Taşdemir Anil, Belice Tahir, Yüksel Arif
Department of Internal Medicine, University of Health Sciences, Bozyaka Training and Research Hospital, Izmir, Turkey.
J Family Med Prim Care. 2020 Aug 25;9(8):4454-4455. doi: 10.4103/jfmpc.jfmpc_852_20. eCollection 2020 Aug.
With this case report, we want to assess the synergistic effect of both a diuretic and an SGLT-2 inhibitor on the fall event of a patient who is 65 years old and has a history of repeated falls before. After we modified the medications appropriately, she has never experienced a fall event again. So as we know, older adults do not take fall events as a pathological condition instead of a normal physiological aging process. So primary-care physicians should question the fall history of an older patient before starting a drug such as SGLT-2 inhibitors, which is known as an agent that has side effects including falls, dehydration, etc.
通过本病例报告，我们希望评估利尿剂和SGLT-2抑制剂对一名65岁且既往有反复跌倒史患者跌倒事件的协同作用。在我们适当调整用药后，她再也没有经历过跌倒事件。如我们所知，老年人并不将跌倒事件视为一种病理状况，而是正常的生理衰老过程。因此，基层医疗医生在开始使用如SGLT-2抑制剂这类已知有包括跌倒、脱水等副作用的药物之前，应该询问老年患者的跌倒史。
