"iDoctor – Medical Blog"

Publication year: 2011
Source: The American Journal of Geriatric Pharmacotherapy, In Press, Corrected Proof, Available online 26 May 2011

Leslie Jackson, Conwell , Dominick, Esposito , Susan, Garavaglia , Eric S., Meadows , Margaret, Colby , …

Background: The Medicare Part D coverage gap has been associated with lower adherence and drug utilization and higher discontinuation. Because osteoporosis has a relatively high prevalence among Medicare-eligible postmenopausal women, we examined changes in utilization of osteoporosis medications during this coverage gap. Objectives: The purpose of this study was to investigate changes in out-of-pocket (OOP) drug costs and utilization associated with the Medicare Part D coverage gap among postmenopausal beneficiaries with osteoporosis. Methods: This retrospective analysis of 2007 pharmacy claims focuses on postmenopausal female Medicare beneficiaries enrolled in full-, partial-, or no-gap exposure standard or Medicare Advantage prescription drug plans (PDPs), retiree drug subsidy…

Publication year: 2011
Source: The American Journal of Geriatric Pharmacotherapy, In Press, Corrected Proof, Available online 23 May 2011

Michael D., Perloff , David E., Thaler , James A., Otis

 Background: Gabapentin is commonly used to treat neuropathic pain, seizures, and bipolar disease in older and elderly patients. It is preferred for its well-tolerated side effect profile. Anorgasmia with gabapentin use is reported, with most cases in young patients. Case summary: This report describes 4 older patients who experienced anorgasmia while taking gabapentin. Of 15 patients initiated on gabapentin in 18 months, 3 male patients aged 73, 76, and 78 years experienced dose-dependent anorgasmia. A fourth case, a 59-year-old female patient, was noted in another clinic. Orgasm returned when gabapentin was reduced or stopped. Although this is not a blinded study, anorgasmia in…

Helen Odell-Miller and Eleanor Richards (Eds.): Supervision of Music Therapy: A Theoretical and Practical Handbook

• Content Type Journal Article
• Pages 1-5
• DOI 10.1007/s10465-011-9111-9
• Authors
  • Carolyn Sonnen, 726 Broadmoor Drive, Annapolis, MD 21409, USA

• Journal American Journal of Dance Therapy
• Online ISSN 1573-3262
• Print ISSN 0146-3721

Publication year: 2011
Source: The American Journal of Geriatric Pharmacotherapy, In Press, Corrected Proof, Available online 19 May 2011

Jessica J., Jalbert , Lori A., Daiello , Charles B., Eaton , Susan C., Miller , Kate L., Lapane

 Background: Growing evidence suggests an association between antipsychotic use and diabetes onset in schizophrenia, but little is known about this association among patients with dementia. Objective: The aim of this study was to quantify the association between antipsychotic use and the risk of diabetes onset among nursing home residents with dementia. Methods: We conducted a nested case-control study in 29,203 long-stay Medicaid-eligible residents living in nursing homes in California, Florida, Illinois, New York, and Ohio between January 2001 and December 2002 who were at least 65 years old with a dementia diagnosis and no record of diabetes within 90 days of nursing home admission. We…

Abstracts from the 2010 Research Poster Session 45th Annual American Dance Therapy Association Conference

• Content Type Journal Article
• Pages 1-14
• DOI 10.1007/s10465-011-9104-8
• Authors
  • Laura M. Downey, 600 S. Michigan Avenue, Chicago, IL 60605, USA

• Journal American Journal of Dance Therapy
• Online ISSN 1573-3262
• Print ISSN 0146-3721

Publication year: 2011
Source: The American Journal of Geriatric Pharmacotherapy, In Press, Corrected Proof, Available online 12 May 2011

Ahmed, Alhusban , Susan C., Fagan

 Background: Stroke is a major health problem with significant impact on the affected individuals and the whole community. In light of stroke being the leading cause of disability, the ageing of the population and the high incidence of stroke among the elderly, highlight the importance of primary and secondary prevention interventions among this group. The elderly generally have been underrepresented in clinical trials, creating many uncertainties and less optimal medical care for this group of patients. Objective: This review aims to make evidence-based management recommendations for secondary stroke prevention in the elderly. Methods: Secondary prevention–related primary literature was identified using MEDLINE and PubMed (1982 to…

Publication year: 2011
Source: The American Journal of Geriatric Pharmacotherapy, In Press, Corrected Proof, Available online 12 May 2011

Maria Andrea, Baez , Jonathan, Avery

 Background: Drug-induced parkinsonism is a common medication side effect. Objective: The present report describes the case of a depressed elderly woman who developed parkinsonism after receiving risperidone and who had improvement of her depression and parkinsonism after electroconvulsive therapy (ECT). Case Summary: A 67-year-old white female was admitted to a psychiatry ward for a major depressive episode with psychotic features. The patient developed pronounced parkinsonian features after taking risperidone, which did not improve with discontinuation of the drug, or with benztropine and carbidopa/levodopa. A total score of 6 was achieved using Naranjo’s adverse drug reaction causality algorithm, suggesting risperidone was a probable cause of this…

Publication year: 2011
Source: The American Journal of Geriatric Pharmacotherapy, Volume 9, Issue 2, April 2011, Pages 95-96

Dan, Blazer

Publication year: 2011
Source: The American Journal of Geriatric Pharmacotherapy, Volume 9, Issue 2, April 2011, Pages 97-108

David R., Thomas

 Background: The loss of appetite, anorexia, is commonly observed in older persons and associated with adverse outcomes. It is becoming increasingly apparent that anorexia is the chief factor in producing weight loss in older adults. Although common and expected in acute illness, anorexia is also frequently associated with chronic diseases and leads to inadequate nutrient intake. Objective: The aim of this paper was to review clinical studies on the use of orexigenic drugs to stimulate appetite. Methods: Clinical trials were identified related to improving appetite and/or weight gain in older persons. Articles were identified by Ovid search using terms nutrition, anorexia, cachexia, weight loss, orexigenic…

Publication year: 2011
Source: The American Journal of Geriatric Pharmacotherapy, Volume 9, Issue 2, April 2011, Pages 109-119

Swapna U., Karkare , Sandipan, Bhattacharjee , Pravin, Kamble , Rajender, Aparasu

 Background: Late-life depression is a common psychiatric disorder associated with increased morbidity and mortality. Depression is often under-detected and undertreated in elderly nursing home residents. Objectives: The aim of this study was to examine the prevalence of antidepressant drug use and to identify the factors associated with its use among elderly nursing home residents. Methods: The study involved the analysis of a nationally representative sample of prescription and resident files from the 2004 National Nursing Home Survey (NNHS). The study sample included all elderly nursing home residents ≥65 years of age. The analysis focused on prescribing from any antidepressant class, including selective serotonin reuptake inhibitors…