What adverse effect should be monitored in an older client taking amitriptyline that could lead to falls?

Monitoring for orthostatic hypotension in older clients taking amitriptyline is crucial due to the risk of falls. Amitriptyline, a tricyclic antidepressant, can cause significant sedation and anticholinergic effects, which may lead to a drop in blood pressure when the patient stands up. As older adults are often more susceptible to changes in blood pressure and may already have balance issues, this side effect can increase the risk of dizziness and falls, making it essential for caregivers and healthcare providers to be vigilant.

While urinary frequency, visual disturbances, and urinary retention are notable side effects of amitriptyline, they are less directly associated with the immediate risk of falls. Urinary issues may lead to other complications but do not inherently pose a direct threat to stability and coordination as orthostatic hypotension does. Understanding the implications of these side effects helps ensure appropriate monitoring and safety measures for older clients on this medication.