Association between prescribing of antimuscarinic drugs and antimuscarinic adverse effects in older people

Clare Bostock, Roy Soiza, Arduino Mangoni

    Research output: Contribution to journalArticle

    32 Citations (Scopus)

    Abstract

    Many commonly prescribed medications have antimuscarinic side effects. These can be severe and disabling, but it is not always possible to predict which patients will suffer these effects. The development of practical tools that predict the likelihood of adverse drug reactions would aid rational prescribing, thereby improving patient safety and outcomes. Avoiding predictable adverse drug reactions would also make significant cost savings. This paper discusses the current knowledge on the association between the prescribing of antimuscarinic drugs and adverse outcomes, and proposes novel ways to improve trial design, and data collection and interpretation in order to better identify those patients at the highest risk of antimuscarinic side effects.

    Original languageEnglish
    Pages (from-to)441-452
    Number of pages12
    JournalExpert Review of Clinical Pharmacology
    Volume3
    Issue number4
    DOIs
    Publication statusPublished - Jul 2010

    Keywords

    • adverse drug reactions
    • anticholinergic drugs
    • antimuscarinic drugs
    • drug safety
    • elderly patients
    • prescribing

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