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DTB: Vol 21, No 2. April - May 2013

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Multicasuality of falls and the role of drugs


Falls are especially frequent at the extreme ages of life. In elderly people they usually involve important morbidity, loss in quality of life and ultimately, increase in mortality. Some medications are associated with an increase in the incidence of falls in the elderly (especially benzodiazepines, other hypnotics, antidepressants, or antipsychotics). Prudence when prescribing is paramount. Only a few interventions have proven effective. Adapted exercises for each individual, and a multifactorial approach including precautionary withdrawal of some medication should be considered.
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Authors:

Juan Hervás. CESCA group, Madrid. Honorary Professor of Public Health Universidad Autónoma de Madrid, Spain

Javier Gorricho. Drug Prescribing Service. Navarre Health Service, Spain

Government of Navarre

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