Literature DB >> 1821247

The relationship of serum anticholinergic activity to mental status performance in an elderly nursing home population.

G D Tollefson1, J Montague-Clouse, S P Lancaster.   

Abstract

Adverse drug reactions among elderly patients pose a significant clinical problem. The authors used a serum radioreceptor assay [RRA] to quantify drug-induced muscarinic blockade in 34 randomly selected nursing home residents. A random intervention group and the nonintervention control subjects were then retested 4 weeks later. The reduction of serum antimuscarinic activity (as determined by RRA) did relate to changes on several measures of cognitive function. A calculated "antimuscarinic index" lost significance with the RRA following intervention and may have overestimated the impact of a dosage reduction.

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Year:  1991        PMID: 1821247     DOI: 10.1176/jnp.3.3.314

Source DB:  PubMed          Journal:  J Neuropsychiatry Clin Neurosci        ISSN: 0895-0172            Impact factor:   2.198


  16 in total

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