Potential for Alcohol and Prescription Drug Interactions in Older People

Pringle, Kristine E.; Ahern, Frank M.; Heller, Debra A.; Gold, Carol; Brown, Theresa J.

doi:10.1111/j.1532-5415.2005.00474.x

Cited by 101 publications

(116 citation statements)

References 14 publications

(40 reference statements)

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“…23 The interaction of alcohol and medication puts the elder adult at unnecessary risk of an adverse event and/or non-control of the condition being treated. 9,10,47,48 Within the context of chronic illness management, at-risk alcohol consumption may be responsible for poor medication adherence, intractable hypertension, increased bleeding, and/or poor self-management skills. [35][36][37]49,50 Currently, universal alcohol screening is recommended by the United States Preventive Services Task Force, 51 and recently, the Centers for Medicare and Medicaid Services approved Medicare payment for alcohol screening and four brief counseling sessions.…”

Section: Discussionmentioning

confidence: 99%

“…[5][6][7] Moreover, any alcohol use in older adults with specific chronic conditions and/or specific prescription regimes could contribute to adverse medical events. [8][9][10][11] The National Institute on Alcohol Abuse and Alcoholism (NIAAA) defines at-risk drinking for persons over 65 years of age as more than seven drinks per week or more than three drinks on any single day. 8,9 Recent studies have estimated the percentage of older adults that drink in excess of this guideline.…”

Section: Introductionmentioning

confidence: 99%

“…[19][20][21][22] While alcohol consumption within guidelines may be permissible in some individuals with diabetes and cardiovascular disease, alcohol is not advised with certain prescription medications and can cause serious consequences. 10,23 For example, alcohol consumption can interfere with the effectiveness of medications commonly used to treat conditions such as hypertension and depression. 9 Despite the potential negative impact of alcohol on persons with chronic illness, studies suggest some health benefits to light or moderate drinking.…”

Section: Introductionmentioning

confidence: 99%

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Drinking Patterns of Older Adults with Chronic Medical Conditions

et al. 2013

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BACKGROUND: Understanding alcohol consumption patterns of older adults with chronic illness is important given the aging baby boomer generation, the increase in prevalence of chronic conditions and associated medication use, and the potential consequences of excessive drinking in this population. OBJECTIVES: To estimate the prevalence of alcohol consumption patterns, including at-risk drinking, in older adults with at least one of seven common chronic conditions. DESIGN/METHODS: This descriptive study used the nationally representative 2005 Medicare Current Beneficiary Survey linked with Medicare claims. The sample included community-dwelling, fee-for-service beneficiaries 65 years and older with one or more of seven chronic conditions (Alzheimer's disease and other senile dementia, chronic obstructive pulmonary disease, depression, diabetes, heart failure, hypertension, and stroke; n=7,422). Based on selfreported alcohol consumption, individuals were categorized as nondrinkers, within-guidelines drinkers, or at-risk drinkers (exceeds guidelines). RESULTS: Overall, 30.9 % (CI 28.0-34.1 %) of older adults with at least one of seven chronic conditions reported alcohol consumption in a typical month in the past year, and 6.9 % (CI 6.0-7.8 %) reported at-risk drinking. Older adults with higher chronic disease burdens were less likely to report alcohol consumption and at-risk drinking. CONCLUSIONS: Nearly one-third of older adults with selected chronic illnesses report drinking alcohol and almost 7 % drink in excess of National Institute on Alcohol Abuse and Alcoholism (NIAAA) guidelines. It is important for physicians and patients to discuss alcohol consumption as a component of chronic illness management. In cases of at-risk drinking, providers have an opportunity to provide brief intervention or to offer referrals if needed.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Drinking Patterns of Older Adults with Chronic Medical Conditions

et al. 2013

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“…A number of studies have investigated the prevalence of alcohol/medication interactions in older adults. Using data from 83 321 participants aged 65 to 106 years in the Pennsylvania PAcE program (a state-funded program providing prescription benefits to older persons with low to moderate incomes), the researchers found that 19% of those consuming alcohol (20.3% of the sample) took medications that could have negative interactions with alcohol [65].…”

Section: Interaction With Medicationsmentioning

confidence: 99%

Alcohol and older people from a public health perspective

Anderson

Scafato

Galluzzo

2012

Annali Dell'Istituto Superiore Di Sanità

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Abstract. Objectives and methods. As part of the European project VINTAGE, a systematic review of scientific literature was undertaken to document the evidence base on the impact of alcohol on the health and well-being of older people, and on effective policies and preventive approaches to face the problem in this steadily increasing segment of the population. Results. 369 references were identified, from which 78 papers were selected. Conclusions. The review confirms the paucity of data on this topic and the need for more specific research. Although there is scarce evidence, the elderly seems to respond equally well to alcohol policy, screening instruments and brief interventions as do younger adults. According to a lifecycle approach, a future focus on the middle aged is also recommended.Key words: aged, alcohol drinking, public health, Europe, review.Riassunto (alcol e anziani in una prospettiva di salute pubblica). Obiettivi e Metodi. Nell'ambito del progetto europeo VINTAGE, è stata condotta una revisione sistematica della letteratura scientifica, al fine di fornire la base di evidenza sull'impatto del consumo di alcol sulla salute e il benessere degli anziani, e su misure e interventi di prevenzione efficaci nel fronteggiare il problema in questo segmento della popolazione in costante aumento. Risultati. Dai 369 riferimenti bibliografici identificati, sono stati selezionati 78 articoli. Conclusioni. La revisione conferma la carenza di dati sull'argomento e la necessità di ricerche mirate. Nonostante la scarsità di evidenze, sembra che gli anziani rispondano altrettanto bene degli adulti alle politiche sull'alcol, agli strumenti di screening e all'intervento breve. In un'ottica che investe l'intero arco della vita, si raccomanda di focalizzare gli interventi futuri anche sugli adulti.Parole chiave: anziani, assunzione di alcolici, salute pubblica, Europa, rassegna.

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“…Alcohol interacts with many other drugs, including prescription, over-the-counter medications and herbal preparations (Izzo & Ernst 2001;Koski et al 2005;Pringle et al 2005;Weathermon & Crabb 1999). The effects of combining alcohol and medication depend on the type, route and dosage of medication, the volume of alcohol consumed, and also on personal factors, such as genetics, gender and comorbid health conditions (Weathermon & Crabb 1999).…”

Section: Appendixesmentioning

confidence: 99%