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potentially inappropriate medications/classes to avoid in older adults independent of diagnoses or conditions



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tarix02.01.2022
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34 potentially inappropriate medications/classes to avoid in older adults independent of diagnoses or conditions.

    • 34 potentially inappropriate medications/classes to avoid in older adults independent of diagnoses or conditions.
    • Notable mentions:
        • Sliding Scale Insulin
        • Antipsychotics for Behavioral Health issues associated with dementia
        • Non benzodiazepine Hypnotics
        • Megestrol
















Older adults often under-represented in drug trials potentially underestimating medication related problems/evidence grading.

  • Older adults often under-represented in drug trials potentially underestimating medication related problems/evidence grading.

  • Does not comprehensively address the needs of palliative and hospice care patients

  • Does not address other types of potential potentially inappropriate medications

    • e.g.:
      • dosing of primarily renally eliminated medications,
      • drug-drug- interactions


This is just one tool that can be utilized to optimize medication management in older adults.

  • This is just one tool that can be utilized to optimize medication management in older adults.

  • Need to make sure the Beers list is used in a patient centered manner



For the Health Professional

  • For the Health Professional

  • Downloadable pocket card

  • Evidence tables with links to supporting references

  • Beers app – AGS iGeriatrics

  • For the Layperson

  • Summary in lay language

  • Q & A on what to do if one of your drugs is on the Beers list

  • Medication diary & tips for safe use of meds









Quality prescribing includes:

  • Quality prescribing includes:

  • Correct drug for correct diagnosis

  • Appropriate dose (label; dose adjustments for co-morbidity, drug-drug interactions)

  • Avoiding underuse of potentially important medications (e.g., bisphosphonates for osteoporosis)

  • Avoiding overuse (e.g., antibiotics)

  • Avoiding potentially inappropriate drugs

  • Avoiding withdrawal effects with discontinuation

  • Consideration of cost





Quality Metrics

  • Quality Metrics

    • HEDIS: http://www.ncqa.org/HEDISQualityMeasurement/HEDISMeasures/HEDIS2013/HEDIS2013FinalNDCLists.aspx
  • Improved patient care

  • Decrease liability



Medication Management & Monitoring takes a team!

  • Medication Management & Monitoring takes a team!

  • It needs to be patient centered.

  • Most importantly, monitoring needs to be evaluated on an ongoing basis.



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