Trends in Drug-Drug Interactions Among US Older Adults, 2015-2016 vs. 2021-2023
2024

Trends in Drug-Drug Interactions Among US Older Adults

Sample size: 6994 publication Evidence: moderate

Author Information

Author(s): Dima Qato, Shyam Krishnan Ondanat, Jocelyn Wilder

Primary Institution: University of Southern California

Hypothesis

What are the changes in the frequency and types of potential major drug-drug interactions among older US adults from 2015-2016 to 2021-2023?

Conclusion

The use of interacting medications among older adults has modestly declined since 2015, but 1 in 9 is still potentially at risk for a major drug-drug interaction.

Supporting Evidence

  • In 2015-2016, 12.3% of older adults were at risk for a major drug-drug interaction compared to 10.8% in 2021-2023.
  • Declines in the use of interacting regimens involving aspirin, warfarin, and hydrocodone were observed.
  • Increases in the use of citalopram, tizanidine, and albuterol in interacting combinations were also found.

Takeaway

Older people are taking fewer risky combinations of medicines now than they did a few years ago, but many are still at risk for dangerous drug interactions.

Methodology

Descriptive analyses of a longitudinal, nationally representative sample of community-dwelling older adults in the U.S. with in-home interviews and medication logs.

Participant Demographics

Community-dwelling older adults in the U.S.

Statistical Information

P-Value

0.051

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1093/geroni/igae098.4360

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