Commonly used drugs contribute to more doctor visits and hospital visits, according to research findings. Anticholinergic medications commonly used by older adults have been found to be linked with an increase in hospital, doctor, and emergency room visits. Drugs with anticholinergic properties are often prescribed for chronic conditions including depression, anxiety, pain, allergy, incontinence, or sleep problems. Nearly half of older adults are on some type of anticholinergic medications, and some patients are taking two or more different types of these drugs.
Research lead and investigator Noll Campbell explained, “Anticholinergics, the medications that block acetylcholine, a nervous system neurotransmitter, have previously been implicated as a potential cause of cognitive impairment, by us and by other researchers… This is the first study to calculate cumulative anticholinergic burden and determine that as burden increases, so does healthcare utilization in the U.S. — both outpatient and inpatient.”
The researchers suggest that taking a drug with anticholinergic properties increased inpatient admission by 11 percent over the course of a year. If a medication had strong anticholinergic properties then the risk of inpatient admission increased 33 percent.
Dr. Campbell concluded, “Individuals taking anticholinergics should talk with their doctors or pharmacists about possible alternatives. This new study provides stronger motivation to design and conduct de-prescribing studies to determine safe ways to take individuals off anticholinergic medications in the interests of preserving brain health and decreasing healthcare utilization rates and their potential costs.”