Age Related Changes. Atypical Presentation. Cancer Assessment and Interventions. Comprehensive Assessment and Management of the Critically Ill. Elder Mistreatment EM. Family Caregiving. General Surgical Care. Healthcare Decision Making. Heart Failure HF. HIV Prevention and Care. Managing Patients with Hip Fracture. Optimize Mealtimes in Dementia. Pain Management. Palliative Care. Perioperative Care. Pressure Injury PI Prevention. Sensory Changes. Fudin says many natural products, like supplements, block or rev up the enzymes responsible for metabolizing certain drugs, so taking some supplements and medications together can increase side effects or make your medications less effective—a very broad spectrum of potential problems.
As much as some people view the Beers Criteria as a list of drugs seniors should avoid, Dr. Kaiser says no drug on the list is truly off-limits. Instead, the list gives you and your physician the guidance to think about possible interactions or concerns and to talk through a risk versus benefit analysis of potential side effects.
What is its purpose, and is it having its intended effect? Skip to main content Search for a topic or drug. What is the Beers Criteria? What seniors should know about their meds As you age, your body metabolizes Rx differently. By Sarah Bradley Apr. Top Reads in Health Education. What is insulin resistance?
Do coffee and diabetes mix? Diabetes in women Nov. How to lower blood sugar Nov. Looking for a prescription? Search now! Type your drug name. Anticholinergic; may cause dry mouth, constipation, dry eyes, dizziness, confusion.
Diphenhydramine , doxylamine. May cause sudden drops in blood pressure orthostatic hypotension. Doxazosin , terazosin. Tricyclic antidepressants. A recommendation to avoid using metoclopramide Reglan for longer than 12 weeks was added to match U. Food and Drug Administration recommendations. Recommendations regarding medications that should not be used in older persons with heart failure were organized based on symptom control, including to avoid nondihydropyridine calcium channel blockers in the presence of reduced ejection fraction.
Nonsteroidal anti-inflammatory drugs, cyclooxygenase-2 inhibitors, thiazolidinediones, and dronedarone Multaq should be used with caution in those with well-controlled heart failure and avoided in those with symptoms of heart failure.
Cilostazol Pletal should be avoided entirely in patients with heart failure. For primary prevention of cardiovascular disease or colorectal cancer, aspirin for primary prevention should be used with caution in patients older than 70 years decreased from 80 years based on increased risk and uncertain benefit. This caution does not apply to secondary prevention, where benefits exceed risk.
Because of the large number of medications covered, these resources are limited in their utility at the point of care. The American Geriatrics Society has an iGeriatrics app that includes the Beers criteria but requires an annual subscription. Ideally, these resources could be integrated into electronic health records with recommended alternatives when an inappropriate medication is ordered.
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