Psychotropic drug use was evaluated in 2022 ambulatory elderly subjects in 1978-80 and again in 1984-86. Use of hypnotic drugs declined from 8.5 percent (n = 3234) in 1978-80 to 6.3 percent (n = 2681) in 1984-86 (p<0.01). Use of the long-acting hypnotic flurazepam decreased (p <0.01) and use of two short-acting drugs, triazolam and temazepam, increased. Prescribing of long half-life benzodiazepines, such as diazepam (p<0.01) and chlordiazepoxide, clorazepate, halazepam, and prazepam as a group (p <0.01) decreased as well as the use of nearly all products containing barbiturates (p<0.01).
Get full access to this article
View all access options for this article.
References
1.
National Institute on Aging Task Force.Senility reconsidered: treatment possibilities for mental impairment in the elderly.JAMA1980; 244: 259–63.
2.
TerryRD, KatzmanR. Senile dementia of the Alzheimer type.Ann Neurol1983; 14: 497–506.
3.
BixlerEO, KalesA, SoldatosCR. Prevalence of sleep disorders in the Los Angeles metropolitan area.Am J Psychiatry1979; 136: 1257–62.
4.
SalzmanC. Clinical guidelines for the use of antidepressant drugs in geriatric patients.J Clin Psychiatry1985; 46: 10(sec 2) 38–44.
5.
RaskinDE. Antipsychotic medication and the elderly.J Clin Psychiatry1985; 46: 5(sec 2) 36–40.
6.
ReynoldsCF, KupferDJ, HochCC. Sleeping pills for the elderly: are they ever justified?J Clin Psychiatry1985; 46: 2(sec 2)9–12.
7.
RaskinA. Psychopharmacology of depression in the elderly. In: EisdorferC, ed. Annual review of gerontology and geriatrics.New York: Springer, 1983: 266–96.
8.
MalettaGJ. Use of antipsychotic medication in the elderly. In: EisdorferC, ed. Annual review of gerontology and geriatrics.New York: Springer, 1984: 175–220.
9.
MayFE, StewartRB, HaleWE. Prescribed and nonprescribed drug use in an ambulatory elderly population.South Med J1982; 75: 522–8.
10.
HaleWE, MayFE, MarksRG, StewartRB. Drug use in an ambulatory elderly population: a five-year update.Drug Intell Clin Pharm1987; 21: 530–5.
11.
StewartRB, MayFE, HaleWE. Psychotropic drug use in an ambulatory elderly population.Gerontology1982; 28: 328–35.
12.
HaleWE, MarksRG, StewartRB. The Dunedin Program, a Florida geriatric screening process: design and initial data.J Am Geriatr Soc1980; 27: 377–80.
13.
HellingM, VenuletJ. Drug recording and classification by the World Health Organization Research Center for international monitoring of adverse reactions to drugs.Methods Inf Med1974; 13: 169–78.
14.
SnedecorGW, CochranWG. Statistical methods.7th ed.Ames, IA: The Iowa State University Press, 1980: 115–7.
15.
SolomonF, WhiteCC, ParronDL. Sleeping pills, insomnia and medical practice.N Engl J Med1979; 300: 803–8.
16.
DementWC, MilesLE, CarskadonMA. “White paper” on sleep and aging.J Am Geriatr Soc1982; 30: 25–44.
17.
ThompsonTL, MoranMG, NiesAS. Psychotropic drug use in the elderly (part 1).N Engl J Med1983; 308: 134–8.
18.
JenikeMA. Handbook of geriatric psychopharmacology.Littleton, CO: PSG Publishing, 1985: 143–51.
19.
BonnetMH, and KramerM. The interaction of age, performance, and hypnotics in the sleep of insomniacs.J Am Geriatr Soc1981; 29: 508–12.
20.
BakerMI, OleenMA. The use of benzodiazepine hypnotics in the elderly.Pharmacotherapy1988; 8: 241–7.