Sleep Medication in Older Adults:Identifying the Need for Support by a Community Pharmacist

Autor: Morgane Masse, Héloïse Henry, Elodie Cuvelier, Claire Pinçon, Margot Pavy, Audrey Beeuwsaert, Christine Barthélémy, Damien Cuny, Sophie Gautier, Nicolas Kambia, Jean-Marc Lefebvre, Daniel Mascaut, Fabrice Mitoumba, François Puisieux, Annie Standaert, Patrick Wierre, Jean-Baptiste Beuscart, Jean Roche, Bertrand Décaudin
Přispěvatelé: Université de Lille, CHU Lille, Groupe de Recherche sur les formes Injectables et les Technologies Associées - ULR 7365 [GRITA], Groupe de Recherche sur les formes Injectables et les Technologies Associées (GRITA) - ULR 7365, METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694, Université Lille Nord (France), Laboratoire Génie Civil et géo-Environnement (LGCgE) - ULR 4515, Centre Hospitalier Régional Universitaire [Lille] [CHRU Lille], Institute for Translational Research in Inflammation - U 1286 [INFINITE (Ex-Liric)], Groupe de Recherche sur les formes Injectables et les Technologies Associées - ULR 7365 (GRITA), Université de Lille-Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille), Evaluation des technologies de santé et des pratiques médicales - ULR 2694 (METRICS)
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Healthcare
Healthcare, 2022, 10 (1), pp.147. ⟨10.3390/healthcare10010147⟩
Healthcare, Vol 10, Iss 147, p 147 (2022)
Healthcare; Volume 10; Issue 1; Pages: 147
ISSN: 2227-9032
Popis: Many older adults take benzodiazepines and sedative-hypnotics for the treatment of sleep disorders. With a view to considering the possible discontinuation of hypnotics, the objectives of the present study were to describe bedtime habits and sleep patterns in older adults and to identify the sleep medications taken. An expert group developed a structured interview guide for assessing the patients’ bedtime habits, sleep patterns, and medications. During an internship in a community pharmacy, 103 sixth-year pharmacy students conducted around 10 interviews each with older adults (aged 65 or over) complaining of sleep disorders and taking at least one of the following medications: benzodiazepines, benzodiazepine derivatives (“Z-drugs”), antihistamines, and melatonin. A prospective, observational study was carried out from 4 January to 30 June 2016. The pharmacy students performed 960 interviews (with 330 men and 630 women; mean ± standard deviation age: 75.1 ± 8.8). The most commonly taken hypnotics were the Z-drugs zolpidem (n = 465, 48%) and zopiclone (n = 259, 27%). The vast majority of patients (n = 768, 80%) had only ever taken a single hypnotic medication. The median [interquartile range] prescription duration was 120 (48–180) months. About 75% (n = 696) of the patients had at least 1 poor sleep habit, and over 41% (n = 374) had 2 or more poor sleep habits. A total of 742 of the patients (77%) reported getting up at night—mainly due to nycturia (n = 481, 51%). Further, 330 of the patients (35%) stated that they were keen to discontinue their medication, of which 96 (29%) authorized the pharmacist to contact their family physician and discuss discontinuation. In France, pharmacy students and supervising community pharmacists can identify problems related to sleep disorders by asking simple questions about the patient’s sleep patterns. Together with family physicians, community pharmacists can encourage patients to discuss their hypnotic medications.
Databáze: OpenAIRE
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