What are five common medications that may pose risks for seniors over 70?

✓ Accepted answer

Five common medication classes that pose significant risks for adults over 70 are benzodiazepines, anticholinergics, nonsteroidal anti-inflammatory drugs (NSAIDs), proton pump inhibitors, and long-acting sulfonylureas.

• Benzodiazepines: Often prescribed for anxiety or sleep, drugs like diazepam increase the risk of falls and cognitive impairment. The American Geriatrics Society classifies these as potentially inappropriate in older adults, recommending the lowest effective dose for the shortest duration.
• Anticholinergics: Many common drugs, including certain antihistamines and antidepressants, block acetylcholine. Accumulation can lead to confusion, constipation, and urinary retention. A score of 3 or higher on the Anticholinergic Cognitive Burden scale warrants an immediate review with a healthcare provider.
• NSAIDs: Regular use of ibuprofen or naproxen increases the risk of gastrointestinal bleeding and kidney injury. For seniors over 70, acetaminophen is generally safer for short-term pain relief, provided liver function is monitored.
• Proton Pump Inhibitors: Long-term use of medications like omeprazole is linked to increased risks of hip fractures, vitamin B12 deficiency, and kidney disease. The UK’s National Institute for Health and Care Excellence advises reviewing the need for these drugs after just four weeks of use.
• Sulfonylureas: Older generation diabetes medications can cause severe hypoglycemia. If prescribed, limit doses to no more than 5 mg daily for glibenclamide and schedule blood sugar checks twice weekly to catch low levels early.

admin · 2026-10-13 23:56:38