Malaysian Pharmaceutical Society 5 th Pharmacy Scientific Conference

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Quality Use of Medicines and Pharmacy Research Centre / Sansom Institute University of South Australia Malaysian Pharmaceutical Society 5 th Pharmacy Scientific Conference “Responding to new roles & challenges” Geriatrics: The pharmacists’ role in improving health outcomes for older people through quality use of medicines Andrew Gilbert University of South Australia

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Malaysian Pharmaceutical Society 5 th Pharmacy Scientific Conference “Responding to new roles & challenges” Geriatrics: The pharmacists’ role in improving health outcomes for older people through quality use of medicines Andrew Gilbert University of South Australia. Overview. - PowerPoint PPT Presentation

Transcript of Malaysian Pharmaceutical Society 5 th Pharmacy Scientific Conference

  • Diagnosis for NSAID induced gastric haemorrhage/1000 patients

    attributable risk

    age (years)

    Sheet:

    0-49

    50-59

    60-69

    70-79

    80-99

    Quality Use of Medicines and Pharmacy Research Centre / Sansom InstituteUniversity of South Australia

    Types of medicines usedLow therapeutic index drugs-Digoxin, lithium carbonate, methotrexate Drugs to which older people are known to be more sensitive;-Trimethaprim+sulphamethazole, antihypertensives, antidepressants, vasodilators, NSAIDs, H2 receptor antagonists,anticholinergics.

    Quality Use of Medicines and Pharmacy Research Centre / Sansom InstituteUniversity of South Australia

    What medications cause most problems?

  • ADRs reported from Australian hospitals data (Roughead et al 2002)

    Quality Use of Medicines and Pharmacy Research Centre / Sansom InstituteUniversity of South Australia

    In the community settingMain medication groups involvedCardiac medications (39% of ADRs)CNS medications (27%)Musculoskeletal (12%) At the level of medication classACE inhibitors accounted for 14% of all ADRsantidepressants 11%NSAIDs 10%

    Quality Use of Medicines and Pharmacy Research Centre / Sansom InstituteUniversity of South Australia

    The older population The world health report 2005

    Chart2

    238840462670

    10197402147930

    13335402713280

    13361102322250

    13675802257050

    13502902009650

    14698101786140

    14266401627400

    14888601564520

    14669801431160

    13627801191460

    1279210943550

    1011110661970

    803010555870

    678640389190

    622680278350

    513500152730

    31520088860

    17269034790

    6275011280

    151601730

    2440230

    Australian Population

    Malaysian Population

    Age Group

    Population

    Popluation by age group; Malaysia and Australia (2003)

    Sheet1

    rangeActual PopulationActual DeathsnMxnqxlxndxnLxTxex