Opioids, antiepileptic and anticholinergic drugs and the risk of fractures in patients 65 years of age and older: A prospective population-based study

Janne Nurminen, Juha Puustinen, Maarit Piirtola, Tero Vahlberg, Alan Lyles, Sirkka Liisa Kivelä

Research output: Contribution to journalArticlepeer-review

Abstract

Background: in men, the concomitant use of two or more benzodiazepines or two or more antipsychotics is associated with an increased risk of fracture(s). Potential associations between the concomitant use of drugs with central nervous system effects and fracture risk have not been studied. Objective: the purpose was to describe the gender-specific risk of fractures in a population aged 65 years or over associated with the use of an opioid, antiepileptic or anticholinergic drug individually; or, their concomitant use with each other; or the concomitant use of one of these with a psychotropic drug. Methods: this study was part of a prospective, population-based study performed in Lieto, Finland. Information about fractures in 1,177 subjects (482 men and 695 women) was confirmed with radiology reports. Results: at 3 years of follow-up, the concomitant use of an opioid with an antipsychotic was associated with an increased risk of fractures in men. During the 6-year follow-up, the concomitant use of an opioid with a benzodiazepine was also related to the risk of fractures for males. No significant associations were found for females. Conclusion: the concomitant use of an opioid with an antipsychotic, or with a benzodiazepine may increase the risk of fractures in men aged 65 years and older.

Original languageEnglish (US)
Article numberafs178
Pages (from-to)318-324
Number of pages7
JournalAge and ageing
Volume42
Issue number3
DOIs
StatePublished - May 2013

Keywords

  • Concomitant use
  • Fracture risk
  • Medication
  • Old age
  • Older people

ASJC Scopus subject areas

  • Aging
  • Geriatrics and Gerontology

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