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Anticholinergic burden and most common anticholinergic-acting medicines in older general practice patients Cover

Anticholinergic burden and most common anticholinergic-acting medicines in older general practice patients

Open Access
|Jun 2018

Figures & Tables

Dosing regimen for some of the most common anticholinergic medicines_

 MedicineDose and frequencyN of cases
Diazepam2mg daily2
5 mg daily2
5mg once to three times weekly5
5 mg twice monthly1
Quetiapine25 mg once daily7
100 mg once daily1
400 mg once daily1
Ranitidine150 mg once daily8
300 mg once daily1
Amitriptyline25 mg once daily4
25 mg two to three times daily2

Descriptive statistics_

 Characteristic
Gender N (%)
• Male266 (42.8%)
• Female356 (57.2%)
Average age in years (±SD)77.2 (±6.2)
• Range (years)65-101
Number of prescribed medicines N (±SD)5.6 (±2.9)
Presence of polypharmacy (5 or more medicines)374 (60.1%)

Anticholinergic burden in patients with anticholinergic medicines (N=78)_

 Anticholinergic burden (score)N (%) of patients with anticholinergic medicines
154 (69.2%)
219 (24.4%)
34 (5.1%)
41 (1.3%)

List of anticholinergic medicines in patients with an anticholinergic burden_

 Medicine (ATC code)N (%) of patients with anticholinergic burden N=78% of all enrolled patients N=622Anticholinergic burden
Psychotropic medicines (N)41 (52.6%)6.6%
  Diazepam (N05BA01)10 (12.8%)1.6%1
  Quetiapine (N05AH04)9 (11.5%)1.4%1
Paroxetine (N06AB05)7 (9.0%)1.1%1
Amitriptilyne (N06AA09)6 (7.7%)1.0%2
Mirtazapine (N06AX11)4 (5.1%)0.6%1
  Citalopram (N06AB04)4 (5.1%)0.6%1
  Fentanyl (N02AB03)2 (2.6%)0.3%1
Olanzapine (N05AH03)2 (2.6%)0.3%1
Carbamazepine (N03AF01)2 (2.6%)0.3%1
Fluoxetine (N06AB03)2 (2.6%)0.3%1
Risperidone (N05AX08)2 (2.6%)0.3%1
Promazine (N05AA03)1 (1.3%)0.2%1
Clozapine (N05AH02)1 (1.3%)0.2%2
Lithim (N05AN01)1 (1.3%)0.2%1
Trazodone (N06AX05)1 (1.3%)0.2%1
Alimentary tract and metabolism medicines (A)11 (14.1%)1.8%
  Ranitidine (A02BA02)8 (10.3%)1.3%1
Domperidone (A03FA03)3 (3.8%)0.5%1
Respiratory system and allergy medicines (R)11 (14.1%)1.8%
Loratadine (R06AX13)4 (5.1%)0.6%1
  Cetirizine (R06AE07)3 (3.8%)0.5%1
  Fexofenadine (R06AX26)2 (2.6%)0.3%1
  Theophylline (R03DA04)2 (2.6%)0.3%1
Musculo-skeletal system medicines (M)6 (7.7%)1.0%
Tizanidine (M03BX02)6 (7.7.%)1.0%2
Genitourinary system medicines (G)5 (6.4%)0.8%
Darifenacin (G04BD10)3 (3.8%)0.5%2
Tolterodine (G04BD07)2 (2.6%)0.3%2
Cardiovascular system medicines (C)1 (1.3%)0.2%
Disopyramide (C01BA03)1 (1.3%)0.2%1
DOI: https://doi.org/10.2478/sjph-2018-0018 | Journal eISSN: 1854-2476 | Journal ISSN: 0351-0026
Language: English
Page range: 140 - 147
Submitted on: Aug 22, 2017
Accepted on: May 14, 2018
Published on: Jun 21, 2018
Published by: National Institute of Public Health, Slovenia
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2018 Eva Gorup, Janez Rifel, Marija Petek šter, published by National Institute of Public Health, Slovenia
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.