Analgesic opioids misuse in the elderly: A review
Autor: | Armin von Gunten, Manon Cublier, Pascal Menecier, Alexis Lepetit, Benjamin Rolland, J M Dorey |
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Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
Doctor shopping business.industry Addiction media_common.quotation_subject Analgesic Middle Aged Drug interaction Analgesics Opioid Neuropsychology and Physiological Psychology Prescription opioid medicine Humans Screening tool Neurology (clinical) Geriatrics and Gerontology Intensive care medicine business Prescription Drug Misuse Biological Psychiatry Aged media_common |
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 |
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