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European Journal of Clinical Pharmacology

, Volume 71, Issue 12, pp 1429–1440 | Cite as

Medications associated with falls in older people: systematic review of publications from a recent 5-year period

  • Hyerim Park
  • Hiroki Satoh
  • Akiko Miki
  • Hisashi Urushihara
  • Yasufumi SawadaEmail author
Review

Abstract

Purpose

Falls are an important public health problem in older people. Medication use is considered a risk factor for falls. This study systematically reviewed recent studies to determine the medications that might be associated with the risk of falling in older people.

Methods

We conducted a systematic review of prospective and retrospective studies identified through the MEDLINE and CINAHL databases that quantitatively assessed the contribution of medications to falls risk in participants ≥60 years old published in English between May 2008 and April 2013.

Results

The search identified 1,895 articles; 36 articles met the inclusion criteria. Of the 19 studies that investigated the effect of polypharmacy on the risk of falling, six studies reported that the risk of falling increased with polypharmacy. Data on the use of antihypertensive medications including calcium channel blockers, beta-blockers, and angiotensin system blocking medications were collected in 14 studies, with mixed results. Twenty-nine studies reported an association between the risk of falls and psychotropic medications including sedatives and hypnotics, antidepressants, and benzodiazepines.

Conclusions

The use of sedatives and hypnotics and antidepressants including tricyclic antidepressants, selective serotonin reuptake inhibitors, and serotonin norepinephrine reuptake inhibitors appears to be related with an increased risk of falls. It is not clear if the use of antihypertensive medications is associated with the risk of falls in older people.

Keywords

Accidental falls Pharmaceutical preparations Aged Systematic review 

Notes

Acknowledgments

This review and the preparation of the manuscript were not supported by any external funding.

Conflict of interest

HU is a paid consultant of Eli Lilly Japan and Eisai Co., Ltd. The other authors declare that they have no conflict of interest.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  • Hyerim Park
    • 1
  • Hiroki Satoh
    • 1
  • Akiko Miki
    • 1
  • Hisashi Urushihara
    • 2
  • Yasufumi Sawada
    • 1
    Email author
  1. 1.Endowed Laboratory of Drug Lifetime Management, Graduate School of Pharmaceutical SciencesThe University of TokyoTokyoJapan
  2. 2.Division of Drug Development and Regulatory Science, Faculty of PharmacyKeio UniversityTokyoJapan

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