Important notice

Meds75+ – information regarding the use for persons aged 75+

Substances A-Z
  • Ma

  • Magnesii hydroxidum
    Class D
    Avoid use in older persons. Inappropriate as antacid for older persons, use safer alternatives. Reduce the dose in even moderate renal insufficiency. Take the several interactions in the absorption phase into account.
  • Magnesii subcarbonas ponderosus
    Class D
    Avoid use in older persons. Inappropriate as antacid for older persons, use safer alternatives. Reduce the dose in even moderate renal insufficiency. Take the several interactions in the absorption phase into account.
  • Me

  • Medroxyprogesteroni acetas
  • Melatoninum
    Used as "PSYCHOLEPTICS"
    Class B
    Lack of research evidence, clinical experience or efficacy among older persons. For short-term use only. Has less adverse effects than in benzodiazepines or similar drugs. Non-pharmacological treatments are primary in the treatment of insomnia.
  • Meloxicamum
    Class C
    Suitable for older persons, with specific cautions. For short-term use only. May decrease renal function. Reduce the dose in moderate and severe renal insufficiency. May increase blood pressure, worsen cardiac insuffiency and cause cardiovascular events. Increases risk of gastrointestinal bleeding.Take interactions into account, especially with anticoagulants. Remember that anti-inflammatory analgesics are commonly used in self-care.
  • Memantini hydrochloridum
    Class C
    Suitable for older persons, with specific cautions. Reduce the dose in severe renal insufficiency. Take significant interactions into account with phenytoin, ketamine and dextromethorphan which is used as a cough medicine in self-care.
  • Mesalazinum
    Class A
    Suitable for older persons. Do not use in severe renal insufficiency.
  • Metamizolum natricum
  • Metformini hydrochloridum
    Class C
    Suitable for older persons, with specific cautions. Reduce the dose in even mild renal insufficiency. Do not use in severe renal insufficiency or tissue hypoxia. May reduce the absorption of vitamin B12. Take into account risk of lactic acidosis. Cease is required in cases of gastroenteritis or dehydration, and before surgery or imaging with a contrast agent.
  • Methotrexatum
    Class C
    Suitable for older persons, with specific cautions. In other conditions than cancer treatment administration only once weekly. Organtoxic such as kidneys, liver and bone marrow. Remember monitoring safety tests. Reduce the dose in renal insufficiency. Avoid use in case of severe renal insufficiency. Take several interactions into account.
  • Methylprednisoloni acetas
    Class C
    Suitable for older persons, with specific cautions. Adverse effects are emphasised in long-term use. Take interactions into account.
  • Methylprednisolonum
    Class C
    Suitable for older persons, with specific cautions. Adverse effects are emphasised in long-term use. Take interactions into account.
  • Metoclopramidi hydrochloridum
    Class D
    Avoid use in older persons. Reduce the dose in even mild renal insufficiency. Significant adverse effects include extrapyramidal symptoms and confusion. Take interactions into account, especially with antipsychotics and dopamine agonists like levodopa.
  • Metoprololi succinas
    Class A
    Suitable for older persons. Significant adverse effects include bradycardia and orthostatic hypotension. Take interactions into account, especially with drugs affecting the conduction pathways of the heart.
  • Metoprololi tartras
    Class A
    Suitable for older persons. Significant adverse effects include bradycardia and orthostatic hypotension. Take interactions into account, especially with drugs affecting the conduction pathways of the heart.
  • Metronidazolum
    Class C
    Topical treatment: Suitable for older persons, with specific cautions. In topical use, absorption takes place through mucous membranes and broken ski. Take interactions into account, especially with warfarin. Do not drink alcohol during treatment.
    Class C
    Suitable for older persons, with specific cautions. In topical use, absorption takes place through mucous membranes and broken skin. Take interactions into account, especially with warfarin. Do not drink alcohol during treatment.
    Used as "ANTIPROTOZOALS"
    Class C
    Suitable for older persons, with specific cautions. Take interactions into account, especially with warfarin. May cause dysgeusia and dark-coloured urine. Avoid alcohol during treatment and one day after thereafter.
  • Mi

  • Miconazoli nitras
    Class C
    Topical treatment: Suitable for older persons, with specific cautions. In topical use, absorption takes place through broken skin. Take severe adverse effects into account, especially with warfarin.
    Class C
    Topical treatment: Suitable for older persons, with specific cautions. In topical use, absorption takes place through mucous membranes and broken ski. Take interactions into account, especially with warfarin. Alternative: nystatin.
  • Mirabegronum
    Used as "UROLOGICALS"
    Class B
    Lack of research evidence, clinical experience or efficacy among older persons. Elimination is reduced in renal insufficiency. Take interactions into account.
  • Mirtazapinum
    Class C
    Suitable for older persons, with specific cautions. Slightly anticholinergic. Sedative. Slightly serotonergic. Suitable in small doses for treating insomnia. Reduce the dose in even moderate renal insufficiency. Increases risk for falls.
  • Misoprostolum
    Class A
    Suitable for older persons. May reduce the risk of gastrointestinal bleeding caused by diclofenac.
  • Mo

  • Mometasoni furoas
    Class A
    Topical treatment: Suitable for older persons.
  • Morphini hydrochloridum
    Used as "ANALGESICS"
    Class C
    Suitable for older persons, with specific cautions. Opioid. Sedative. Reduce the initial dose in renal insufficiency. Avoid use in severe renal insufficiency. Start a laxative to prevent constipation.
  • Moxonidinum
    Class D
    Avoid using for elderly persons. Sedative. Reduce the dose in even mild renal insufficiency. Significant adverse effects include orthostatism, headache, drowsiness,and sleep disorders. Potentiates the effect of CNS depressants.

Icon explanation

Class A A (green): Suitable for the older persons. The medicinal substance can be used as in younger patients. Changes due to aging do not affect the dose or frequency of administration, and the adverse reaction profile is not different from that of younger patients.

Class B B (grey): There is little research evidence, practical experience or efficacy in older persons.

Class C C (yellow): Suitable for older persons, with specific cautions. The medicinal substance can be used by older persons, but the dose might either have to be reduced, or the frequency of administration decreased due to mild or moderate renal insufficiency or a significant risk of interactions or adverse reactions.

Class D D (red): Avoid use in older persons. Use is possible only in exceptional cases or on a one-off basis. Changes due to aging predispose older persons to adverse or dangerous reactions to the drug. The risk of adverse reactions typically exceeds the benefits.

Meds75+ data source is Finnish Medicines Agency Fimea (licensed under CC BY 4.0).
Data updated on Mar 30, 2021.