Avtor/Urednik     Drinovec, Jože
Naslov     Družbeni in medicinski vidiki farmakoterapije v starosti
Prevedeni naslov     Social and clinical aspects of pharmacotherapy in old age
Tip     članek
Vir     Zdrav Vestn
Vol. in št.     Letnik 73, št. 10
Leto izdaje     2004
Obseg     str. 757-61
Jezik     slo
Abstrakt     Background. Older population has more symptoms and disease signs as elderly people are more prone to ilnesses. That is why they take both prescribed and unprescribed drugs more frequently. In 2003 Slovenian insured persons younger than 65 received on average 5.5 prescriptions while those above 65 received 19.4 prescriptions. During the same year 4,811 insured persons received a prescription for 10 drugs and 160 of them for 18 or more drugs. There are many physiological changes that accompany aging and are important for pharmacotherapy. For example, body fat increases while total body water, plasma volume and serum albumin concentration decrease. There is also a significant decrease of kidney function, most notably seen in glomerular filtration rate. Conclusions. Basic recommendations for pharmacotherapy in old age include a decrease in simultaneous drug consumation, if possible to the value of 4. Recommended dose for majority of drugs would be 1/2 to 2/3 of the one taken by a man of average age having an average body mass.
Izvleček     Izhodišča. Starejše prebivalstvo ima več simptomov in bolezenskih znakov zaradi pogostejše zbolevnosti. Zato tudi pogosteje uporablja zdravila, tako tista na recept kot brez recepta. V Sloveniji so v letu 2003 zavarovanci, mlajši od 65 let, povprečno dobili 5,5 recepta, starejši od 65 let pa 19,4 recepta. 4811 zavarovancev je v letu 2003 dobilo recept za 10 učinkovin, 160 zavarovancev pa za 18 ali več učinkovin. V starosti pride do naslednjih fizioloških sprememb, ki so pomembne za farmakoterapijo: poveča se količina maščobnega tkiva, zmanjša se količina telesne vode, volumen plazme, koncentracija albuminov v serumu, pomembno se zmanjšuje ledvična funkcija, predvsem glomerulna filtracija. Zaključki. Osnovna priporočila za farmakoterapijo v starosti vključujejo zmanjšanje hkratnega jemanja zdravil, če je le mogoče, na 4. Odmerek večine zdravil je približno 1/2 do 2/3 tiste, ki jo jemlje človek s povprečno telesno maso srednje starosti.
Deskriptorji     AGING
PHARMACOEPIDEMIOLOGY
ECONOMICS, PHARMACEUTICAL
CHRONIC DISEASE
AGED
POLYPHARMACY