Analyzing Potential Interactions Between Complementary and Alternative Therapies, Over-the-Counter, and Prescription Medications in the Older Population.


Journal

The Permanente journal
ISSN: 1552-5775
Titre abrégé: Perm J
Pays: United States
ID NLM: 9800474

Informations de publication

Date de publication:
14 Jun 2024
Historique:
medline: 9 7 2024
pubmed: 9 7 2024
entrez: 9 7 2024
Statut: ppublish

Résumé

The escalating use of complementary and alternative medicine (CAM) raises concerns, particularly among geriatric patients taking multiple medications. Notably, the doubled chance of major drug interactions between prescription and over-the-counter (OTC) drugs in older adults underscores the need for further research. This study aimed to evaluate clinically significant CAM and prescription medication interactions in a geriatric clinic, emphasizing the growing importance of understanding CAM implications in health care. A 2-year cross-sectional study, approved by the Institutional Review Board, enrolled 420 participants aged 65 and older from a geriatric primary care clinic. Participants completed a survey, and pharmacy students conducted chart reviews to evaluate potential CAM products and prescription medication interactions. Among the 420 participants-who were predominantly White females and who were taking supplements, OTC medications, or both-15.6% experienced potential drug interactions. This study highlighted the significant use of CAM and/or OTC medications, particularly among vulnerable older adults, revealing a concerning 15.6% rate of potential drug interactions. The findings emphasized the need for awareness among health care practitioners and standardized CAM surveys to enhance accuracy and patient safety.

Sections du résumé

BACKGROUND BACKGROUND
The escalating use of complementary and alternative medicine (CAM) raises concerns, particularly among geriatric patients taking multiple medications. Notably, the doubled chance of major drug interactions between prescription and over-the-counter (OTC) drugs in older adults underscores the need for further research. This study aimed to evaluate clinically significant CAM and prescription medication interactions in a geriatric clinic, emphasizing the growing importance of understanding CAM implications in health care.
METHODS METHODS
A 2-year cross-sectional study, approved by the Institutional Review Board, enrolled 420 participants aged 65 and older from a geriatric primary care clinic. Participants completed a survey, and pharmacy students conducted chart reviews to evaluate potential CAM products and prescription medication interactions.
RESULTS RESULTS
Among the 420 participants-who were predominantly White females and who were taking supplements, OTC medications, or both-15.6% experienced potential drug interactions.
CONCLUSION CONCLUSIONS
This study highlighted the significant use of CAM and/or OTC medications, particularly among vulnerable older adults, revealing a concerning 15.6% rate of potential drug interactions. The findings emphasized the need for awareness among health care practitioners and standardized CAM surveys to enhance accuracy and patient safety.

Identifiants

pubmed: 38980791
doi: 10.7812/TPP/23.183
doi:

Substances chimiques

Nonprescription Drugs 0
Prescription Drugs 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

70-77

Déclaration de conflit d'intérêts

Conflicts of Interest None declared

Auteurs

Ecler Ercole Jaqua (EE)

Loma Linda University School of Medicine, Family Medicine Department, Geriatric Medicine Division, Loma Linda, CA, USA.

Jody Gonzalez (J)

Loma Linda University, School of Pharmacy, Loma Linda, CA, USA.

Khaled Bahjri (K)

Loma Linda University, School of Pharmacy, Loma Linda, CA, USA.

Shasta Erickson (S)

Loma Linda University, School of Pharmacy, Loma Linda, CA, USA.

Clarissa Garcia (C)

Loma Linda University, School of Pharmacy, Loma Linda, CA, USA.

Montinee Santhavachart (M)

Loma Linda University, School of Pharmacy, Loma Linda, CA, USA.

Van Nguyen (V)

Loma Linda University Medical Center-Murrieta, Family Medicine Department, Loma Linda, CA, USA.

Wessam Labib (W)

Loma Linda University School of Medicine, Family Medicine Department, Geriatric Medicine Division, Loma Linda, CA, USA.

Rasha Abdrabou (R)

Loma Linda University, School of Allied Health Professions, Loma Linda, CA, USA.

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Classifications MeSH