Platt D
Fortschr Med. 1983 Sep 1;101(33):1449-54.
Geriatric patients often have several diseases so that in the acute phase the doctor has to treat with many drugs simultaneously. Elderly persons are more vulnerable to drug effects, both therapeutic and adverse. Physiological and pathological changes with aging influence geriatric drug therapy. Pharmacokinetic differences are generally consistent with age differences in renal and liver function, body composition, tissue perfusions, protein and cellular binding. The present paper gives some examples (glycosides, anticoagulants) of drug therapy and adverse reactions.
老年患者通常患有多种疾病,因此在急性期医生必须同时使用多种药物进行治疗。老年人更容易受到药物治疗作用和不良反应的影响。随着年龄增长出现的生理和病理变化会影响老年药物治疗。药代动力学差异通常与肾功能、肝功能、身体组成、组织灌注、蛋白质及细胞结合方面的年龄差异相一致。本文给出了一些药物治疗及不良反应的例子(糖苷类、抗凝剂)。