FIREd_2015
Recycles dryer sheets
Article in Medscape on what not to prescribe to older adults
Aspirin - Since the risk for major bleeding increases with age, for primary prevention of atherosclerotic cardiovascular disease, the harm can be greater than the benefit in older adults...Aspirin remains indicated for secondary prevention in individuals with established cardiovascular disease.
Warfarin - For treatment of atrial fibrillation or venous thromboembolism...Warfarin has a higher risk for major bleeding, particularly intracranial bleeding...
Antipsychotics - These include...aripiprazole, haloperidol, olanzapine, quetiapine, risperidone, and others. The guidance says to avoid these agents except for FDA-approved indications such as schizophrenia, bipolar disorder, and adjuvant treatment of depression. Use of these antipsychotics can increase risk for stroke, heart attack, and mortality...
Nonsteroidal anti-inflammatory drugs (NSAIDs) - Used frequently in our practices...in older adults, we often underappreciate the risks...Upper gastrointestinal ulcers with bleeding occur in approximately 1% of patients treated for 3-6 months with an NSAID and in 2%-4% of patients treated for a year. NSAIDs also increase the risk for renal impairment and cardiovascular disease...
Other medications to avoid (if possible)...
Aspirin - Since the risk for major bleeding increases with age, for primary prevention of atherosclerotic cardiovascular disease, the harm can be greater than the benefit in older adults...Aspirin remains indicated for secondary prevention in individuals with established cardiovascular disease.
Warfarin - For treatment of atrial fibrillation or venous thromboembolism...Warfarin has a higher risk for major bleeding, particularly intracranial bleeding...
Antipsychotics - These include...aripiprazole, haloperidol, olanzapine, quetiapine, risperidone, and others. The guidance says to avoid these agents except for FDA-approved indications such as schizophrenia, bipolar disorder, and adjuvant treatment of depression. Use of these antipsychotics can increase risk for stroke, heart attack, and mortality...
Nonsteroidal anti-inflammatory drugs (NSAIDs) - Used frequently in our practices...in older adults, we often underappreciate the risks...Upper gastrointestinal ulcers with bleeding occur in approximately 1% of patients treated for 3-6 months with an NSAID and in 2%-4% of patients treated for a year. NSAIDs also increase the risk for renal impairment and cardiovascular disease...
Other medications to avoid (if possible)...