Drugs for the Geriatric Patient by Ronald I. Shorr MD MS

By Ronald I. Shorr MD MS

This straightforward, accomplished drug reference, point-of-care utilization -provides medical info on greater than a thousand medicines and their use in geriatric sufferers. as well as dosage details and scientific symptoms, this reference additionally addresses the tough problems with drug-drug and drug-disease interactions, polypharmacy, toxicity, compromised renal and hepatic functionality, withdrawal occasions, and extra. invaluable precis sections supply 'at a look' conclusions, techniques and scientific pearls.

  • Get accomplished suggestions on all of the medicinal drugs you'll conceivably come upon in treating the geriatric patient.
  • Better serve your geriatric sufferers with dosage and utilization guidance built particularly for them.
  • Find details fast utilizing the sensible, clinically-focused, full-color format.

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Protein binding: greater than 99%. Metabolized in liver. Excreted in bile and urine. Not removed by hemodialysis. Half-life: 49 hr. ■ Available Forms: • Capsules: 10 mg, 25 mg (Soriatane). 16 ■ Indications and Dosages: Psoriasis: PO 25-50 mg/day as a single dose with main meal. May increase to 75 mg/day if necessary and dose tolerated. Maintenance: 25-50 mg/day after the initial response is noted. Continue until lesions have resolved. ■ Contraindications: Severely impaired liver or kidney function, chronic abnormal elevated lipid levels, concomitant use of methotrexate or tetracyclines, hypersensitivity to acitretin, etretinate, or other retinoids, sensitivity to parabenz (used as preservative in gelatin capsule) ■ Side Effects Frequent Lip inflammation, alopecia, skin peeling, shakiness, dry eyes, rash, hyperesthesia, paresthesia, sticky skin, dry mouth, epistaxis, dryness/thickening of conjunctiva Occasional Eye irritation, brow and lash loss, sweating, chills, sensation of cold, flushing, edema, blurred vision, diarrhea, nausea, thirst ■ Serious Reactions • Benign intracranial hypertension (pseudotumor cerebri) occurs rarely.

Unknown if removed by hemodialysis. 5 hr. ■ Available Forms: • Tablets: 300 mg. • Oral Solution: 20 mg/ml. ■ Indications and Dosages: HIV infection (in combination with other ID-antiretrovirals): PO 300 mg twice a day or 600 mg once daily. Dosage in hepatic impairment: Mild impairment: 200 mg twice a day. Moderate to severe impairment: Not recommended. ■ Contraindications: Moderate or severe hepatic impairment ■ Side Effects Frequent Nausea (47%), nausea with vomiting (16%), diarrhea (12%), decreased appetite (11%) Occasional Insomnia (7%) ■ Serious Reactions • A hypersensitivity reaction may be life-threatening.

Metabolized in the liver. Excreted in the urine. ■ Available Forms: • Cream: (Aclovate) • Ointment: (Aclovate) ■ Indications and Dosages: Atopic dermatitis, contact dermatitis, dermatitis, discoid lupus erythematosus, eczema, exfoliative dermatitis, granuloma annulare, lichen planus, lichen simplex, polymorphous light eruption, pruritus, psoriasis, Rhus dermatitis, seborrheic dermatitis, xerosis: Topical Apply a thin film to the affected area 2-3 times a day. 27 ■ Contraindications: Hypersensitivity to alclometasone, other corticosteroids, or any of its components.

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