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Features of pharmacotherapy at elderly and senile patients

https://doi.org/10.21886/2712-8156-2021-2-4-6-15

Abstract

The high risk of developing adverse drug reactions (ADRs) among elderly and senile patients is caused several reasons. Firstly, the age‑associated changes organs and system cause certain changes in pharmacodynamics and pharmacokinetics of drugs and, as a consequence, atypical ADRs. Secondly, polymorbidity, which is often present in this category of patients, causes the phenomenon of polypharmacy, thereby exacerbating the aspect of drug‑drug interactions – one of the risk factors for the development of ADRs. Finally, low level of knowledge in this area healthcare practitioners causes reason developing of «pharmacological cascades». The active applying of geriatric pharmacology in clinical practices gives the chance do better live the quality of life and the prediction of diseases for elderly and senile patients.

About the Authors

A. V. Safronenko
Rostov State Medical University
Russian Federation

Andrey V. Safronenko, Dr. Sci. (Med.), professor, Head of the Department of pharmacology and clinical pharmacology

Rostov-on-Don

 



E. V. Gantsgorn
Rostov State Medical University
Russian Federation

Elena V. Gantsgorn, Cand. Sci. (Med.), аssociate professor of the Department of pharmacology and clinical pharmacology

Rostov-on-Don



V. A. Safronenko
Rostov State Medical University
Russian Federation

Victoria A. Safronenko, Cand. Sci. (Med.), associate professor at the Department of internal diseases no. 1

Rostov-on-Don



I. I. Kuznetsov
Rostov State Medical University
Russian Federation

Igor I. Kuznetsov, student; general medicine

Rostov-on-Don



N. V. Sukhorukova
Rostov State Medical University
Russian Federation

Natalya V. Sukhorukova, Cand. Sci. (Med.), аssociate professor of the Department of pharmacology and clinical pharmacology

Rostov-on-Don



A. V. Krishtopa
Rostov State Medical University
Russian Federation

Anna V. Krishtopa, Cand. Sci. (Med.), аssociate professor of the Department of pharmacology and clinical pharmacology

Rostov-on-Don

 



A. A. Osipova
Rostov State Medical University
Russian Federation

Alisa V. Osipova, student; general medicine

Rostov-on-Don



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Safronenko A.V., Gantsgorn E.V., Safronenko V.A., Kuznetsov I.I., Sukhorukova N.V., Krishtopa A.V., Osipova A.A. Features of pharmacotherapy at elderly and senile patients. South Russian Journal of Therapeutic Practice. 2021;2(4):6-15. (In Russ.) https://doi.org/10.21886/2712-8156-2021-2-4-6-15

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ISSN 2712-8156 (Print)