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# Drugs that Commonly Cause Problems in Elderly This document provides a list of drugs that can cause problems in elderly individuals, along with adverse effects and monitoring guidelines. ## Drug List and Adverse Effects | Drug | Adverse Effects | |---|---| | Nonsteroidal anti-inflammatory drugs...

# Drugs that Commonly Cause Problems in Elderly This document provides a list of drugs that can cause problems in elderly individuals, along with adverse effects and monitoring guidelines. ## Drug List and Adverse Effects | Drug | Adverse Effects | |---|---| | Nonsteroidal anti-inflammatory drugs (e.g., ibuprofen, naproxen) | Gastrointestinal bleeding, renal dysfunction, hypotension, dehydration, electrolyte disturbance, bleeding, many drug interactions | | Diuretics (e.g., hydrochlorothiazide, furosemide) | Hypotension, dehydration, electrolyte disturbance, bleeding, many drug interactions | | Warfarin | Bleeding, many drug interactions | | Angiotensin-converting enzyme inhibitors (e.g., lisinopril) | Hypotension, renal dysfunction | | Antidepressants (e.g., amitriptyline) | Confusion, hypotension, constipation | | Opiates (e.g., morphine) | Confusion, disorientation, constipation, osteoporosis, gastrointestinal problems, hyperglycemia | | Prednisone | Osteoporosis, gastrointestinal problems, hyperglycemia | | Benzodiazepines (e.g., lorazepam) | Drowsiness, confusion | ## Guidelines for Monitoring Medication Use This section outlines the monitoring guidelines for the listed drugs. | Drug | Monitoring | |---|---| | Acetaminophen (>4 g/day) | Hepatic function tests | | Aminoglycosides | Serum creatinine, drug levels | | Hypoglycemic agents | Blood sugar levels | | Antiepileptic agents (older) | Drug levels | | Angiotensin-converting enzyme inhibitors (older) | Drug levels | | Antipsychotic agents | Extrapyramidal adverse effects, weight, appetite | | Appetite stimulants | Weight, appetite | | Statins | Hepatic function tests | | Theophylline | Drug levels | | Digoxin | Serum creatinine, drug levels | | Diuretics | Potassium levels | | Erythropoiesis stimulants | Blood pressure, iron and ferritin levels, complete blood count (CBC) | | Fibrates | Hepatic function test, complete blood count, iron and ferritin levels, complete blood count | | Lithium | Drug levels | | Niacin (B3) | Blood sugar levels | | Thyroid replacement | Thyroid function tests | | Warfarin | Prothrombin time/international normalized ratio (PT/INR) | **Note:** The table shows the possible monitoring needed. The specific tests and frequency will depend on individual patient factors and the specific drug being used.. The table is formatted to clearly indicate the kinds of monitoring to be done for each drug.