Conclusions The use of sedatives and hypnotics and antidepressants including tricyclic antidepressants , selective serotonin reuptake inhibitors , and serotonin norepinephrine reuptake inhibitors appears to be related with an increased risk of falls .
It is not clear if the use of antihypertensive medications is associated with the risk of falls in older people
Purpose Falls are an important public health problem in older people .
Medication use is considered a risk factor for falls .
This study systematic ally review ed recent studies to determine the medications that might be associated with the risk of falling in older people .
Falls risk among a very old home-dwelling population
Objective . The aim of this prospect i ve study was to examine risk factors of falling in a very old home-dwelling population . Design . A prospect i ve study of home-dwelling elderly people . Methods . Baseline data were collected by home-nursing staff through postal question naires and clinical tests . Data on falls were recorded in telephone interviews every other month during a follow-up of 11 months constituting 494 person years ( PY ) . Negative binomial modeling was used to assess fall risk . Setting . General community . Subjects . A population sample of home-dwelling subjects aged 85 years or older ( n = 555 ) . Main outcome measures . Fall rate and risk factors of falls . Results . Altogether 512 falls occurred in 273 ( 49 % ) subjects , incidence rate 1.03/PY . According to a multivariate model , history of recurrent falling , trouble with vision when moving , use of antipsychotic drug , and feelings of anxiety , nervousness , or fear were independent risk factors for subsequent falls . Conclusion . Appropriate care of poor vision and feelings of anxiety , nervousness , or fear , and avoidance of use of antipsychotic drugs might be useful in the prevention of falls among the most elderly home-dwellers
Conclusions The use of sedatives and hypnotics and antidepressants including tricyclic antidepressants , selective serotonin reuptake inhibitors , and serotonin norepinephrine reuptake inhibitors appears to be related with an increased risk of falls .
It is not clear if the use of antihypertensive medications is associated with the risk of falls in older people
Purpose Falls are an important public health problem in older people .
Medication use is considered a risk factor for falls .
This study systematic ally review ed recent studies to determine the medications that might be associated with the risk of falling in older people .