Malaysian Pharmaceutical Society 5 th Pharmacy Scientific Conference
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Transcript of Malaysian Pharmaceutical Society 5 th Pharmacy Scientific Conference
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Diagnosis for NSAID induced gastric haemorrhage/1000 patients
attributable risk
age (years)
Sheet:
0-49
50-59
60-69
70-79
80-99
Quality Use of Medicines and Pharmacy Research Centre / Sansom InstituteUniversity of South Australia
Types of medicines usedLow therapeutic index drugs-Digoxin, lithium carbonate, methotrexate Drugs to which older people are known to be more sensitive;-Trimethaprim+sulphamethazole, antihypertensives, antidepressants, vasodilators, NSAIDs, H2 receptor antagonists,anticholinergics.
Quality Use of Medicines and Pharmacy Research Centre / Sansom InstituteUniversity of South Australia
What medications cause most problems?
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ADRs reported from Australian hospitals data (Roughead et al 2002)
Quality Use of Medicines and Pharmacy Research Centre / Sansom InstituteUniversity of South Australia
In the community settingMain medication groups involvedCardiac medications (39% of ADRs)CNS medications (27%)Musculoskeletal (12%) At the level of medication classACE inhibitors accounted for 14% of all ADRsantidepressants 11%NSAIDs 10%
Quality Use of Medicines and Pharmacy Research Centre / Sansom InstituteUniversity of South Australia
The older population The world health report 2005
Chart2
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10197402147930
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13361102322250
13675802257050
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14669801431160
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678640389190
622680278350
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17269034790
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2440230
Australian Population
Malaysian Population
Age Group
Population
Popluation by age group; Malaysia and Australia (2003)
Sheet1
rangeActual PopulationActual DeathsnMxnqxlxndxnLxTxex