Non-steroidal anti-inflammatory drugs: use and co-treatment with potentially interacting medications in the elderly.

Abstract:

BACKGROUND:Non-steroidal anti-inflammatory drugs (NSAIDs) are widely used in the elderly. NSAIDs may cause a series of adverse drug reactions, of which gastrointestinal, renovascular/cardiovascular and bleeding complications are of particular concern. Concomitant use of several other drugs may further increase the risk of these adverse effects. OBJECTIVE:To examine the extent of chronic use of NSAIDs and co-prescription of drugs which may seriously interact with NSAIDs in elderly subjects, by using data from the Norwegian Prescription Database. RESULTS:A total of 7.3% of all individuals (71,681/984,457) over 60 years of age filled at least one prescription for reimbursed NSAIDs during the 1-year study period (2006). Co-prescription of medications which may interact with NSAIDs was prevalent for drugs used for hypertension and/or heart failure (59.5%), antithrombotic drugs (35.1%), systemic glucocorticoids (12.9%) and SSRI antidepressants (8.3%). As many as 4.8 and 3.8% of NSAID users were co-prescribed warfarin or oral methotrexate respectively. CONCLUSION:The frequent co-prescription of medications which may cause detrimental interactions in elderly chronic NSAID users adds to safety concerns regarding this widely prescribed class of drugs.

journal_name

Eur J Clin Pharmacol

authors

Vandraas KF,Spigset O,Mahic M,Slørdal L

doi

10.1007/s00228-010-0825-2

subject

Has Abstract

pub_date

2010-08-01 00:00:00

pages

823-9

issue

8

eissn

0031-6970

issn

1432-1041

journal_volume

66

pub_type

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