What lists medications inappropriate for the elderly?
Table
| Medication | Main concerns (selected) |
|---|---|
| Opioid analgesics pethidine | elevated risk of delirium and falls |
| Antiarrhythmic drugs | |
| Quinidine* | central nervous side effects increased mortality Quinidine plus verapamil: not recommended for patients over age 75 (e25) |
| Flecainide* | higher rate of adverse effects in general |
Which medication is generally recommended to be avoided in the elderly?
AVOID products that contain the antihistamines diphenhydramine (Benadryl) and chlorpheniramine (AllerChlor, Chlor-Trimeton). These medications are often included in OTC remedies for coughs, colds, and allergies. AVOID OTC sleep products, like Tylenol PM, which contain antihistamines such as diphenhydramine.
What is high risk medication policy?
While all medications carry risk of adverse events if prescribed, administered or dispensed inappropriately, high risk medications are those that have an increased risk of causing significant patient harm or death if they are misused or used in error.
Why are certain medications inappropriate for older people?
Many medications need to be used with special caution because of age-related changes in pharmacokinetics (ie, absorption, distribution, metabolism, and excretion) and pharmacodynamics (the physiologic effects of the drug). Particular care must be taken in determining drug doses when prescribing for older adults.
What are the top 6 high alert medications?
In addition, the summary information from the MedMarxSM 2002 report found that the top seven medications involved in events involving harm (comparable to Harm Score Categories E thru I in PA-PSRS) are high-alert medications including insulin, morphine, heparin, intravenous concentrated potassium chloride, warfarin.
What considerations must a physician take into account when prescribing medication to elderly patients?
Box 1 Guidelines for good prescribing in elderly patients
- Carry out a regular medication review and discuss and agree all changes with the patient.
- Stop any current drugs that are not indicated.
- Prescribe new drugs that have a clear indication.
What are some common considerations to take into account when administering medications to the older adult?
Review current drug therapy.
What is the Beers Criteria for older adults?
The AGS Beers Criteria® include the same five main categories as in 2015: (1) potentially inappropriate medications in older adults; (2) potentially inappropriate medications to avoid in older adults with certain conditions; (3) medications to be used with considerable caution in older adults; (4) medication …
What drugs are listed on the Beers Criteria due to reactions in older adults?
The top six medications of the Beers list most commonly used by the elderly in this study were metoclopramide, ketoprofen, acetylsalicylic acid, insulin, ipratropium bromide, and clonazepam, which accounted for more than 64.0% of the total use of potentially inappropriate medications for older adults.