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Prescription drug abuse and the aging: The hidden epidemic

Bnnnie B. Wilford, MS, Johnson, Bassin & Shaw, Inc., Center for Health Services & Outcomes Research, 8630 Fenton Street, Ste. 1200, Silver Spring, MD 20910-3803, 301-495-1080, BWilford@jbs1.com

Problems related to the misuse and abuse of prescription and over-the-counter drugs are among the fastest growing health concerns among adults aged 60 and older. Indeed, federal data suggest that up to 17% of adults aged 60 and older are affected. Yet even as the number of older adults suffering from these disorders climbs, the situation of many remains underidentified, underdiagnosed, and undertreated. Multiple factors contribute: A. The aging process reduces older adults' ability to metabolize drugs and alcohol, reducing tolerance and escalating the onset of toxic states. B. Drug-related problems often are overlooked because their symptoms are incorrectly attributed to chronic diseases or to the natural decrements of aging. C. Drug trials of new medications often do not include older subjects, leaving clinicians without important information about adverse reactions or unexpected psychoactive effects in this population. D. Even when problems are accurately diagnosed, interventions may not be forthcoming because health care professionals, family members and patients deny or minimize the problem.

This presentation will summarize data compiled for a new federal initiative on prescription drug problems among older adults, as well as recommendations for public health initiatives to address the problem.

Learning Objectives:

Presenting author's disclosure statement:
I have a significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.
Relationship: federal government contractor

Prescription Drug Problem Use: Emerging Issues

The 132nd Annual Meeting (November 6-10, 2004) of APHA