"The Elderly" is the third monograph in a series on management and treatment in major patient groups and subspecialties. Each book is complete in its own right. The whole series, however, has fill a gap between standard text-books of medicine been prepared to and therapeutics and research reviews, symposia and original arti cles in specialist fields. The aim of the series is to present up-to-date authoritative advice on patient management with particular refer ence to drug treatment. The first two volumes in the series, on gastrointestinal diseases and rheumatic diseases, were addressed to major therapeutic areas or subspecialties. The present volume, "The Elderly", is intended to provide overall guidance on the manage ment of a range of medical problems in elderly patients. The elderly make up an increasing proportion of the population and require a substantial proportion of health care resources. The management of elderly patients falls not only upon specialist geriatricians but also upon a range of others, including general practitioners, general physicians and almost all other medical specialists with the excep tion of paediatricians. It has become apparent in recent years that the management of disease in the elderly in general and drug treatment in particular presents new problems and challenges. Some of these relate to the wide spectrum of disease in elderly patients, in whom there is often multiple pathology, while others concern age-induced changes in drug handling or drug effect.
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acetylcholine acid age-related anaemia analgesics anti-inflammatory antibiotics anticholinergic anticoagulants antidepressants aspirin benzodiazepines beta-blockers beta-blocking agents bladder bone calcium carbamazepine cause cerebral cerebrovascular disease chronic cimetidine clinical common compliance concentrations congestive cardiac failure corticosteroids deficiency dementia depression diabetes diamorphine diarrhoea digoxin disorders diuretic dopamine dosage dose drowsiness drugs effect efficacy elderly patients enzyme evidence excretion faecal faecal impaction fluid function gastric gastro-intestinal geriatric given glucose half-life hepatic hypertension hypnotics important incidence increased infection insulin intravenous ischaemic levels levodopa medication mental impairment metabolism mg daily mg three morphine multiple pathology muscle myocardial infarction occur old age oral pain particularly peripheral pharmacokinetic phenobarbitone phenylbutazone phenytoin plasma postural hypotension potassium prescribed present problem produce propranolol receptors reduced renal respiratory response result rheumatoid arthritis risk serum side-effects stroke studies symptoms Table tablets terminal illness therapy thiazide three times daily thrombosis toxicity treated treatment tricyclic ulcers urinary incontinence usually vasodilator vitamin