among the elderly of Amirkola city using the Beers criteria. Methods: This descriptive and analytical study is part of a comprehensive study of "AHAP Elderly Health Status Study" (No. 892917) which was performed as a cohort study on all persons 60 years and older in Amirkola city in northern Iran. Required data were collected by a trained person using standard questionnaires. The data were collected by self-report and by observing the patientchr('39')s medications used, including the number, type and duration of drug use. Results: The mean age of the elderly was 69.71 ± 7.47 years. Prevalence of inappropriate drug use and drugs that should use by caution among the elderly was 37.58% and 29.85%, respectively. The most inappropriate drugs use was glibenclamide (12.7%), diclofenac (8.8%) and clidinium C (5.4%). The highest rate of drug-drug interaction was due to the use of two anticholinergic drugs together. There was a statistically significant relationship between inappropriate drug use with age, education level, occupational status, and marital status and number of underlying diseases (p˂0.001, p = 0.036, p˂0.001, and p = 0.044 respectively). Conclusion: The rate of inappropriate drug use among the elderly of Amirkola city is high compared to many other studies, which exposes the elderly to adverse drug reactions.

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Journal title

volume 15  issue 4

pages  4- 4

publication date 2021-02

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