Screening Tool of Older Person's (STOPP) for Potentially Inappropriate Prescriptions: Respiratory and Endocrine Disorders

Description

Gallagher et al used the STOPP (Screening Tool of Older Person's Prescriptions) to help guide therapy in older adults. An important category are those used for patients with gastrointestinal or genitourinary disorders. The authors are from Cork University in Ireland.

Patient selection: age >= 65 years

Respiratory Drug	Comorbid	Other	Adverse Effect
theophylline monotherapy	COPD		safer alternative, narrow therapeutic index
systemic corticosteroids, long-term maintenance	moderate to severe COPD		adverse side effects of corticosteroids
nebulized ipatropium	glaucoma		glaucoma exacerbation

Endocrine Drug	Comorbid	Other	Adverse Effect
glibenclamide or chlorpropamide	type 2 diabetes		hypoglycemia
beta blockers	diabetes mellitus with hypoglycemic episodes		masking of hypoglycemic symptoms
estrogens	breast cancer		risk of cancer recurrence
estrogens	venous thrombo-embolism		risk of recurrent thrombosis
estrogens without progresterone	intact uterus		endometrial hyperplasia and cancer

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Screening Tool of Older Person's (STOPP) for Potentially Inappropriate Prescriptions: Respiratory and Endocrine Disorders

Description

Specialty