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Hiponatremiye neden olan ilaçların yaşlı hastalarda eşzamanlı kullanımı: Bir vaka sunumu

Year 2021, Volume: 60 Suppl:1 (Geriatrics), 67 - 69, 19.04.2021
https://doi.org/10.19161/etd.915690

Abstract

Koruyucu sağlık hizmetlerinin önemi tekrar tekrar gündeme gelirken, sağlık profesyonelleri artık, artan geriatrik nüfusun sorunlarını, henüz ortaya çıkmadan, irdeleyerek çözümler aramaktadır. Geriatrik hastalarda ilaç-ilaç etkileşimi riski, etkileşme olasılığı daha düşük olan ilaç grupları seçilerek kısmen de olsa önlenebilmektedir. Geriatrik hastalarda ilaç seçimi, kısa sürede hiponatremiye neden olabilecek serotonin-norepinefrin geri alım inhibitörleri, seçici serotonin geri alım inhibitörIeri, diüretikler, proton pompa inhibitörleri ve non-steroidal anti-inflamatuvar ilaçlar gibi potansiyel medikasyonların kullanımında önemli olabilmektedir. Bu olgu sunumunda venlafaksin kullanımı sonrası hiponatremi gelişen bir geriatrik hasta sunulmuştur.

References

  • Venlafaxine: more dangerous than most "selective" serotonergic antidepressants. Prescrire Int 2016; 25 (170): 96-9.
  • Liamis G, Megapanou E, Elisaf M, Milionis H. Hyponatremia-Inducing Drugs. Front Horm Res 2019; 52: 167-77.
  • Coupland C, Dhiman P, Morriss R, Arthur A, Barton G, Hippisley-Cox J. Antidepressant use and risk of adverse outcomes in older people: population-based cohort study. BMJ 2011; 2 (343): d4551.
  • De Picker L, Van Den Eede F, Dumont G, Moorkens G, Sabbe BG. Antidepressants and the risk of hyponatremia: a class-by-class review of literature. Psychosomatics 2014; 55 (6): 536-47.
  • Filippatos TD, Makri A, Elisaf MS. Hyponatremia in the elderly: challenges and solutions. Clin Interv Aging 2017; 14 (12): 1957-65.

The concurrent use of hyponatremia-inducing drugs in older patients, a case report

Year 2021, Volume: 60 Suppl:1 (Geriatrics), 67 - 69, 19.04.2021
https://doi.org/10.19161/etd.915690

Abstract

While the value of preventive healthcare services comes up repeatedly, the healthcare professionals are now trying to find solutions for the expanding geriatric population's problems before they occur. The risk of drug-drug interactions may get preventively reduced in older patients with the selection of co-medications that are less likely to interact. The choice of drugs for older patients is crucial when commencing with potential incriminated agents together, such as, serotonin and norepinephrine reuptake inhibitors, selective serotonin reuptake inhibitors, diuretics, proton pump inhibitors, nonsteroidal anti-inflammatory drugs, etc., which could interact with each other and cause hyponatremia in a short period of time. In this paper, a rare case of an older patient with venlafaxineinduced hyponatremia has been presented.

References

  • Venlafaxine: more dangerous than most "selective" serotonergic antidepressants. Prescrire Int 2016; 25 (170): 96-9.
  • Liamis G, Megapanou E, Elisaf M, Milionis H. Hyponatremia-Inducing Drugs. Front Horm Res 2019; 52: 167-77.
  • Coupland C, Dhiman P, Morriss R, Arthur A, Barton G, Hippisley-Cox J. Antidepressant use and risk of adverse outcomes in older people: population-based cohort study. BMJ 2011; 2 (343): d4551.
  • De Picker L, Van Den Eede F, Dumont G, Moorkens G, Sabbe BG. Antidepressants and the risk of hyponatremia: a class-by-class review of literature. Psychosomatics 2014; 55 (6): 536-47.
  • Filippatos TD, Makri A, Elisaf MS. Hyponatremia in the elderly: challenges and solutions. Clin Interv Aging 2017; 14 (12): 1957-65.
There are 5 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Case Reports
Authors

Fatma Ece Kocaoğlu 0000-0002-6286-132X

Tahir Belice 0000-0001-7957-3423

İsmail Demir 0000-0001-7787-1443

Arif Yüksel 0000-0002-8568-5787

Publication Date April 19, 2021
Submission Date January 18, 2021
Published in Issue Year 2021Volume: 60 Suppl:1 (Geriatrics)

Cite

Vancouver Kocaoğlu FE, Belice T, Demir İ, Yüksel A. The concurrent use of hyponatremia-inducing drugs in older patients, a case report. EJM. 2021:67-9.