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NICOLA SCICHILONE

Challenges in the pharmacological treatment of geriatric asthma

  • Autori: Agusta, F.; Battaglia, S.; Benfante, A.; Spatafora, M.; Scichilone, N.
  • Anno di pubblicazione: 2016
  • Tipologia: Review essay (rassegna critica) (Articolo in rivista)
  • OA Link: http://hdl.handle.net/10447/189854

Abstract

Asthma in older populations is characterized by frequent comorbid conditions, which increase the risk of side effects and of detrimental interactions between respiratory and non-respiratory drugs. These observations lead to the need to manage asthma in older populations by applying a multidimensional assessment and a multidisciplinary treatment; therefore, we favor the use of the ‘geriatric’ term to define asthma in the elderly. Geriatric asthma is a complex disease, which may not necessarily imply that it is also complicated, although the two conditions may often coexist. On this basis, the switch from an organ-driven management to the holistic approach may be the key factor to attain optimal control of the disease in this age range. The current review discusses the age-related factors affecting asthma treatment in the oldest individuals, such as the comorbid conditions, and age-related changes of metabolism and excretion that can impair the efficacy and safety of drugs.