The American journal of geriatric pharmacotherapy
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Am J Geriatr Pharmacother · Jun 2011
Primary care providers' perspectives on psychoactive medication disorders in older adults.
Compared with younger adults, older adults consume a disproportionate percentage of pain and sleep medications. Some studies have reported that psychoactive medication misuse and abuse in older populations is a significant problem. ⋯ The lack of a clear definition, absence of well-defined risk factors, and ambiguous clinical manifestations of psychoactive medication misuse and abuse present substantial barriers to diagnosis. A standard, age-appropriate definition could help PCPs establish a diagnosis, clarify what constitutes appropriate psychoactive medication use, define the extent of the problem, and pave the way for the development of effective screening and diagnostic tools.
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Am J Geriatr Pharmacother · Jun 2011
Case ReportsAnorgasmia with gabapentin may be common in older patients.
Gabapentin is commonly used to treat neuropathic pain, seizures, and bipolar disease in older and elderly patients. It is preferred for its well-tolerated side effect profile. Anorgasmia with gabapentin use is reported, with most cases in young patients. ⋯ Gabapentin-associated anorgasmia may be more common in older patients and appears to be dose dependent.