DRUG-INDUCED DIZZINESS

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Abstract

In elderly and senile patients, dizziness is one of the most common symptoms: its prevalence in persons older than 65 years reaches 30%. Dizziness has a negative impact on the quality of life of the elderly, increases the risk of falling. There is no clear and unified concept of "dizziness". The term "dizziness" is a generic term used by patients to subjectively describe complaints and symptoms associated with a variety of changes in sensation, sense of movement, perception, or consciousness. Specialists often classify dizziness into systemic (true, vertigo) and non-systemic. Dizziness in the elderly is a geriatric syndrome, i.e. it can be caused by several simultaneously acting factors associated with the disruption of the functioning of many organs and systems, so in people of older age groups, the search for the cause of dizziness is difficult. 40% of elderly patients, presenting complaints of dizziness, doctors can not accurately determine the cause of the symptoms, as dizziness may initially have polietiologichesky origin. The causes of dizziness/vertigo include certain drugs, the application of which develops such an undesirable side reaction as dizziness. In this case, the term drug-induced dizziness/vertigo is used. The classes of drugs that most often lead to dizziness/vertigo include anticonvulsants, anesthetics, antihypertensive drugs, antidepressants, analgesics, hypoglycemic drugs, contraceptives, anti-inflammatory drugs, drugs for the treatment of diseases of the cardiovascular system, sedatives, tranquilizers and cytotoxics. When assessing the cause of dizziness/vertigo in persons of older age groups, it is necessary to take into account its possible causal relationship with the intake of any drug. In this case, it is necessary to reduce the dose of this drug or its complete abolition (replacement with another drug that does not cause this adverse effect). Modern diagnosis and treatment of dizziness in elderly and senile patients is impossible without the involvement of doctors of different specialties due to the polyetiology of this geriatric syndrome, with the obligatory assessment/revision of the sheet of medicinal prescriptions.

About the authors

Olga D. Ostroumova

Yevdokimov Moscow State University of Medicine and Dentistry; Russian Clinical and Research Center of Gerontology, leading department of Pirogov Russian National Research Medical University

Email: ostroumova.olga@mail.ru
д-р мед. наук, проф.; проф. каф. факультетской терапии и профболезней ФГБОУ ВО «МГМСУ им. А.И. Евдокимова», зав. лаб. клин. фармакологии и фармакотерапии ОСП «Российский геронтологический научно-клинический центр» - ФГБОУ ВО «РНИМУ им. Н.И. Пирогова» Москва, Россия

Elizaveta S. Akimova

Yevdokimov Moscow State University of Medicine and Dentistry

студент, ФГБОУ ВО «МГМСУ им. А.И. Евдокимова» Москва, Россия

Mariia V. Shapovalova

Russian Clinical and Research Center of Gerontology, leading department of Pirogov Russian National Research Medical University; Russian Medical Academy of Continuous Professional Education

аспирант каф. неврологии с курсом рефлексологии и мануальной терапии ФГБОУ ДПО РМАНПО, врач-невролог ОСП «Российский геронтологический научно-клинический центр» - ФГБОУ ВО «РНИМУ им. Н.И. Пирогова» Москва, Россия

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