Commonly prescribed drugs are tied to nearly 50% higher dementia risk in older adults, study says
Source: CNN
Updated 5:54 AM ET, Tue June 25, 2019
(CNN)Scientists have long found a possible link between anticholinergic drugs and an increased risk of dementia.
A study published in the journal JAMA Internal Medicine on Monday suggests that the link is strongest for certain classes of anticholinergic drugs -- particularly antidepressants, bladder antimuscarinics, antipsychotics and antiepileptic drugs.
Researchers wrote in the study that "there was nearly a 50% increased odds of dementia" associated with a total anticholinergic exposure of more than 1,095 daily doses within a 10-year period, which is equivalent to an older adult taking a strong anticholinergic medication daily for at least three years, compared with no exposure.
"The study is important because it strengthens a growing body of evidence showing that strong anticholinergic drugs have long term associations with dementia risk," said Carol Coupland, professor of medical statistics in primary care at the University of Nottingham in the United Kingdom and first author of the study.
"It also highlights which types of anticholinergic drugs have the strongest associations. This is important information for physicians to know when considering whether to prescribe these drugs," she said, adding "this is an observational study so no firm conclusions can be drawn about whether these anticholinergic drugs cause dementia.".............................
Read more: https://www.cnn.com/2019/06/24/health/dementia-risk-drug-study/index.html
My very elderly mom was taken off her overactive bladder pills a few weeks ago because of this study --by her urologist.
She said she would rather go to the bathroom more often than lose her mind. Wise choice
Link to tweet
Ilsa
(61,694 posts)Antipsychotics and antidepressants? Live a life in misery so they can live longer without dementia? If it was a physical inconvenience the mecication was for, like urinary urgency, sure, I'd wear a pad or Depends, go to the bathroom more frequently. It's not that easy to give up a medication (perhaps only one out of many) that keeps a person sane, happy, able to work, able to have happy relationships.
EleanorR
(2,389 posts)This article has a chart listing possible alternatives to those drugs that present the highest risk.
https://www.health.harvard.edu/mind-and-mood/two-types-of-drugs-you-may-want-to-avoid-for-the-sake-of-your-brain
Lulu KC
(2,565 posts)I keep wondering why this is considered new. It goes with the Broccoli Is Good for You headlines.
Ilsa
(61,694 posts)about what some members of my family are taking.
Fiendish Thingy
(15,585 posts)The article implies that all antidepressants increase dementia risk, when in fact, only less commonly prescribed tricyclics do. The much more commonly prescribed SSRI's, such as Prozac, are not anticholinergics, and have no correlation with increased dementia risk.
Also, the article states that antihistamines do not increase dementia risk, when there are many other studies that show habitual use of Benadryl/diphenhydramine increases dementia risk.
The MSM continues the tradition of irresponsible reporting, in breathlessly announcing each new study without critical review ("garsh, we ain't no edjacated scientists, we're just edjacated journalists"
Baitball Blogger
(46,700 posts)Delphinus
(11,830 posts)Thankfully I am not on any meds at 61, but if I ever need to be, I want to know names.
IcyPeas
(21,858 posts)cstanleytech
(26,281 posts)I am experiencing from what they think is trigeminal neuralgia?
Lamotrigine is Not anticholinergic.
cstanleytech
(26,281 posts)with the Tegretol.
crazytown
(7,277 posts)The start on a relatively small dose and work upwards. Starting at 100mg is not a good idea.
cstanleytech
(26,281 posts)I just hope I do not have any of the potential severe side effects as my next request then will be for extended release Tramadol which I am loath to do.
crazytown
(7,277 posts)You can find a comprehensive listing of medications used for neuropathic pain here. Tricyclics are anticholinergic.
https://www.pharmacytimes.com/publications/health-system-edition/2017/march2017/treatment-of-neuropathic-pain
If Lamotrigine does not prove effective, you could do worse than Milnacipran (Savella) a go. It is prescribed for Fibromyalgia, and related pain, and has a modest side effect profile. With insurance, Savello goes for about $110 for 90 days at CVS.
Response to riversedge (Original post)
crazytown This message was self-deleted by its author.
Knicks007
(73 posts)I've been on imapramine for bi-polar disorder for 35 years! I'm 48 now. Imapramine is on the list on the Harvard study. It works for me and now I have to worry I'm gonna be a vegatable in 20-30years? I'm going to see a psychopharmacologist ASAP.