Pharmacology of non sedating antihistamines Situs nackrd chatt free
Therefore, elderly patients should be given a lower starting dose of levodopa and carefully monitored for adverse effects (see Parkinson Disease : Levodopa).
Patients who become confused while taking levodopa may also not tolerate Antipsychotics should be used only for psychosis.
If NSAIDs are used long-term, serum creatinine and BP should be monitored closely, especially in patients with other risk factors (eg, heart failure, renal impairment, cirrhosis with ascites, volume depletion, diuretic use).
are common, closer monitoring is necessary when new drugs are added or old ones are stopped; computerized drug interaction programs should be consulted if patients take multiple drugs.
Patients should also be monitored for Doses of antihyperglycemics should be titrated carefully in patients with diabetes mellitus.
Risk of hypoglycemia due to sulfonylureas may increase with age.
As described in see Table: Potentially Inappropriate Drugs in the Elderly (Based on the American Geriatrics Society 2012 Beers Criteria Update), is not recommended in elderly patients because of the increased risk of hypoglycemia and of hyponatremia due to the syndrome of inappropriate antidiuretic hormone secretion (SIADH).
Risk of hypoglycemia is also greater with and can be effective given alone or with sulfonylureas.
Short-acting dihydropyridines (eg, ) may increase mortality risk and should not be used.Antipsychotics should be considered for behavior problems only when nonpharmacologic options have failed and patients are a threat to themselves or others.Treatable causes of insomnia should be sought and managed before using hypnotics (see also Approach to the Patient With a Sleep or Wakefulness Disorder : Hypnotics)., a partial serotonin agonist, can be effective for general anxiety disorder; elderly patients tolerate doses up to 30 mg/day well.The slow onset of anxiolytic action (up to 2 to 3 wk) can be a disadvantage in urgent cases.
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Coxibs, as a class, appear to increase risk of cardiovascular events, but risk may vary by drug; they should be used cautiously.