Table 2.
Potentially inappropriate medications used on admission from the acute medical geriatric unit of Limoges University Hospital, and involved in ADRs and serious ADRs
All patients (N = 2018) n (%) | Patients with ADRs (N = 385) n (%) | Patients with serious ADRs (N = 220) n (%) | |
---|---|---|---|
Any inappropriate medication | 1331 (66.0) | 79 (20.5) | 56 (25.5) |
Antiemetic drugs with extrapyramidal properties | 35 (1.7) | 2 (0.5) | 2 (0.9) |
Cerebral vasodilators* | 734 (36.4) | 24 (6.2) | 19 (8.6) |
Analgesics | |||
Propoxyphene or dextropropoxyphene | 159 (7.9) | 3 (0.8) | 2 (0.9) |
Pentazocine | 0 (0.0) | – | – |
Sedative or hypnotic drugs | |||
Long-acting benzodiazepines (half-life ≥ 20 h)† | 468 (23.2) | 23 (5.9) | 18 (8.2) |
Chlordiazepoxide or diazepam | 24 (1.2) | 3 (0.8) | 1 (0.5) |
Meprobamate | 73 (3.6) | 2 (0.5) | 2 (0.9) |
Barbiturates | 43 (2.1) | 2 (0.5) | 2 (0.9) |
Drugs with anticholinergic properties | |||
Anticholinergic antidepressants | 150 (7.4) | 26 (6.7) | 16 (7.3) |
Anticholinergic muscle relaxants and antispasmodic drugs | 31 (1.5) | 0 (0.0) | 0 (0.0) |
Anticholinergic H1 antihistamines | 70 (3.5) | 2 (0.5) | 0 (0.0) |
Diphenhydramine | 7 (0.4) | 0 (0.0) | 0 (0.0) |
Gastrointestinal antispasmodic drugs | 6 (0.3) | 1 (0.2) | 0 (0.0) |
Disopyramide | 16 (0.8) | 0 (0.0) | 0 (0.0) |
Nonsteroidal anti-inflammatory drugs | |||
Indomethacin | 2 (0.1) | 0 (0.0) | 0 (0.0) |
Phenylbutazone | 0 (0.0) | – | – |
Antihypertensive | |||
Methyldopa | 15 (0.7) | 5 (1.3) | 3 (1.4) |
Reserpine | 1 (0.05) | 0 (0.0) | 0 (0.0) |
Antiplatelet drugs | |||
Dipyridamole | 81 (4.0) | 0 (0.0) | 0 (0.0) |
Ticlopidine | 25 (1.2) | 2 (0.5) | 1 (0.5) |
Hypoglycaemic | |||
Chlorpropamide | 7 (0.4) | 0 (0.0) | 0 (0.0) |
Added criteria adapted to French practice | |||
Concomitant use of two or more psychotropic drugs from the same therapeutic class | 133 (6.6) | 9 (2.3) | 7 (3.2) |
Concomitant use of two or more nonsteroidal anti-inflammatory drugs | 56 (2.8) | 0 (0.0) | 0 (0.0) |
Other anticholinergic drugs not mentioned by Beers | 91 (4.5) | 5 (1.3) | 5 (2.3) |
Pentoxifylline, nicergoline, dihydroergotamine, Ginkgo biloba, piracetam, …
Bromazepam, prazepam, clorazepate, nordazepam, …