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One in 5 older Americans take medications that work against each other
Date:3/13/2014

treated, or whether this "competition" between drug treatments means one concern should go untreated. It may also be possible in some cases to identify ways to treat both conditions in ways that don't conflict with one another.

A common issue, for example, is patients who have both coronary heart disease and chronic obstructive pulmonary disease, or COPD. Beta blockers are often prescribed to treat the heart disease, but those same drugs can cause airway resistance that worsens the COPD.

"There are several types of beta blocker that don't cause this negative interaction, but many of the other types are still prescribed anyway," Lee said. "It's this type of information that would be of value in addressing these issues if it were more widely known and used."

The chronic conditions in which competing therapies come into play include many common health concerns coronary artery disease, diabetes, COPD, dementia, heart failure, hypertension, high cholesterol, osteoarthritis and others.

This study was done by researchers from OSU and the Yale University School of Medicine, with 5,815 community-living adults between the years 2007-09. The lead author of the study was Dr. Mary E. Tinetti at Yale University, and it was supported by the National Institutes of Health. The analysis included a nationally representative sample of older adults, and both men and women.

The research identified some of the most common competing chronic conditions, in which medications for one condition may exacerbate the other. They included hypertension and osteoarthritis; hypertension and diabetes; hypertension and COPD; diabetes and coronary artery disease; and hypertension and depression. These issues affect millions of older Americans.

"More than 9 million older adults in the U.S. are being prescribed medications that may be causing them more harm than benefit," said Jonathan Lorgunpai, a medical student at the Yale School of Medicine and c
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Contact: David Lee
leedav@onid.oregonstate.edu
503-494-2258
Oregon State University
Source:Eurekalert

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