{"id":223132,"date":"2018-07-24T21:34:15","date_gmt":"2018-07-24T21:34:15","guid":{"rendered":"http:\/\/healthmedicinet.com\/i\/powerful-drugs-given-to-dementia-patients-put-them-at-risk-of-early-death\/"},"modified":"2018-07-24T21:34:15","modified_gmt":"2018-07-24T21:34:15","slug":"powerful-drugs-given-to-dementia-patients-put-them-at-risk-of-early-death","status":"publish","type":"post","link":"http:\/\/healthmedicinet.com\/i\/powerful-drugs-given-to-dementia-patients-put-them-at-risk-of-early-death\/","title":{"rendered":"Powerful drugs given to dementia patients put them at risk of early death"},"content":{"rendered":"<p class=\"mol-para-with-font\">Powerful sedatives and painkillers are endangering the lives of hundreds of thousands of people with dementia, doctors have warned.<\/p>\n<p class=\"mol-para-with-font\">Researchers have revealed the dangers of z-drugs, sleeping medications taken by dementia patients, and buprenorphine, an opioid painkiller.<\/p>\n<p class=\"mol-para-with-font\">These drugs are particularly common in care homes, where staff often use strong medication to help them deal with difficult elderly patients.<\/p>\n<p class=\"mol-para-with-font\">Two major studies &#8211; involving experts from leading universities across Britain &#8211; reveal the dangers of using powerful drugs on vulnerable people who have problems communicating.<\/p>\n<p class=\"mol-para-with-font\">The Daily Mail has been campaigning for more than a year for the Government to recognise the scale of a crisis in dangerous prescription medication, which often leave people addicted through no fault of their own.<\/p>\n<p>   <img loading=\"lazy\" decoding=\"async\" id=\"i-630a5e8cfeb03b55\" src=\"image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" height=\"518\" width=\"634\" alt=\"Researchers have revealed the dangers of z-drugs, sleeping medications taken by dementia patients, and buprenorphine, an opioid painkiller\" class=\"blkBorder img-share\" \/>  <img loading=\"lazy\" decoding=\"async\" id=\"i-630a5e8cfeb03b55\" src=\"https:\/\/i.dailymail.co.uk\/i\/newpix\/2018\/07\/24\/13\/4E8950E400000578-0-image-a-1_1532434328084.jpg\" height=\"518\" width=\"634\" alt=\"Researchers have revealed the dangers of z-drugs, sleeping medications taken by dementia patients, and buprenorphine, an opioid painkiller\" class=\"blkBorder img-share\" \/>  <\/p>\n<p class=\"imageCaption\">Researchers have revealed the dangers of z-drugs, sleeping medications taken by dementia patients, and buprenorphine, an opioid painkiller<\/p>\n<p class=\"mol-para-with-font\">But the new findings suggest some of our most vulnerable citizens are those at the greatest risk.<\/p>\n<p class=\"mol-para-with-font\">The results, presented at the Alzheimer&#8217;s Association International Conference in Chicago, open up a new front in the war on dangerous prescription drugs.<\/p>\n<p class=\"mol-para-with-font\">Experts have already warned for years that care staff too often use anti-psychotic drugs as a &#8216;chemical cosh&#8217; to control the behaviour of difficult dementia patients.<\/p>\n<p class=\"mol-para-with-font\">Concerns have also been raised about the use of benzodiazepines as a sedative.<\/p>\n<p class=\"mol-para-with-font\">But the new studies \u2013 involving the universities of Exeter, East Anglia, Newcastle, Aston, King&#8217;s College London and University College London \u2013 reveal two other types of drugs are also putting people with dementia at risk.<\/p>\n<ul class=\"rotator-panels link-bogr1 linkro-ccox\">\n<li>  <span>Eight-year-old&#8217;s brain was infested with 100 tapeworm eggs&#8230;<\/span> <\/a>  <span>More than 50 twin babies die every year because hospitals&#8230;<\/span> <\/a>  <span>Opticians eye test could spot DEMENTIA: Landmark study&#8230;<\/span> <\/a>  <span>Adding just two-and-a-half teaspoons of sugar to your tea&#8230;<\/span> <\/a> <\/li>\n<\/ul>\n<p class=\"mol-para-with-font\">The first study, which included 4,500 dementia patients, found taking hypnotic sedatives known as z-drugs \u2013 such as zolpidem, zopiclone and zaleplon \u2013 increased the risk of bone fractures by 40 per cent and increased the risk of death by 34 per cent.<\/p>\n<p class=\"mol-para-with-font\">The pills are usually used to help people sleep but can also be used to treat anxiety \u2013 both problems that are common in dementia patients. They are\u00a0<span>taken by an estimated 80,000 dementia patients in Britain.<\/span><\/p>\n<p class=\"mol-para-with-font\">A second study of 162 people found buprenorphine \u2013 a common painkiller taken by 120,000 dementia patients in Britain \u2013 tripled the risk of psychotic and neurological problems, such as personality changes, confusion and sedation.<\/p>\n<p class=\"mol-para-with-font\">People who took the drug also saw their daytime activity drop 13 per within a week, a major risk factor for a group of people already largely confined indoors.<\/p>\n<p class=\"mol-para-with-font\">The scientists also believe buprenorphine increases the risk of death \u2013 though they admitted the numbers were too small for this to be definitive.<\/p>\n<p class=\"mol-para-with-font\">Professor Clive Ballard of Exeter University, who was involved with both studies, said: &#8216;We should be trying to find non-drug solutions.<\/p>\n<h3 class=\"mol-factbox-title\">ARE THE DRUGS GIVEN TO DEMENTIA PATIENTS REALLY DANGEROUS?\u00a0<\/h3>\n<p class=\"mol-para-with-font\">The results, presented at the Alzheimer&#8217;s Association International Conference in Chicago, open up a new front in the war on dangerous prescription drugs.<\/p>\n<p class=\"mol-para-with-font\">Experts have already warned for years that care staff too often use anti-psychotic drugs as a &#8216;chemical cosh&#8217; to control the behaviour of difficult dementia patients.<\/p>\n<p class=\"mol-para-with-font\">Concerns have also been raised about the use of benzodiazepines as a sedative.<\/p>\n<p class=\"mol-para-with-font\">But the new studies \u2013 involving the universities of Exeter, East Anglia, Newcastle, Aston, King&#8217;s College London and University College London \u2013 reveal two other types of drugs are also putting people with dementia at risk.<\/p>\n<p class=\"mol-para-with-font\">The first study, which included 4,500 dementia patients, found taking hypnotic sedatives known as z-drugs \u2013 such as zolpidem, zopiclone and zaleplon \u2013 increased the risk of bone fractures by 40 per cent and increased the risk of death by 34 per cent.<\/p>\n<p class=\"mol-para-with-font\">The pills are usually used to help people sleep but can also be used to treat anxiety \u2013 both problems that are common in dementia patients. They are\u00a0<span>taken by an estimated 80,000 dementia patients in Britain.<\/span><\/p>\n<p class=\"mol-para-with-font\">A second study of 162 people found buprenorphine \u2013 a common painkiller taken by 120,000 dementia patients in Britain \u2013 tripled the risk of psychotic and neurological problems, such as personality changes, confusion and sedation.<\/p>\n<p class=\"mol-para-with-font\">&#8216;Obviously the easiest thing is to give people a pill. But other things could work \u2013 maybe not putting people to bed so early will help them sleep, making sure they are active during the day, dealing with any anxieties.<\/p>\n<p class=\"mol-para-with-font\">&#8216;If they are in pain maybe physiotherapy would work.<\/p>\n<p class=\"mol-para-with-font\">&#8216;Obviously these approaches might not be the answer for all of them, but it could be a solution for some of the 200,000 people currently taking these drugs.&#8217;<\/p>\n<p class=\"mol-para-with-font\">He said previous research into the dangers of anti-psychotics led to a reduction in prescribing by 50 per cent.<\/p>\n<p class=\"mol-para-with-font\">&#8216;We now urgently need a similar concerted approach to z-drugs, to protect frail elderly people with dementia from fractures and increased risk of death,&#8217; he said.<\/p>\n<p class=\"mol-para-with-font\">The scandalous treatment of vulnerable and disabled people was highlighted during the exposure of treatment in Winterbourne View care home in Bristol in 2011.<\/p>\n<p class=\"mol-para-with-font\">Patients at the care home were forcibly sedated with drugs, with six care workers jailed and five others given suspended sentences as a result.<\/p>\n<p class=\"mol-para-with-font\">There is no suggestion in the new study that carers are using z-drugs or opiates in the same way, but the studies highlight that even well-meaning use of powerful drugs can do more harm than good.<\/p>\n<p class=\"mol-para-with-font\">Professor Ballard added: &#8216;Pain is a symptom that can cause huge distress and it&#8217;s important that we can provide relief to people with dementia.<\/p>\n<p class=\"mol-para-with-font\">&#8216;Sadly at the moment we&#8217;re harming people when we&#8217;re trying to ease their pain.<\/p>\n<p class=\"mol-para-with-font\">&#8216;We urgently need more research in this area, and we must get this dosing right. We need to establish the best treatment pathway and examine appropriate dosing for people with dementia.&#8217;<\/p>\n<p class=\"mol-para-with-font\">Professor Chris Fox from the University of East Anglia, who led the z-drugs study, added: &#8216;Around half of people with dementia have trouble sleeping, wake often and wander during the night.<\/p>\n<p class=\"mol-para-with-font\">&#8216;Z-drugs are commonly prescribed to help treat insomnia but it is thought that they may cause increased confusion and other problems such as falls and fractures.<\/p>\n<p class=\"mol-para-with-font\">&#8216;People living with dementia should only be prescribed a hypnotic if the benefits clearly outweigh the risks, and any such prescription should be regularly reviewed.&#8217;<\/p>\n<p class=\"mol-para-with-font\">Dr Doug Brown, chief policy and research officer at the Alzheimer&#8217;s Society, said: &#8216;Sleep disturbances are a common symptom of dementia, and can make life for the person with dementia, and their carer, really challenging.<\/p>\n<p class=\"mol-para-with-font\">&#8216;We recommend personalised non-drug solutions, like avoiding caffeine or taking exercise in the day, to help with sleep.&#8217;<\/p>\n<p class=\"mol-para-with-font\">Dr Laura Phipps from Alzheimer&#8217;s Research UK added: &#8216;It is essential that people living with dementia are given as much help as possible to manage chronic pain, but this research suggests they may be particularly susceptible to harmful side-effects of common opioid-based painkillers.<\/p>\n<p class=\"mol-para-with-font\">&#8216;Researchers need to explore whether tailoring dosages of painkillers for people with dementia could limit their side-effects while retaining their important benefits.&#8217;\u00a0<\/p>\n<h3 class=\"mol-factbox-title\">WHAT IS DEMENTIA? THE KILLER DISEASE THAT ROBS SUFFERERS OF THEIR MEMORIES<\/h3>\n<p>   <img loading=\"lazy\" decoding=\"async\" id=\"i-d836daab2cc1f79d\" src=\"image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" height=\"199\" width=\"284\" alt=\"Dementia is an umbrella term used to describe a range of neurological disorders\" class=\"blkBorder img-share\" \/>  <img loading=\"lazy\" decoding=\"async\" id=\"i-d836daab2cc1f79d\" src=\"https:\/\/i.dailymail.co.uk\/i\/pix\/2018\/01\/30\/09\/48B92E4200000578-5328917-image-a-2_1517305621987.jpg\" height=\"199\" width=\"284\" alt=\"Dementia is an umbrella term used to describe a range of neurological disorders\" class=\"blkBorder img-share\" \/>  <\/p>\n<p class=\"imageCaption\">Dementia is an umbrella term used to describe a range of neurological disorders<\/p>\n<p class=\"mol-para-with-font\"><span class=\"mol-style-bold\">A GLOBAL CONCERN\u00a0<\/span><\/p>\n<p class=\"mol-para-with-font\">Dementia is an umbrella term used to describe a range of progressive neurological disorders, that is, conditions affecting the brain.<\/p>\n<p class=\"mol-para-with-font\">There are many different types of dementia, of which Alzheimer\u2019s disease is the most common.<\/p>\n<p class=\"mol-para-with-font\">Some people may have a combination of types of dementia.<\/p>\n<p class=\"mol-para-with-font\">Regardless of which type is diagnosed, each person will experience their dementia in their own unique way.<\/p>\n<p class=\"mol-para-with-font\">Dementia is a global concern but it is most often seen in wealthier countries, where people are likely to live into very old age.<\/p>\n<p class=\"mol-para-with-font\"><span class=\"mol-style-bold\">HOW MANY PEOPLE ARE AFFECTED?<\/span><\/p>\n<p class=\"mol-para-with-font\">The Alzheimer\u2019s Society reports there are more than 850,000 people living with dementia in the UK today, of which more than 500,000 have Alzheimer&#8217;s.<\/p>\n<p class=\"mol-para-with-font\">It is estimated that the number of people living with dementia in the UK by 2025 will rise to over 1 million.<\/p>\n<p class=\"mol-para-with-font\">In the US, it&#8217;s estimated there are 5.5 million Alzheimer&#8217;s sufferers. A similar percentage rise is expected in the coming years.<\/p>\n<p class=\"mol-para-with-font\">As a person\u2019s age increases, so does the risk of them developing dementia.<\/p>\n<p class=\"mol-para-with-font\">Rates of diagnosis are improving but many people with dementia are thought to still be undiagnosed.<\/p>\n<p class=\"mol-para-with-font\"><span class=\"mol-style-bold\">IS THERE A CURE?<\/span><\/p>\n<p class=\"mol-para-with-font\">Currently there is no cure for dementia.<\/p>\n<p class=\"mol-para-with-font\">But new drugs can slow down its progression and the earlier it is spotted the more effective treatments are.<\/p>\n<p class=\"mol-para-with-font\">Source: Dementia UK<\/a>\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Powerful sedatives and painkillers are endangering the lives of hundreds of thousands of people with dementia, doctors have warned. Researchers have revealed the dangers of z-drugs, sleeping medications taken by dementia patients, and buprenorphine, an opioid painkiller. These drugs are particularly common in care homes, where staff often use strong medication to help them deal <a class=\"read-more-link\" href=\"http:\/\/healthmedicinet.com\/i\/powerful-drugs-given-to-dementia-patients-put-them-at-risk-of-early-death\/\">Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-223132","post","type-post","status-publish","format-standard","hentry"],"_links":{"self":[{"href":"http:\/\/healthmedicinet.com\/i\/wp-json\/wp\/v2\/posts\/223132","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/healthmedicinet.com\/i\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/healthmedicinet.com\/i\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/healthmedicinet.com\/i\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/healthmedicinet.com\/i\/wp-json\/wp\/v2\/comments?post=223132"}],"version-history":[{"count":0,"href":"http:\/\/healthmedicinet.com\/i\/wp-json\/wp\/v2\/posts\/223132\/revisions"}],"wp:attachment":[{"href":"http:\/\/healthmedicinet.com\/i\/wp-json\/wp\/v2\/media?parent=223132"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/healthmedicinet.com\/i\/wp-json\/wp\/v2\/categories?post=223132"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/healthmedicinet.com\/i\/wp-json\/wp\/v2\/tags?post=223132"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}