AVOID Certain Anticholinergic Drugs
- Antidepressants amitriptyline (Elavil) and imipramine (Tofranil)
- Anti-Parkinson drug trihexyphenidyl (Artane)
- Irritable bowel syndrome drug dicyclomine (Bentyl)
What is the most common inappropriately prescribed drug to the elderly?
Diphenhydramine and amitriptiline are the most common inappropriately prescribed medications with high risk adverse events while propoxyphene and doxazoxin are the most commonly prescribed medications with low risk adverse events.
Which of the following indicates medications that should be avoided or cautiously used in the elderly?
Talk with your healthcare provider if a medication you are taking is in the AGS Beers Criteria®. Ask if there might be a safer or more effective alternative. Keep in mind that if a medication you take is on the AGS Beers Criteria®, it still may be a reasonable choice for you.
What is potentially inappropriate medication use in older adults?
A potentially inappropriate medication (PIM) is one prescribed without indication or where the net clinical benefit does not outweigh the risk. PIM use is a common cause of adverse drug reactions in older adults [1,2].
What are 4 worst blood pressure drugs?
Both Yancy and Clements point out that those medications include: thiazide diuretics (chlorthalidone, hydrochlorothiazide) ACE inhibitors (benazepril, zofenopril, lisinopril, and many others) calcium channel blockers (amlodipine, diltiazem)
What are the commonly used medication by the elderly?
The 10 Most Prescribed Medications for the Elderly and What they
- Hydrocodone. Hydrocodone, which is often blended with acetaminophen, is a pain medication often sold under the brand names Lorcet, Norco, and Vicodin.
- Amlodipine Besylate.
Why is Gravol bad for seniors?
Gravol can also affect your concentration and movements. Younger children will feel all these effects more than adults. The elderly are more sensitive to these effects, especially if they have delirium or dementia.
What is the average number of medications taken by elderly?
The statistics on medication usage among elderly patients in the US are eye-opening: more than one-third of prescriptions drugs used in the US are taken by elderly patients; the ambulatory elderly fill between 9-13 prescriptions a year (including new prescriptions and refills); the average elderly patient is taking
Which of the following types of drugs should be avoided in older adults with dementia?
Anticholinergic drugs should be avoided in patients with dementia, cognitive impairment, or delirium. A study published in JAMA Internal Medicine noted that higher cumulative anticholinergic medication use was associated with an increased risk for dementia.
What medication groups would increase the risk of the patient falling?
Medications that increase your risk of falling
- Anti-anxiety drugs, such as diazepam (Valium) and lorazepam (Ativan)
- Diphenhydramine (Benadryl), an older antihistamine.
- Prescription medications to treat overactive bladder, such as oxybu-tynin (Ditropan) and tolterodine (Detrol).
- Tricyclic antidepressants.
Why amlodipine must be administered with caution in the elderly?
However, elderly patients are more likely to have age-related kidney, liver, or heart problems, which may require caution and an adjustment in the dose for patients receiving this medicine.
Is amitriptyline safe for elderly?
Tertiary amine tricyclics such as amitriptyline and imipramine have been reported to be effective in depressed geriatric patients, but because of their potential for side effects, it is not advisable to use them in the elderly.
Can elderly take muscle relaxers?
The Geriatric Lexi-Drugs database recommends the avoidance of muscle relaxants other than diazepam and tizanidine in patients older than age 65 years because efficacy and safety have not been established in geriatric patients.
What are potentially inappropriate medications?
Potentially inappropriate medications (PIMs) can be defined as drugs for which use among older adults should be avoided due to the high risk of adverse reactions for this population and/or insufficient evidence of their benefits when safer and equally or more effective therapeutic alternatives are available.
What is Beers criteria in the elderly?
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