Common drugs that can cause memory problems in older adults

06/2013

A large study, involving 3,690 older adults, has found that drugs with strong anticholinergic effects cause memory and cognitive impairment when taken continuously for a mere two months. Moreover, taking multiple drugs with weaker anticholinergic effects, such as many common over-the-counter digestive aids, affected cognition after 90 days’ continuous use. In both these cases, the risk of cognitive impairment doubled (approximately).

More positively, risk of Alzheimer’s did not seem to be affected (however, I do have to wonder how much weight we can put on that, given the apparent length of the study — although this is not a journal to which I have access, so I can’t be sure of that).

Although somewhat unexpected, previous research linking anticholinergics and cognitive impairment is consistent with this new finding.

Anticholinergic drugs block the neurotransmitter acetylcholine. Older adults commonly use over-the-counter drugs with anticholinergic effects as sleep aids and to relieve bladder leakage. Drugs with anticholinergic effects are also frequently prescribed for many chronic diseases including hypertension, cardiovascular disease and chronic obstructive pulmonary disease.

You can download a list detailing the ‘anticholinergic burden’ of medications at: http://www.indydiscoverynetwork.org/AnticholinergicCognitiveBurdenScale.html

http://www.eurekalert.org/pub_releases/2013-05/iu-sua050713.php

[3449] Cai, X., Campbell N., Khan B., Callahan C., & Boustani M.
(2013). Long-term anticholinergic use and the aging brain.
Alzheimer's & Dementia: The Journal of the Alzheimer's Association. 9(4), 377 - 385.

seniors

Related News

Negative social interactions increase hypertension risk in older women

A four-year study involving 1,502 healthy older adults (50+) has found that the frequency of negative interactions with family members (not partners or children) and friends was associated with an increased risk of developing hypertension in women (but not in men).

Cholesterol levels linked to amyloid plaques in brain

A study involving 74 older adults (70+), of whom 3 had mild dementia, 33 were cognitively normal and 38 had mild cognitive impairment, has found that high levels of "good" cholesterol and low levels of "bad" cholesterol correlated with lower levels of the amyloid-beta plaques in the brain (a hal

Large waist linked to poor health even when BMI healthy

Data from 11 different cohort studies, involving more than 600,000 people from around the world, has found that:

Supplements don’t reduce risk of cardiovascular disease in elderly

Data from AREDS2, involving 4,203 older adults with age-related macular degeneration, has found that daily dietary supplements of either omega-3 polyunsaturated fatty acids (also found in fish) or lutein and zeaxanthin (nutrients found in green leafy vegetables) were not associated with reduced

Tart cherry juice improves sleep for insomniacs

A small trial involving seven older adults with insomnia has found that when they consumed 8 ounces of tart cherry juice twice daily for two weeks, they were able to sleep more than an hour longer each night (averaging 84 minutes) compared to when they took the placebo, and their sleep tended to

Heart disease risk linked with spouses' social support

A study in which 136 older couples (average age 63) filled out questionnaires measuring their overall marriage quality and their perceived support from their spouse, has found that calcification in the coronary arteries was highest when both partners in the relationship viewed each other as offe

Preventing major depression in adults with mild symptoms

Previous research has indicated that about a quarter of older adults who become mildly depressed will go on to become seriously depressed within a year or two.

New cause of high blood pressure and heart disease discovered

Two studies help explain why kidney disease increases the risk of cardiovascular diseases such as high blood pressure and vascular calcification. The mediator seems to be a hormone called FGF23, which is sensitive to the level of phosphates in the body.

How stress increases your risk for stroke and heart attack

A study in which 157 healthy adult volunteers were asked to regulate their emotional reactions to unpleasant pictures, has found that those who showed greater brain activation when regulating their negative emotions also had higher blood levels of interleukin-6 (a marker for inflammation) and in

Oxidants not all bad?

A finding that free radicals promote longevity in the roundworm challenges the theory that free radicals (oxidants) are damaging and cause aging.

Pages