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Medication Safety for Seniors

Many seniors have chronic health conditions and take multiple medications, which may increase their risk of drug interactions.

Medication and Aging

Drugs Blog with Michael Bihari, MD

Drugs Can Increase the Risk of Falling In the Elderly

Thursday July 24, 2008
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Seniors who take four or more medications may be two to three times more likely to be injured due to a fall than seniors using less medication. “Falls are the leading cause of both fatal and nonfatal injuries among adults aged 65 and older in the United States,” according to researchers at the University of North Carolina at Chapel Hill, who have created a list of dozens of prescription medications that increase the risk of falls.

The list includes medications commonly prescribed to treat depression, seizures, and pain. These medications affect the brain and can make people dizzy, light-headed, and less alert. Although the list includes only prescription medications, the researchers warn that many over-the-counter (OTC) drugs can also have the same effect. A common side effect of many OTC medications (including allergy medications, some cough and cold products, and sleep aids) is drowsiness that can increase the risk of falling.

If you are taking any of the drugs on the list, talk with your doctor about your risk of falling and possibly using a different medication. And, don’t forget to tell your doctor about any OTC medications you are taking.

Suggested Reading from Dr. Mike

Ferreri S, Roth MT, Casteel C, Demby KB, Blalock SJ. "Methodology of an Ongoing, Randomized Controlled Trial to Prevent Falls Through Enhanced Pharmaceutical Care." The American Journal of Geriatric Pharmacotherapy 2008 6:61-81. 24 June 2008.

Generic Drugs: They Save Money. But, Are They Safe?

Monday July 21, 2008
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A generic drug often costs significantly less than the brand name version of the drug. For example, on Drugstore.com, a popular online drugstore, 50 mg. tablets of Zoloft, a medication used to treat depression, recently cost $100.00 for a 30-day supply, while the generic version, Sertraline HCl, cost $15.00 for a 30-day supply – a savings of $85.00!

The U.S. Food and Drug Administration (FDA) is responsible for approving and regulating the use of generic medications. According to the FDA, all drugs, including brand name drugs and generic drugs, must work well and be safe. Generic drugs use the same active ingredients as their brand name counterparts and, therefore, have the same risks and benefits.

However, there is some controversy about the safety and effectiveness of some generic drugs. Despite the fact that the active ingredient in a generic medication is the same as in the brand name counterpart, small differences could effect how the generic medication works in your body. This may be due to how the generic medication is produced or the type and amount of inactive materials present in the medication. For some people, these slight differences may cause the drug to be less effective or lead to side effects.

Learn More About Generic Drugs

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