Bedside assessment of swallowing in elderly subjects using psychotropic drugs

Braz J Otorhinolaryngol. 2011 Jul-Aug;77(4):526-530. doi: 10.1590/S1808-86942011000400019.
[Article in English, Portuguese]

Abstract

Neuroleptic drugs are used in several mental disorders, but are suspected of causing oropharyngeal dysphagia, mainly in the elderly.

Aim: To study the effect of neuroleptic agents on swallowing of institutionalized older people.

Material and method: A cross sectional study of swallowing in 47 subjects that either used or did not use neuroleptic drugs. Bedside swallowing tests with foods of four different consistencies were carried out.

Results: There was no significant difference between the two groups. Users of neuroleptic medications showed a higher percentage of multiple swallowing while non-users had a higher percentage of oral food escape.

Conclusions: Neuroleptic agents alone do not affect the mechanism of swallowing in the elderly; nonetheless. Further studies with a larger number of individuals and specific swallowing tests are needed.

MeSH terms

  • Aged
  • Antipsychotic Agents / adverse effects*
  • Antipsychotic Agents / therapeutic use
  • Cross-Sectional Studies
  • Deglutition Disorders / chemically induced
  • Deglutition Disorders / diagnosis*
  • Female
  • Homes for the Aged
  • Humans
  • Male
  • Mental Disorders / drug therapy

Substances

  • Antipsychotic Agents