Einstein/Montefiore Department of Medicine

Psychotropic Drug Prescribing Patterns and Use for Older Adults

Contacts 

Laurie Jacobs, MD
lajacobs@montefiore.org 


Claudene George, MD, RPh
clgeorge@montefiore.org 


Strategy 

Older adults have been found to have greater sensitivity at given concentrations of sedative-hypnotic medications. Psychotropic drugs have been linked to increased adverse effects in older adults, especially falls. Appropriate prescribing and monitoring is essential.

Using Clinical Looking GlassTM, a healthcare application that provides patient data for use in examining existing treatment results and formulating quality improvement strategies, Drs. Jacobs and George identified physicians' prescribing patterns of sedative-hypnotic medications for adults aged 65 years and older who received primary care at one of Montefiore Medical Center's internal medicine or family medicine ambulatory clinical sites. Additionally, they reviewed charts of all patients over 65 who were prescribed antipsychotic medications at the Moses Division's Emergency Department, with careful attention to patient characteristics, medication dosages, reasons for use, and lengths of stay.

This research resulted in the creation of an educational brochure for interdisciplinary staff, "Use of Sedative Hypnotics in Older Adults." 

Results 

"Use of Sedative Hypnotics in Older Adults" discusses multiple aspects of prescribing psychotropic medications for elderly patients:

  • recommended uses
  • side effects
  • medication selection
  • dosing
  • duration of use
  • risks vs. benefits of benzodiazepines, benzodiazepine receptor agonists, barbiturates, and medications affecting GABA function

Calendar

Thursday, December 04, 2014

Traditional Data Sources for Public Health Surveillance and Rapid Detection of Emerging Infectious Disease
John Samuel Brownstein, PhD
8:00 AM : Forchheimer Medical Science Building 3rd Floor Lecture Hall

Grand Rounds

Einstein (East) & Moses (West) Campus

Archive

Contact Us

Department of Medicine
Albert Einstein College of Medicine
Jack and Pearl Resnick Campus
Belfer Building - Room 1008
1300 Morris Park Avenue
Bronx, NY 10461 (directions)

718.430.2591
Fax: 718.430.8563

 
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