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riversedge

(70,186 posts)
Tue Jun 25, 2019, 10:16 AM Jun 2019

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



16 replies = new reply since forum marked as read
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Commonly prescribed drugs are tied to nearly 50% higher dementia risk in older adults, study says (Original Post) riversedge Jun 2019 OP
And what can people do who need these Ilsa Jun 2019 #1
Harvard actually wrote about this back in 2015 EleanorR Jun 2019 #2
Thank you! Lulu KC Jun 2019 #9
Thanks, that helps me feel better Ilsa Jun 2019 #12
WARNING! IRRESPONSIBLE REPORTING! Fiendish Thingy Jun 2019 #3
A list of suspicious pills would be more helpful. Baitball Blogger Jun 2019 #8
That was my thought too. Delphinus Jun 2019 #13
see post #2 for list of pills in link that EleanorR posted above. IcyPeas Jun 2019 #14
Does this mean I should avoid the Lamotrigine the doctor prescribed me on Monday for the severe pain cstanleytech Jun 2019 #4
No. crazytown Jun 2019 #5
Whew, thanks. I just hope this works and that I do not have a bad reaction to it like I did cstanleytech Jun 2019 #6
I hav.e first hand experience with Lamotrigine crazytown Jun 2019 #7
Well they are starting me at 25mg a day for the first 2 weeks then ramping it slowly up. cstanleytech Jun 2019 #15
Addendum crazytown Jun 2019 #11
This message was self-deleted by its author crazytown Jun 2019 #10
I'm very concerned Knicks007 Jun 2019 #16

Ilsa

(61,694 posts)
1. And what can people do who need these
Tue Jun 25, 2019, 10:30 AM
Jun 2019

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.

Lulu KC

(2,565 posts)
9. Thank you!
Tue Jun 25, 2019, 11:14 AM
Jun 2019

I keep wondering why this is considered new. It goes with the Broccoli Is Good for You headlines.

Fiendish Thingy

(15,585 posts)
3. WARNING! IRRESPONSIBLE REPORTING!
Tue Jun 25, 2019, 10:55 AM
Jun 2019

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&quot

Delphinus

(11,830 posts)
13. That was my thought too.
Tue Jun 25, 2019, 02:02 PM
Jun 2019

Thankfully I am not on any meds at 61, but if I ever need to be, I want to know names.

cstanleytech

(26,281 posts)
4. Does this mean I should avoid the Lamotrigine the doctor prescribed me on Monday for the severe pain
Tue Jun 25, 2019, 10:55 AM
Jun 2019

I am experiencing from what they think is trigeminal neuralgia?

cstanleytech

(26,281 posts)
6. Whew, thanks. I just hope this works and that I do not have a bad reaction to it like I did
Tue Jun 25, 2019, 11:02 AM
Jun 2019

with the Tegretol.

crazytown

(7,277 posts)
7. I hav.e first hand experience with Lamotrigine
Tue Jun 25, 2019, 11:05 AM
Jun 2019

The start on a relatively small dose and work upwards. Starting at 100mg is not a good idea.

cstanleytech

(26,281 posts)
15. Well they are starting me at 25mg a day for the first 2 weeks then ramping it slowly up.
Tue Jun 25, 2019, 06:41 PM
Jun 2019

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)
11. Addendum
Tue Jun 25, 2019, 11:18 AM
Jun 2019

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)

Knicks007

(73 posts)
16. I'm very concerned
Tue Jun 25, 2019, 09:42 PM
Jun 2019

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.

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