پزشکی 1 - medical
عنوان انگلیسی مقاله:
Pharmacists knowledge regarding the management of overactive bladder in elderly women
ترجمه فارسی عنوان مقاله:
دانش داروخانه ها در مورد مدیریت مثانه های بیش فعالی در زنان سالخورده
ScienceDirect- Elsevier- European Journal of Obstetrics and Gynecology, 258 (2021) 269-272: doi:10:1016/j:ejogrb:2021:01:021
Objective: Anticholinergic drugs are the mainstay treatment of OAB. Anticholinergic load is the
cumulative effect of taking anticholinergic medication. Recent evidence suggests that in the elderly this
can have a detrimental affect, with the potential to develop dementia. A previous study found that
knowledge of anticholinergic load was lacking in our healthcare professionals.
The aim of this study was to assess knowledge of pharmacists, who in the UK have the potential where
qualified to prescribe as well as dispense.
Study design: A questionnaire was formulated based on the previous study. It was sent out to 418
pharmacists from; a south London hospital trust, a south London clinical commissioning group and
United Kingdom Clinical Pharmacists Association.
Results: Seventy-five pharmacists completed the questionnaire. Solifenacin and tolterodine was the most
popular drug prescribed in the elderly without dementia, whilst mirabegron was the most popular in the
elderly with dementia. One pharmacist suggested using oxybutynin. Sixty-two percent discuss
anticholinergic load with the patients, 40 % advice prescribers and 42 % consider anticholinergic load
when dispensing the drug. Fifteen percent have had patients report confusion/memory loss. Thirty
percent know how to assess anticholinergic load. Only 15 % felt dementia was a concern with
anticholinergic drugs. Worryingly, 54 % though mirabegron exerted anticholinergic effects.
Conclusion: This is the first study looking at pharmacist knowledge on the use of anticholinergic
medication for OAB in elderly women. Knowledge amongst all healthcare professionals including
pharmacists is lacking and needs to be improved.
keywords: بار آنتی کولینرژیک | بار آنتی کولینرژیک | داروهای ضد آنتی کولینرژیک | دانش | مثانه بیشفعال | داروسازان | Anticholinergic burden | Anticholinergic load | Anticholinergic medication | Knowledge | Overactive bladder | Pharmacists
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