In This Episode:
Dr. K provides more information on what’s included in the 2019 update of the American Geriatrics Society AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults, with a focus on which drugs she thinks are most important to avoid. She also addresses which medications are associated with falls, cognitive impairment, and other key conditions. She covers:
- How the 2019 Beers Criteria is organized
- Options for accessing the 2019 update
- Which medications should be avoided in people with memory problems, per the Beers Criteria
- Which drugs to avoid or use with caution if you have a history of falls or fractures
- Other common risky medications to be aware of
- What to know about opioid painkillers and the 2019 Beers Criteria
- 5 things you can do to be proactive about medications safety in aging
- Where to find consumer brochures that can help you discuss deprescribing for the most common risky medications
Related episodes:
088- Interview: Avoiding Inappropriate Prescribing in Aging & What to Know About the Beers Criteria
073- Anticholinergic Medications & Protecting Brain Health
031- Choosing the Safest Over-the-Counter Painkiller in Aging
046- Interview: Deprescribing & Reducing Risky Medications in Aging
034- Preventing Falls: 10 Types of Medication to Reconsider
Related Resources:
- Better Health While Aging
- Medications Older Adults Should Avoid or Use with Caution: The American Geriatrics Society Beers Criteria (2019 Update)
- 4 Types of Brain-Slowing Medication to Avoid if You’re Worried About Memory
- How to Choose the Safest Over-the-Counter Painkiller for Older Adults
- Deprescribing: How to be on Less Medication for Healthier Aging
- Preventing Falls: 10 Types of Medications to Review if You’re Concerned About Falling
- 5 Step Process to Prepare for a Medication Review
- Healthinaging.org
- Canadian Deprescribing Network
- The EMPOWER Brochures (from the Canadian Deprescribing Network):
- Anti-inflammatory medications like ibuprofen (Non-steroidal anti-inflammatory drugs or NSAIDs)
- Antipsychotic medication as sleeping pills or for Dementia
- Medications for allergies and itchiness (First-generation antihistamines)
- Medication for type-2 diabetes (Sulfonylurea diabetes medication)
- Sleeping pills & anti-anxiety medication (Sedative-hypnotic medication, such as Ativan, Ambien, and others)
- Stomach pills for acid reflux (Proton-pump inhibitors)
- Daily Aspirin Therapy: Understand the Benefits & Risks
Swarna says
Excellent work Dr. Kernisan!!!
You make a Geriatrician’s job a lot easier .
I refer all my patients to your website. Kudos?
I always listen to your podcasts before I refer to my patients.
I was listening to the above podcast and just wanted to bring to your attention that there was a typo. Around 21 minutes you had mentioned “Zolpidem , brand name is Ativan”. Not sure if you already heard it from someone or if you will be able to correct it. Just FYI. In other spots you had mentioned as Ambien, so I don’t think it matters.
Thanks for all your dedicated work for our growing adults.
Best,
Swarna Meyyazhagan MD
Leslie Kernisan, MD MPH says
Hello Dr. Meyyazhagan: thank you for this comment and for this feedback! I’m delighted if my site can be helpful to you and your patients.
And sounds like there’s a word slip in the audio. Unfortunately, it’s quite hard to correct the audio once it’s published, but thank you for bringing it to my attention.
Thanks again for supporting the site and the podcast!