Seniors In The South Are More Apt To Be Prescribed Risky Drugs | WAMU 88.5 - American University Radio

NPR : News

Filed Under:

Seniors In The South Are More Apt To Be Prescribed Risky Drugs

Health care types have spent years trying to make the point that seniors are being prescribed medications are unnecessary and dangerous. But the message hasn't really sunk in.

More than 20 percent of people with Medicare Advantage coverage are taking at least one high-risk medication, a new study finds.

People in the Southeast are especially vulnerable, the data show. In many parts of the South, more than one-third of seniors are taking drugs that they should avoid or sub out for something safer. Ten percent are taking two or more.

"Geography really stands out," says Amal Trivedi, an associate professor of health services policy and practice at Brown University's Alpert Medical School. He's a co-author of the study, which was published in the April Journal of General Internal Medicine.

More than 38 percent of Medicare Advantage enrollees in Albany, Ga., got at least one risky drug, compared 10 percent in Mason City, Iowa, the area with the lowest rate. The people prescribed risky drugs were more likely to be poor, white, and female.

Why are Southerners more likely to be given risky meds? It could be that patients are asking for them, Trivedi says. Or it could be that doctors there are more apt to stick with old prescribing habits. But whatever the reason, he says, it's a marker for poor-quality health care.

The risky drugs include obvious culprits like amphetamines, barbiturates, muscle relaxants, and narcotics. Then there are old-style sedating antihistamines, and medications for depression and anxiety like long-acting diazepam, or Valium, which can cause apnea, and cardiac arrest. Many of the drugs increase the risk of falls.

"Because the the medication stays in the body longer, it increase the risk of falls and fracture," says Danya Qato, a pharmacist, graduate student, and co-author of the study. "If the physician decides to prescribe a benzo, there are short-acting alternatives."

Trivedi was surprised to see that older patients were being prescribed chlorpropamide, a long-acting drug that reduces blood sugar in diabetics. "In younger populations it's fine," Trivedi, an internal medicine physician with older patients, told Shots. But because it older people take longer to metabolize drugs, they run the risk of having their blood sugar go dangerously low.

The researchers used the National Committee for Quality Assurance's list of drugs to avoid in the elderly. Doctors should all have this information, but the numbers in this study make it clear that patients and caregivers need to be on this, too.

"The take-home message for patients is to take ownership of their drug therapy," Qato says. "As a pharmacist, I love talking to patients about their drug therapy."

People should talk with their doctors about risky medications, Qato says. And they also should make an appointment with their pharmacist, go over their meds list, and ask which drugs are good candidates to be stopped or replaced with a less risky product.

Copyright 2013 NPR. To see more, visit http://www.npr.org/.

NPR

Among The Young And Privileged In North Korea

American journalist Suki Kim spent six months teaching English at a North Korean University that serves the sons of the elite. She chronicles her experience in a new book, Without You, There Is No Us.
NPR

From NFL To 'Scandal,' Whole Foods Buys TV Ads To Boost Its Brand

A pioneer in selling organic, sustainable groceries, Whole Foods now finds itself beset by competitors. So it's launching its first national ad blitz to sell socially conscious consumers on its story.
NPR

Obama Sits Out Campaigning As Fill-Ins Stump For Democrats

With President Obama's popularity suffering, other big-name Democrats are trying to give candidates a boost. Steve Inskeep talks to NPR's Don Gonyea about what they're telling voters.
NPR

In Silicon Valley, Paying For Access To Peace Of Mind

The San Francisco area is the home to the high-tech sector and has a history of embracing Eastern spirituality. Now the two meet in the yoga and meditation classes popular with the local tech workers.

Leave a Comment

Help keep the conversation civil. Please refer to our Terms of Use and Code of Conduct before posting your comments.