Would you start glycopyrrolate in elderly population and how do you counsel the patient?

The short answer is no, I would not start systemic glycopyrrolate in the elderly population.

Of course, more information is needed to thoroughly answer this question.

For simplicity, I will assume glycopyrrolate is being considered for excessive sweating. A complete history and physical exam are necessary. Is the excessive sweating of new onset or long standing, localized or diffuse, related to physical or emotional stress, recent medication changes, weight loss or gain, etc.? If there are any concerns for a systemic etiology or any of the above concerns should be addressed, further evaluation and appropriate referral are necessary.

So, if the question is, if the excessive sweating is localized or widespread with no concerns for systemic di...