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The Critical Role of Clinical Pharmacology in Geriatric Psychopharmacology
Author(s) -
Pollock BG,
Forsyth CE,
Bies RR
Publication year - 2009
Publication title -
clinical pharmacology and therapeutics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.941
H-Index - 188
eISSN - 1532-6535
pISSN - 0009-9236
DOI - 10.1038/clpt.2008.229
Subject(s) - psychopharmacology , clinical pharmacology , pharmacology , medicine
There is limited geriatrics‐oriented clinical pharmacological information available to guide pharmacotherapy in late‐life psychiatric disorders. In this paper, we review available data on interindividual differences in drug exposure and central nervous system functioning, amplified by drug–drug interactions in the elderly, that may contribute to variable responses to treatment and significant adverse drug effects. The inclusion of greater numbers of elderly persons in clinical trials and the vigorous application of clinical pharmacologic methodology (i.e., pharmacoepidemiology, population pharmacokinetic modeling, and pharmacogenetics) will be critical for improving safety and personalization of drug and dose selection for elderly patients. Clinical Pharmacology & Therapeutics (2008); 85 , 1, 89–93 doi: 10.1038/clpt.2008.229