著者
野原 幹司
出版者
特定非営利活動法人 日本睡眠歯科学会
雑誌
睡眠口腔医学 (ISSN:21886695)
巻号頁・発行日
vol.7, no.1, pp.2-7, 2020 (Released:2020-10-01)
参考文献数
9

Polypharmacy is a problem in the clinical practice of elderly medical care. Symptoms caused by polypharmacy are diverse, including falls and deterioration of cognitive function, as well as dysphagia. Textbooks state that neurodegenerative diseases such as stroke and Parkinson’s disease are common causes of swallowing disorder, but there are unexpectedly many drug-induced swallowing disorders in the field of elderly medical care. Typical medicines that cause drug-induced swallowing disorders are sleep-related drugs such as sleep medication, anxiolytics, and antipsychotic drugs. Dentists working in the field of dental sleep medicine are in a good position to treat such disorders because they have knowledge of which sleep-related drugs are likely to cause swallowing disorders, and which drugs do not affect swallowing disorders while improving sleep disorders. Dentists specializing in sleeping dentistry are important for managing drug-induced swallowing disorders in cooperation with prescription physicians. Dental sleep medicine may have an important role to play in treating polypharmacy.

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参考文献 https://t.co/UK8ytnx67s
@e123st_milk 薬剤性嚥下障害について詳しく書かれています
薬剤の多剤併用による弊害(ポリファーマシー)によって口腔乾燥が顕著に引き起こされるのは有名ですが、抗うつ系の薬によってムセそのものが抑制、誤嚥を助長してしまう可能性があるようです。寝つき悪い入居者に投与されてる可能性があるので頭の片隅にも。 #口腔ケア https://t.co/TzUhOuuLUH

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