Anticholinergic effects of drugs commonly prescribed for the elderly: potential means for assessing risk of delirium

Am J Psychiatry. 1992 Oct;149(10):1393-4. doi: 10.1176/ajp.149.10.1393.

Abstract

Anticholinergic effects of the 25 drugs most commonly prescribed for the elderly were measured by radioreceptor assay. Fourteen had detectable anticholinergic drug levels; 10 of these had levels that have been associated with impairments in memory and attention in normal elderly subjects. These data indicate that patients taking multiple medications may be at increased risk for side effects from psychotropic drugs, most of which have anticholinergic effects.

MeSH terms

  • Age Factors
  • Aged
  • Delirium / chemically induced*
  • Drug Interactions
  • Drug Therapy, Combination
  • Drug-Related Side Effects and Adverse Reactions*
  • Humans
  • Parasympatholytics / blood*
  • Parasympatholytics / poisoning
  • Pharmaceutical Preparations / metabolism
  • Radioligand Assay

Substances

  • Parasympatholytics
  • Pharmaceutical Preparations