04/28/2018  As
 people age, it’s simply a fact of life that they may need more 
prescription or over-the-counter medications to stay healthy. However, 
people the age of 65 are more likely to have adverse drug reactions and 
need to be more cautious about taking certain types of drugs. There are 
even some drugs that older adults may need to avoid altogether – even a 
few that many of us take for granted as a part of day-to-day life.
From 2015 to 2021, according to Statistics Canada,the number of seniors is projected to exceed the number of children aged 14 and younger for the first time ever.By 2036, the number of seniors could reach between 9.9 and 10.9 million people.Statistics
 Canada notes that older adults, meaning those 65 and over, are twice as
 likely as others to come to emergency departments for adverse drug 
reactions, and nearly seven times more likely to be hospitalized after 
an emergency visit. This means adverse drug reactions will likely become
 more and more common as the population ages.
Why do adverse drug reactions happen?
Many adverse drug reactions are 
caused by improper dosing. Certain drugs require blood testing to make 
sure the patient is receiving the optimum dose. These drugs include 
blood thinners, diabetes medications, seizure medications, and heart 
medications. Older adults are more likely to be taking these types of 
medications, leading to a higher incidence of adverse reactions. 
Adverse drug reactions can also occur in older 
adults because certain types of medications work differently in their 
bodies. Due to these side effects, some types of medications should be 
avoided when possible by older adults. Some commonly-used medications 
are on this list including:
•  Blood-pressure medications like nifedipine and alpha-andrenergic blockers and agonists; 
•  Analgesics like meperidine and pentazocine; 
•  Anticholinergic medications including older antidepressants and allergy medications; 
•  Benzodiazepines like alprazolam, lorazepam, or clonazepam; 
•  NSAIDS, including aspirin, ibuprofen, and naproxen; and 
•  COX-2 inhibitors like celecoxib. 
Of course, always talk to your doctor about the risks and benefits of any medication.
How can we help prevent adverse drug reactions?
One way is to keep a list of all of your 
medications, including any over-the-counter drugs, supplements, or 
vitamins that you regularly take. Bring the list with you to all of your
 medical appointments, including those with your general practitioner, 
any specialists, and even the dentist or eye doctor. Don’t hesitate to 
ask your doctor, pharmacist, or other healthcare provider if you have a 
question about a medication or a potential interaction something else 
you are taking, especially if you start taking something new. To help 
you keep track of your daily medications, use a pill sorter with a 
clearly labeled box for each day of the week, or keep a medication 
journal.
Always follow your doctor or other healthcare provider’s instructions 
and make sure you keep all your scheduled appointments. Following these 
guidelines increases your chances of staying happy and healthy in your 
golden years.
 
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