Analgesic opioids misuse in the elderly: A review

Autor: Armin von Gunten, Manon Cublier, Pascal Menecier, Alexis Lepetit, Benjamin Rolland, J M Dorey
Rok vydání: 2020
Předmět:
Zdroj: Gériatrie et Psychologie Neuropsychiatrie du Viellissement. 18:343-349
ISSN: 1950-6988
1760-1703
DOI: 10.1684/pnv.2020.0880
Popis: Analgesic opioids addiction (AOA) is very frequent in the elderly, and results in a high morbi-mortality due to geriatric associated pathologies with pharmacokinetics modifications. However, it is poorly detected in these subjects and specific screening tools should be widely used to detect the risk factors for AOA prevention. Before initiating opioid prescription, exhaustive search of associated treatments (to track drug interaction) and of opioid prescription by other clinicians (doctor shopping) are requisite. Specific care sectors, as developed in the United States are still scarce in France and care support is provided by the collaboration between geriatricians and psychiatrists. Optimisation of somatic and psychiatric comorbidities is a core part of the guidelines.
Databáze: OpenAIRE