Opioids Increase Risk of Bone Fracture in Older Adults

by Jennifer Bunn, RN

A study that examined the risk of bone fracture in 2,300 older adults found that taking prescription opioids increased their risk of bone fracture substantially. Furthermore, larger dosages of opioids conveyed a higher risk than lower doses.

What are opioids? Opioids are narcotic analgesics (painkillers) prescribed to treat moderate to severe pain. They may be used as a one-time treatment or may be prescribed for continuous use in certain chronic conditions. Although they are very potent painkillers, they are not without risk, including the risk of becoming addicted. Other side effects may include drowsiness, itching, gastrointestinal upset, constipation and dry mouth. Taking too much of this type of drug can result in respiratory depression, where the rate of breathing slows, low blood pressure, and other dangerous effects.

The study outlining the increased rate of bone fractures in older patients taking opioids serves as a reminder that opioids should be prescribed and taken with caution. Aside from their addictive potential, opioids can cause drowsiness and low blood pressure, increasing the risk for falls. The potential for these side effects combined with an increased risk of bone fracture in older adults using opioids means that older people may need to be particularly cautious when using opioids to control pain.

Source: Prescription Painkillers Increase Risk of Bone Fractures, Study Finds

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