Because they often suffer from several chronic diseases, the elderly are particularly concerned by the “polymédication”, that is to say, the fact of eating at least 7 drugs at the same time on a regular basis
“Over-consumption which can lead to falls and other serious accidents” (bleeding. . . ) and hospitalizations, underscores the magazine 60 Million consumers. In its October issue, the monthly published the results of a study carried out in 2016 by Open Health, a company specializing in the collection and analysis of health data.
In total, nearly 155,000 people aged 65 years and over “multi-medicated” were interviewed during 3 months, as well as another 2,600 pharmacies. The survey reveals that elderly patients with multiple pathologies accumulate an average of 14 treatments at a time. And again, “this is a low range because the medication is only taken into account if it is associated to a medical prescription,” says 60 Million consumers. Risk gravesParce that with age we suffer more often from multiple diseases (diabetes, hypertension, Parkinson’s.
. . ) several treatments may be essential, but it cannot justify all of these “orders for extension” including the side effects, outside of the serious risks that may alter the patient’s quality of life.
The study also highlights that more than one drug is prescribed on a 10 has a medical service rendered is considered insufficient (5%) or low (6%). The other point raised by the survey: nearly 9 patients consuming multiple medications in 10 are facing continuously more than 3 drug combinations at risk. Less than 1% of the study participants did not have any significant risk related to their treatment. Thus, more than half of those are using antihypertensive medication, these medications aimed at restoring a normal blood pressure in cases of hypertension. Among them, 9% were taking more antihypertensive drugs combined. However, these treatments can lead to falls by voltage drop. More than half of the patients interviewed are prescribed PPIS Inhibitors (Proton Pump), and this in spite of a absence of indication for some.
These drugs indicated in the management of gastric reflux or peptic ulcers can cause poor absorption of food, lead to increased risks of diarrhoea and lung damage, infectious, fractures or deficiencies. According to the study, nearly one person in two consumes benzodiazepines, psychotropic medications taken over a long period is not recommended because of the risks of sedation that they induce, confusion, balance disorder, fall, road traffic accident and addiction. Another example is severe, with 8% of people have a combination of NSAIDS (nonsteroidal anti-inflammatory drugs) and anti-thrombotic, a practice that is totally counter-indicated. “The subject is all the more worrying that some anti-inflammatory drugs are otc, and therefore can be consumed in an inappropriate manner, at the sole initiative of the patient, and without the doctor knows it”, says the press release. ” Psychotropic drugs: the consumption has decreased but remains too high Spread the drugs superfluous”It is necessary a real co-ordination between the doctors” and a “true medical record shared” so that it lightens the ordinances, said Gérard Raymond, president of the French Federation of diabetics, to the AFP. In fact, the study reveals that patients are prescribed their treatments by about 3 different doctors.
“It is necessary to make the point regularly with his physician and bring him the orders of specialists or other doctors and take note of what we bought in addition to oneself” without a prescription advises Claude Rambaud, co-chair of the Collectif interassociatif on health (CISS) which brings together some forty associations of health users. This is in order to review the order to verify if all the medicines prescribed correspond to the state of health of the patients, number and doses, she said again to the AFP.
This regular reassessment is the opportunity to move the “drugs that are no longer essential or even become inappropriate.
And especially to remind the patient what treatments are essential for its health”, stresses the magazine. According to the sickness Insurance, accidents related to drugs lead to the 130,000 hospitalizations and 7,500 deaths per year in people over 65 years of age. .