Tag Archives: dementia

The disgrace of a nation that treats old people like animals

Let’s imagine for a moment that it’s routine practice in this country to sedate babies who won’t settle: that the more they cry, the more drugs are poured down their tiny throats.

The same treatment, let’s imagine, is also routine for the mentally disabled: whenever they create too much disturbance, we simply cosh them with chemicals.

There would be a national outcry. Heads would roll. Money would be found immediately to train medical staff and carers so that such a scandal could never, ever happen again.

Now let’s stop imagining and face the appalling truth. The nightmare scenario that I’ve just painted is precisely what’s happening to some of the most vulnerable people in the land — the elderly.

Are Nursing Homes Over-Drugging Their Residents?

According to the San Francisco-based organization California Advocates for Nursing Home Reform (CANHR), more than 25,000 California nursing-home residents are being given anti-psychotic drugs. That’s about a quarter of the state’s nursing-home population, and according to CANHR and other elder-rights activists, it’s a figure that’s way too high — particularly considering the negative side effects these medications can have.

“They’re being sedated into zombie-hood,” says CANHR staff lawyer Tony Chicotel.

JAMA: Spotty results with off-label antipsychotic use

Off-label use of powerful antipsychotic drugs has come in for plenty of debate in recent years. The expensive, newer-generation “atypicals” have been used to treat dementia, depression, anxiety, post-traumatic stress disorder, dementia, attention-deficit hyperactivity disorder…the list goes on. And all this while the Justice Department was investigating Big Pharma for off-label promotion of the drugs.

Two High Ranking Senators – Grassley & Kohl – Question Use of Psych Drugs in Nursing Homes

WASHINGTON — Two high-ranking senators have urged the Centers for Medicare and Medicaid Services (CMS) to take a closer look at potential over-prescribing of atypical antipsychotics to nursing home residents. Atypical antipsychotics are not approved to treat dementia, and must carry black box warnings that elderly people who take atypical antipsychotics have an increased risk of death, compared with those who take placebo pills for dementia. Still, it’s clear that these drugs are being used in nursing homes to control behavioral problems related to dementia. A 2011 report from the Department of Health and Human Services Office of the Inspector General (OIG) found that 14% of all nursing home residents with Medicare had claims for antipsychotics and 88% of the atypical antipsychotics prescribed off-label were for dementia.

And in 2009 Elli Lilly, the makers of olanzapine (Zyprexa), pled guilty and paid $1.4 billion to the federal government for allegedly targeting doctors who worked in nursing homes and assisted living facilities to prescribe olanzapine off-label to elderly patients with dementia. In their letter, Sens. Charles Grassley (R-Iowa) and Herb Kohl (D-Wisc.), urged CMS administrator Donald Berwick, MD, to examine the issue of overuse of antipsychotics in nursing homes more closely. The letter is a follow-up to one the senators sent in May after the release of the OIG report, which the senators themselves requested.

Attorney General Alleges Jansen Illegally Marketed Antipsychotic Drug – to kids and the elderly

Drug manufacturer Ortho-McNeil-Janssen is being sued by Attorney General Martha Coakley for illegally marketing Risperdal, an atypical antipsychotic medication. The complaint, filed this week in Suffolk Superior Court, further alleges that Janssen failed to disclose serious risks associated with Risperdal’s use, including the risk of excessive weight gain, diabetes and, for elderly dementia patients, an increased risk of death.