Bedside assessment of swallowing in elderly subjects using psychotropic drugs

Fioravanti, Marisa Portes; Miyahara, Fernanda Balero; Cavallari, Heloisa Helena; Bretan, Onivaldo
Braz. j. otorhinolaryngol. (Impr.) 77(4): 526-530, TAB. 2011 Aug.

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.

Keywords: aged, psychotropic drugs, deglutition disorders.

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