Drug-nutrient interactions in elderly people.
OBJECTIVE
The presence of multiple diseases, polypharmacy, malnutrition, and impaired metabolism in elderly individuals increases the risks of adverse events related to drug-food interactions. Some considerations for elderly people influenced by drug-food interactions are reviewed.


RESULTS
When investigating pharmacokinetic and pharmacodynamic modifications in the elderly, other factors have to be considered, such as anorexia, dementia, depression, intolerance, gastrointestinal-tract disorders, social and economic factors, reduced abilities (visual and manual) and difficulties in chewing or swallowing. Specific reference is made herein to the health status of the elderly Brazilian population based on the observations of our research group. In addition, the most common diseases (such as cancer, coronary heart disease, dementia, diabetes mellitus, hypertension and osteoporosis), the drugs usually prescribed to treat them, and the adverse nutritional reactions that occur in older patients are summarized.


CONCLUSIONS
In order to develop a correct drug prescription plan and nutritional intervention to avoid any kind of undesirable drug-food interaction effect, it is necessary to adequately diagnose the disease and often re-evaluate the chosen treatment, identify disease stages and the necessary therapies to minimize the number of drugs administered, and select a reasonable nutritional assessment.
Akamine
Dirce
D
Farmoterápica, Rua Machado Bittencourt 190 conj. 206, Vila Mariana, São Paulo, SP 04044-000, Brazil. dirce.akamine@farmoterapica.com.br
Filho
Michel K
MK
Peres
Carmem M
CM
D000368:Aged; D000375:Aging / Q000473:pathology / Q000502:physiology*; D011307:Drug Prescriptions; D018565:Food-Drug Interactions; D015577:Geriatric Assessment; D006304:Health Status; D006801:Humans; D015596:Nutrition Assessment; D009752:Nutritional Status; D012307:Risk Factors