1999
DOI: 10.1016/s0002-9270(99)00129-x
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Selective outpatient management of upper gastrointestinal bleeding in the elderly

Abstract: Selective outpatient management of elderly patients with upper gastrointestinal bleeding can be done safely and has the potential to lead to reduced health care expenditures. Over-the-counter nonsteroidal antiinflammatory drugs are the most frequent cause of bleeding peptic ulcer disease in this population.

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“…The varying degrees of hepatic and renal impairment and the potential for a larger pharmacodynamic effect of sedatives in old people can make OTC medicines, even with low doses, harmful. Cebollero-Santamaria et al [42] showed that bleeding from a peptic ulcer was associated with use of NSAIDs in 81% of 84 patients and that 95% had purchased their NSAIDs as a OTC drug. The use of recommended doses of the OTC NSAIDs has a relatively good safety profile compared to prescription NSAIDs.…”
Section: Medication Use In Elderly Patientsmentioning
confidence: 99%
“…The varying degrees of hepatic and renal impairment and the potential for a larger pharmacodynamic effect of sedatives in old people can make OTC medicines, even with low doses, harmful. Cebollero-Santamaria et al [42] showed that bleeding from a peptic ulcer was associated with use of NSAIDs in 81% of 84 patients and that 95% had purchased their NSAIDs as a OTC drug. The use of recommended doses of the OTC NSAIDs has a relatively good safety profile compared to prescription NSAIDs.…”
Section: Medication Use In Elderly Patientsmentioning
confidence: 99%