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. Gerontologic considerations in pain management a. Older adults are more sensitive to the effects of adjuvant analgesic agents that produce sedation and other CNS effects b. Therapy should start with low doses and titration upward should proceed slowly with constant monitoring for patient’s response c. Older adults are at higher risks of GI toxicity related to NSAID use as well d. American Geriatric Society has said that opioids are safer for use in the elderly because they do not pose the same GI toxicity risks as NSAIDs e. Starting opioid dose should be reduced by 25% to 50% in adults who are older than 70 years of age because they are more susceptible to the adverse effects of the opioids than younger adults

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