Potential Dietary Supplement and Medication Interactions in a Subset of the Older Adult Population Attending Congregate Sites

J Nutr Gerontol Geriatr. 2018 Jul-Dec;37(3-4):218-230. doi: 10.1080/21551197.2018.1519481. Epub 2018 Nov 6.

Abstract

This study assessed possible dietary supplement-medication interactions of 62 older adults recruited from 8 senior congregate sites in Bexar County, Texas. Dietary supplement and medication use were collected by paper questionnaire and potential supplement-medication interactions were assessed using online databases. The majority of participants reported dietary supplements (77%), non-prescription medication (50%), and prescription medication (73%) use. Fifty percent of participants who reported dietary supplement and medication use were at-risk for a potential supplement-medication interaction, ranging from one to eight potential interactions. Calcium and multivitamin-mineral supplements were the most common dietary supplements with potential medication interactions. Surveyed older adults reported dietary supplements should be reported to a physician (97%), but over 20% believe herbal products are pure (38%) and dietary supplements are risk free (34%) and will not cause harm (22%). In conclusion, regular education and screening of dietary supplement and medication use among older adults is recommended.

Keywords: Dietary supplement; interaction; medication; older adults.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Calcium / pharmacology*
  • Culture
  • Dietary Supplements*
  • Drug Interactions*
  • Female
  • Health Education
  • Homes for the Aged / statistics & numerical data
  • Humans
  • Male
  • Needs Assessment
  • Nursing Homes / statistics & numerical data
  • Prescription Drugs / pharmacology
  • Risk Assessment / methods
  • Trace Elements / pharmacology*
  • United States
  • Vitamins / pharmacology*

Substances

  • Prescription Drugs
  • Trace Elements
  • Vitamins
  • Calcium