geriatrics
Drug Categories of Concern in Older Adults
Diuretics
Lower doses of thiazide diuretics (eg,hydrochlorothiazideorchlorthalidone12.5 to 25 mg) can effectively control hypertension in many older adults and have less risk of hypokalemia and hyperglycemia than other diuretics. Thus, potassium supplements may be required less often. Potassium-sparing diuretics should be used with caution in older adults; the potassium level must be carefully monitored, particularly when these diuretics are given with angiotensin-converting enzyme (ACE) inhibitors orangiotensin IIreceptor blockers or when the patient has impaired kidney function. 