Aged Care Insite Issue 117 | Feb-Mar 2020 | Page 9

news Dangerous cocktail Alcohol and meds don’t mix for older Aussies. O lder Australians who consume alcohol while taking common prescription medications are putting their health at serious risk, new research shows. “While drinking levels in young people are reducing, we’re seeing older Australians actually increasing their alcohol consumption,” says Edith Cowan University researcher Dr Stephen Bright. “This trend is concerning because older Australians are at increased risk of experiencing health complications from alcohol since they are more likely to have a chronic illness that alcohol can exacerbate and make more difficult to treat. “They are also likely to be prescribed an average of four medications and be taking several herbal supplements.” Bright says that when older people mix medications with alcohol, there is an increased risk of developing serious side effects, and alcohol can even reduce the effectiveness of some drugs. “That could lead to psychiatric symptoms, stomach ulcers or cardiovascular events. And in some cases, it can be fatal,” he adds. The study looked at the alcohol and medication consumption of 72 older adults discharged from a Victorian-based alcohol and other drugs treatment service. It found that of those who were drinking alcohol at hazardous levels, 92 per cent were also taking at least one medication that placed them at high risk of serious adverse side-effects. Bright says his findings highlight the need for specific alcohol guidelines for older people in conjunction with alcohol monitoring by healthcare professionals, and patients themselves, as part of general health checkups. “There’s not enough awareness about what a safe level of drinking is, particularly for older people and those also taking medications,” he says. “We need to encourage more people to have the conversation with their doctor, pharmacist or healthcare professional so that they can look at alternative medications or give advice on what a safe level of drinking is, if any.”  ■ Beefing up your brain Could testosterone supplements delay cognitive decline? T estosterone supplements have been found to improve cognitive function in older men, according to researchers at Edith Cowan University. The researchers analysed the results of 14 randomised controlled trials, including one recently published in the American Journal of Geriatric Psychiatry, and are now calling for Australian men to volunteer for their own randomised controlled trial. “As we age, our brains gradually shrink, leading to a decline in memory, problem- solving and other cognitive functions,” said study co-author Associate Professor Hamid Sohrabi. “This evidence shows that testosterone supplementation may help men stay mentally sharp into old age.” The researchers say this finding could potentially lead to a way to delay the onset of dementia. The lead researcher of the review, Professor Ralph Martins, AO, said that if “testosterone supplementation, either alone or in combination with other treatments, can delay the onset of symptoms of Alzheimer’s disease by a few years, this could make a huge difference to the lives of those with the disease and their families”. The trial, set up by Martins and Sohrabi, will test whether testosterone used on its own or in combination with fish oil can delay the cognitive decline associated with Alzheimer’s disease. They are calling for male volunteers between 60 and 80 years old, without major medical conditions and who are not currently taking testosterone treatments, to take part in the study. For more information about the trial or to volunteer, email Shane Fernandez at the Australian Alzheimer’s Research Foundation (WA) or phone (08) 6304 3966.  ■ agedcareinsite.com.au 7