A 2015 American Geriatrics Society Beers Criteria
update recommends limiting PPI use because of increased risk of C difficile infections and fractures.
Also, healthcare professionals should be aware of the American Geriatrics Society's Beers Criteria
(named after Mark Beers MD) for drugs that should be avoided in older patient.
 Beers criteria
are the most frequently cited comprehensive set of explicit criteria in older persons to assess inappropriate prescriptions.
The Beers Criteria
, for example, recommend the use of short-acting BZDs rather than longer-acting agents in geriatric patients.
using NSAIDs in patients with hypertension,[beta] blocking agents in diabetic patients, 5,8 Poly pharmacy, morbidity, contraindications based on patients genetic profile and those with age related contraindications.9 In recent years, several PIM lists have been published using various screening tools.10,11 The most widely used Beers criteria
, was developed by expert panel in 1991.9
PIM use was identified using the Drugs to Avoid in the Elderly (DAE) list and the Beers criteria
The Beers Criteria
for Potentially Inappropriate Medication Use in Older Adults recommends against prescribing benzodiazepines to geriatric patients.
, which identify potentially inappropriate medications (PIMs) to avoid in older adults, was updated in 2012 and 2015 in collaboration with the American Geriatrics Society (AGS) to provide more current, evidence-based guidance to health professionals (Campanelli 2012; Radcliff et al.
Geriatric medicine internists pay a lot of attention to de-prescribing, particularly of anticholinergic medications, and other drugs on the American Geriatrics Society (AGS) Beers Criteria
The order sets contained zolpidem (Ambien[R]), diphenhydramine (Benadryl[R]), and benzodiazepines, all of which are indexed as a risk for older adults in the Beers Criteria
for Potentially Inappropriate Medication Use (American Geriatrics Society 2012 Beer Criteria Update Expert Panel, 2012).
"With each new revision of the Beers Criteria
, the list of psychotropic medications considered potentially inappropriate in the elderly has grown," researchers led by Donovan T.