DRUGS AS A CAUSE OF MALNUTRITION• Mario Wilmath
OBJECTIVES• At risk populations• Drugs Classes• Treatment• Prevention
Physical Interactions• Ca, mg, fe, al, or Zn can lower oral abs of levothyroxine and quinolones.• Tube feedings decrease phyntoin and levothyroxine
Appropriate Prescribing• Established efficacy• Compatible safety• Low risk of drug interactions• Low risk of nutrient interactions• Known adjustments for disease states or organ function• Convenient• Affordable
Decreased Drug Effect• Warfarin and vitamin-K containing foods
Decreased Oral Intake or Appetite• Meds that alter taste (dysgeusia) – Captopril – Clarithromycin• Decrease saliva production (xerostomia)• Antihistamines, antidepressants, antipsychotics, clonidine, diuretics• Make mastication and swallowing dificult
Nutrient-Drug Interactions• Constipation• Inadequate or excessive fluid intake• Need for a tyramine-restriction.• It is advisable to refrain from blaming the medication for side effects while working to minimize the consequences.
• Choosing a Nutrient-rich Diet• Antioxidants• B-Vitamins and Folate• Calcium Vitamin D• Fiber• Iron Magnesium Potassium