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Clinical Pharmacology in the Elderly - Reference Ranges and Biological Variations After Repeated Measurements (Paperback, Softcover reprint of the original 1st ed. 1996)
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Clinical Pharmacology in the Elderly - Reference Ranges and Biological Variations After Repeated Measurements (Paperback, Softcover reprint of the original 1st ed. 1996)
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The appropriate and rational use of drugs by the elderly is a
matter of growing medical and social concern. Persons aged 65 years
and older constitute about 12%-15% of the population in the Western
world, and the total number of the elderly will increase
significantly in the coming years. This population accounts for 30%
of all the prescription drugs used. Aging, specifically the
transition from middle to old age, is a complex process. From the
perspective of clinical pharmacology, these pathophysiological
changes may reasonably be expected to alter responsiveness to
drugs. The age-related differences in response to drugs can arise
from alterations in pharmacokinetics or pharmacodynamics. This
makes it mandatory that clinical pharma cological studies be
carried out in the elderly during extended phase I studies. The
older the population likely to use the drug, the more important it
is to include the very old. It is also important not to exclude
....: ''lecessarily patients with concomitant illnesses; it is only
by observing, such patients that drug-disease interactions can be
detected. Reports from surveillance systems have greatly increased
our awareness of problems associated with drug therapy in old age."
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