Nov 29, 2018
Here is a summary of this episode:
- Today’s topic is geriatric
one thing at a time. Start low and go slow with medication
titration and avoid PRN prescribing. Avoid medications on the Beers
list like antihistamines, anticholinergics, and tricyclic
patients with diabetes or those prone to orthostasis, consider
ziprasidone or aripiprazole. For glaucoma, consider aripiprazole,
risperidone, and quetiapine. For those with Parkinson’s disease,
consider low-dose quetiapine or clozapine.
syndrome of inappropriate ADH occurs with SSRI use and is not
dose-dependent. Check the serum sodium before the drug is started
and at weeks one and two after treatment begins.
- Lithium is a first line drug for the treatment
of acute mania in geriatrics. It is advised to dose it once at
night with an immediate acting formulation. Keep serum levels at
0.4 to 0.8 mEq/L.