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Medication Errors in The Elderly




Safety Alerts!

Use Caution with Pain Relievers

(NAPS) -- Pain relievers, when used correctly, are safe and effective. Millions of people use these medicines everyday. Not using them according to the label directions can have serious consequences.

Over-the-counter (OTC) medicines list all their active ingredients on the package.

For prescription drugs, the leaflet that comes with your prescription lists the active ingredients contained in the medicine. Many OTC medicines sold for different uses have the same active ingredient. Also, active ingredients in OTC medicines can be ingredients in prescription medicines. For example, a cold-and-cough remedy may have the same active ingredient as a headache remedy or a prescription pain reliever.

 

There are basically two types of OTC pain relievers. Some contain acetaminophen and others contain non-steroidal anti-inflammatory drugs (NSAIDs). These medicines are used to relieve the minor aches and pains associated with:

headaches

colds

flu

arthritis

toothaches

menstrual cramps

These medicines are also used to treat migraine headaches, and to reduce fever.

Acetaminophen is a very common pain reliever and fever reducer. Taking too much of this active ingredient can lead to liver damage. The risk for liver damage may be increased if you drink three or more alcoholic drinks while using acetaminophen-containing medicines.

NSAIDs are common pain relievers and fever reducers. Examples of OTC NSAIDs are aspirin, ibuprofen, naproxen sodium, and ketoprofen. There are some factors that can increase your risk for stomach bleeding:

if you are over 60

taking prescription blood thinners

have previous stomach ulcers

other bleeding problems

NSAIDs can also cause reversible damage to the kidneys. The risk of kidney damage may increase in:

people who are over 60

people who have high blood pressure, heart disease or pre-existing kidney disease

people who are taking a diuretic

Number of Medication Errors

The rate of medication errors in the elderly is higher than in any other age group. More than one third of the medication errors that occur involve patients 65 years and older. There is no single cause for the problem--and no single solution either--it is therefore very important that every healthcare provider, doctor, pharmacist, nurse, and medical assistant realizes the importance of medication error detection, reporting, evaluation, and prevention, and makes preventing errors their own personal goal!

Consider the following:

Older people tend to have more long-term illnesses than younger people, such as arthritis, diabetes, high blood pressure, and heart disease. It is common that they take combinations of different medications for many ailments.

 




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