Geriatric Medications Flashcards
What class of drug is haloperidol?
First generation anti psychotic
What is the indication for haloperidol?
Nausea and vomiting
Schizophrenia
Acute delirium
Psychomotor agitation
Persistent aggression and psychotic symptoms in dementia
What are common side effects of haloperidol?
Extrapyramidal effects (parkinsonism, acute dystonia, akathisia, neuroleptic malignant syndrome), drowsiness, hypotension, QT prolongation and hyper prolactin anemia
How can haloperidol affect falling?
Makes patients more likely to fall due to parkinsonism and hypotension adverse effects
What type of drug is macrogol?
An osmotic laxative
What are side effects of osmotic laxatives?
Flatulence, abdominal cramping and nausea
What is the class, indication and side effects of oxybutynin?
Anti muscarinic
Urged incontinence/over active bladder
Dry mouth, constipation, exacerbation of cognitive impairment, N+V, dizziness/drowsiness, dyspepsia
What is the class, indication and side effects of Solfenacil?
Anti muscarinic
Used for urinary incontinence
Same as oxybutynin
What is the class, indication and side effects of Mirabegron?
Beta-3 antagonist
Used for urge urinary incontinence
Side effects of arrhythmias, constipation/diarrhoea, headache
What are the first line medications for use urinary incontinence?
Oxybutynin, tolteridine, darifenacin
What medications can be used for urinary incontinence if the first line medications are ineffective?
Solifenacin, tropsium
What is the class, indication and side effects of tamulosin?
Alpha adrenoreceptor antagonist (alpha blocker)
Indicated for benign prostatic hyperplasia
Side effects include dizziness, sexual dysfunction, postural hypotension (increased risk of falls in elderly especially those with orthostatic or postural hypotension)
What is the class and indications for use of doxazosin?
Alpha blocker, used for BPH and hypertension
What is the class, indication and side effects of finasteride?
5a reductase
Used for BPH and androgenetic alopecia in men
Sexual dysfunction
