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Is Methyldopa safe for an elderly patient?

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Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 121 Questions

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Posted on Wed, 10 Oct 2018 in Medicines and Side Effects
Question: Where can I buy methyldopa without insurance
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Answered by Dr. Bonnie Berger-Durnbaugh 54 minutes later
Brief Answer:

Information/suggestions

Detailed Answer:

Hello,

Walgreens carries this medication. For a 30 days supply it would be roughly $15; for a 90 days supply it would be $30 for the generic drug.

But before considering this medication, please know that it is considered a high-risk medication in people over 65 years old.

It can cause severe side effects and withdrawal (rebound) side effects. Please see below.

Geriatric Patients: High-Risk Medication:

Beers Criteria: Methyldopa is identified in the Beers Criteria as a potentially inappropriate medication to be avoided in patients 65 years and older (independent of diagnosis or condition).

This is due to a high risk of central nervous system adverse effects and risk of bradycardia (slow heart rate) and orthostatic hypotension (blood pressure dropping too much when a person stands up) associated with central alpha-blockers.

Not recommended as routine treatment for hypertension (Beers Criteria [AGS 2015]).

Pharmacy Quality Alliance (PQA): Methyldopa is identified as a high-risk medication in patients 65 years and older on the PQA’s (PQA).

Use of High-Risk Medications in the Elderly (HRM) performance measure, a safety measure used by the Centers for Medicare and Medicaid Services (CMS) for Medicare plans.

Hope I have answered your query.

Take care

Regards,
Dr Bonnie Berger-Durnbaugh, General & Family Physician
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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