Medications whose risk of adverse drug events (ADE) exceeds their expected clinical benefit when they are given to elderly persons, and which can be replaced by better-tolerated alternatives, are called potentially inappropriate medications (PIM). The prevalence of PIM might be considered as a quality indicator of prescribing practices in the elderly. POTENTIALLY INAPPROPRIATE MEDICINES FOR THE ELDERLY IN THIRD LEVEL HOSPITAL DISCHARGES
2013
included: - fluoxetine ( selective serotonin reuptake inhibitors (SSRI)) for the risk of hyponatremia and the central nervous side effects ( nausea, insomnia, dizziness, confusion ), - glibenclamide ( sulfonylureas ) for its high risk of hypoglycaemia, - metoclopramide ( prokinetics ) for its extrapyramidal side effects. The proportion of users of these PIM were calculated and broken down by gender and age.
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