Risks of combined alcohol/medication use in older adults.

作者: Alison A. Moore , Elizabeth J. Whiteman , Katherine T. Ward

DOI: 10.1016/J.AMJOPHARM.2007.03.006

关键词: Human factors and ergonomicsInjury preventionSuicide preventionMedical emergencyMedicineAlcoholPoison controlMEDLINEAdverse effectPsychiatryOccupational safety and health

摘要: Abstract Background: Many older adults (ie, those aged ≥65 years) drink alcohol and use medications that may be harmful when consumed together. Objective: This article reviews the literature on medication interactions, with a focus adults. Methods: Relevant articles were identified through search of MEDLINE International Pharmaceutical Abstracts (1966–August 2006) for English-language articles. The following medical subject headings key words used: diseases worsened by , metabolism, absorption, distribution . Additional manual reference lists articles, review textbooks, personal sources. Results: take interact negatively alcohol. Some these interactions are due to age-related changes in distribution, metabolism medications. Others disulfiram-like reactions observed some medications, exacerbation therapeutic effects adverse combined alcohol, alcohol's interference effectiveness Conclusions: Older who at risk variety consequences depending amount type consumed. It is important clinicians know how much their patients drinking able effectively assess risks counsel them about safe Similarly, it understand potential avoid myriad problems possible unsafe substances.

参考文章(102)
A Laszlo, B E Wiholm, J P Kelly, D W Kaufman, R S Koff, S Shapiro, Alcohol consumption and the risk of major upper gastrointestinal bleeding. The American Journal of Gastroenterology. ,vol. 90, pp. 1058- 1064 ,(1995)
Mary Lou Dogoloff, Elizabeth Hayws, Carolyn Davis, Phyllis Kimbrough, Michelle Paul, Deborah Shuman, Paddy Cook, Margaret K. Brooks, Virginia Vitzthum, Deborah L. Howard, Anne Nelson, Substance Abuse among Older Adults. Treatment Improvement Protocol (TIP) Series 26. Substance Abuse and Mental Health Services Administration, 1 Choke Cherry Road, Room 8-1036, Rockville, MD 20857. Tel: 240-276-2000; Fax: 240-276-2010.. ,(1998)
Bruno Ridolfo, Chris Stevenson, The quantification of drug-caused mortality and morbidity in Australia, 1998 Australian Institute of Health and Welfare. ,(2001)
Charles S. Lieber, Maria A. Leo, Alcohol and the Liver Springer, Boston, MA. pp. 185- 239 ,(1992) , 10.1007/978-1-4615-3320-7_7
Holly R. Thomasson, Gender differences in alcohol metabolism. Physiological responses to ethanol. Recent developments in alcoholism : an official publication of the American Medical Society on Alcoholism, the Research Society on Alcoholism, and the National Council on Alcoholism. ,vol. 12, pp. 163- 179 ,(2002) , 10.1007/0-306-47138-8_9
Robert E. Vestal, Elizabeth A. McGuire, Jordan D. Tobin, Reubin Andres, Arthur H. Norris, Esteban Mezey, Aging and ethanol metabolism Clinical Pharmacology & Therapeutics. ,vol. 21, pp. 343- 354 ,(1977) , 10.1002/CPT1977213343
Charles S. Lieber, Alcohol and the liver: 1994 update Gastroenterology. ,vol. 106, pp. 1085- 1105 ,(1994) , 10.1016/0016-5085(94)90772-2
David W. Crabb, Ron Weathermon, Alcohol and Medication Interactions Alcohol Research & Health. ,vol. 23, pp. 40- 54 ,(1999)
Jose A. Luchsinger, Ming-Xin Tang, Maliha Siddiqui, Steven Shea, Richard Mayeux, Alcohol Intake and Risk of Dementia Journal of the American Geriatrics Society. ,vol. 52, pp. 540- 546 ,(2004) , 10.1111/J.1532-5415.2004.52159.X