Please use this identifier to cite or link to this item: https://hdl.handle.net/20.500.12530/54254
Title: [Making balances between the risks and benefits of pharmacological treatment in dementia, chronic pain and anticoagulation in elderly persons].
Authors: 
Keywords: 
Mesh: 
Issue Date: 2018
Citation: Aten Primaria.2018 11;(50 Suppl 2):39-50
Abstract: In dementia, specific drugs and psychotropic drugs used for psychotic and behavioral symptoms have limited efficacy. Adverse effects may be important given the age and comorbidity of the patients. It is necessary, frequently, its withdrawal, planned together with the family, monitoring the response and offering non-pharmacological treatment alternatives. Chronic pain is suffered by 25-76% of the elderly who live in a community and is more frequent in women. The treatment is multidisciplinary, establishing realistic objectives, individualizing it, starting with lower doses of drugs and continuously reevaluating to control side effects and to get the correct level of analgesia. The prevalence of atrial fibrillation increases with age and is underdiagnosed. ACO is recommended with dicoumarin or direct oral anticoagulants not antagonists of vitamin K, in patients with AF older than 65 years unless contraindicated, to reduce embolic risk, confirming subgroup analyzes similar efficacy in prevention of stroke.
PMID: 30563624
URI: https://hdl.handle.net/20.500.12530/54254
Appears in Collections:Centros de Atención Primaria > Artículos

Files in This Item:
File Description SizeFormat 
PMC6836956.pdf409.17 kBAdobe PDFThumbnail
View/Open


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.