Their use also provides an alternative for proton-pump inhibitors (PPI), which can be problematic having been associated with risk of fractures, pneumonia, Clostridium difficile diarrhea, hypomagnesemia, vitamin B12 deficiency, chronic kidney disease, and dementia.
It is important to remember that the Beers Criteria are recommendations, and as with any such guidelines, should not be misconstrued as universally unacceptable in all geriatric patient cases or scenarios.
In the 2019 update, 25 medications including ticlopidine, pentazocine, vasodilators and chemotherapeutic agents were removed based on new evidence.
Aragon Institute For Health Sciences Association Of Peri Operative Registered Nurses Association Of Perioperative Registered Nurses Basque Health System - Osakidetza Basque Office For Health Technology Assessment, Osteba Brain Trauma Foundation British Association For Sexual Health And HIVBritish Association For Sexual Health And Hiv British Association Of Dermatologists British Committee For Standards In Haematology British HIV Association British Thoracic Society C17 Council California Diabetes Program Canadian Agency For Drugs And Technologies In Health Canadian Cardiovascular Society Canadian Chiropractic Association Canadian Headache Society Canadian Paediatric Society Canadian Task Force On Preventive Health Care Cancer Care Ontario Cancer Council Australia Cancer Control Alberta Cavernoma Alliance UKCenters For Disease Control And Prevention Cincinnati Children's Hospital Medical Center Clinical Pharmacogenetics Implementation Consortium College Of American Pathologists Colorado Division Of Workers' Compensation Colorado Division Of Workers' Compensation Community Preventive Services Task Force Congress Of Neurological Surgeons Conva Tec Council On Chiropractic Practice Cystic Fibrosis Foundation Department Of Veterans Affairs Division Of Therapeutic Drug Monitoring, Chinese Pharmacological Society Eastern Association For The Surgery Of Trauma Emergency Nurses Association European Academy Of Allergy And Clinical Immunology European Academy Of Neurology European Association Of Urology Nurses European Federation Of Neurological Societies European Renal Best Practice European Respiratory Society European Society Of Cardiology Faculty Of Sexual And Reproductive Healthcare Galician Health Technology Assessment Agency Genetic Metabolic Dietitians International & Southeast Regional Newborn Screening And Genetics Consortium Guangdong Provincial Hospital Of Chinese Medicine HELPin Kids&Adults Hartford Institute For Geriatric Nursing Health Care Association Of New Jersey Health Protection Agency Health Partners Dental Group Healthpartners Dental Group Heart Rhythm Society Infectious Diseases Society Of America Intensive Care Society International Association For Chronic Fatigue Syndrome/myalgic Encephalomyelitis International Association Of Physicians In Aids Care International Chiropractors Association International Society For Clinical Densitometry Joint National Committee Kaiser Permanente Care Management Institute Kidney Disease: Improving Global Outcomes Laboratory Medicine Best Practices Maine Medical Center, Department Of Emergency Medicine Male Training Center For Family Planning And Reproductive Health Medical Services Commission, British Columbia Multinational Association Of Supportive Care In Cancer National Academy Of Clinical Biochemistry National Clinical Guideline Centre National Clinical Guideline Centre For Acute And Chronic Conditions National Collaborating Centre For Cancer National Collaborating Centre For Mental Health National Collaborating Centre For Nursing And Supportive Care National Collaborating Centre For Primary Care National Collaborating Centre For Women's And Children's Health National Environmental Education Foundation, Inc.
National Guideline Centre National Health And Medical Research Council National Health Care For The Homeless Council, Inc.
BEST TOOL: The American Geriatrics Society Updated 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 combinations that may lead to harmful interactions; and (5) a list of medications that should be avoided or dosed differently for those with poor renal function.
TARGET POPULATION: The AGS Beers Criteria65 years of age in all ambulatory, acute, and institutional care settings.
By identifying medications that have the potential to harm our elderly patients, we can proactively prevent medication-related harm.
Given that more than 90% of older patients use at least one prescription drug, and more than 66% use three or more drugs, it is crucial that we prevent harm by avoiding those drugs which are inappropriate for use in our geriatric population.The dedicated and clinically trained pharmacists at Pharm D Live are well-equipped and uniquely positioned to apply their advanced training and extensive knowledge of drug pharmacology, drug-drug interactions, therapeutic interchanges, informatics, and patient care, to help prescribers provide the best care possible to our older adults. Pharm D Live’s solutions include a nationwide network of clinical pharmacists who utilize our innovative medication risk management technology with powerful analytics to identify and mitigate these medication-related risks so as to optimize patients’ medication regimens and ultimately achieve value-based care outcomes. Allergy and Immunology Anesthesiology Cardiology Chiropractic Colon and Rectal Surgery Critical Care Dentistry Dermatology Emergency Medicine Endocrinology Family Practice Gastroenterology Geriatrics Hematology Infectious Diseases Internal Medicine Medical Genetics Nephrology Neurological Surgery Neurology Nuclear Medicine Nursing Nutrition Obstetrics and Gynecology Oncology Ophthalmology Optometry Orthopedic Surgery Otolaryngology Pathology Pediatrics Pharmacology Physical Medicine and Rehabilitation Plastic Surgery Podiatry Preventive Medicine Psychiatry Psychology Pulmonary Medicine Radiation Oncology Radiology Rheumatology Sleep Medicine Speech-Language Pathology Sports Medicine Surgery Thoracic Surgery Urology Advanced Practice Nurses Allied Health Personnel Behavioral Health Clinicians Chiropractors Clinical Laboratory Personnel Dentists Dietitians Emergency Medical Technicians/Paramedics Health Care Providers Health Plans Hospitals Managed Care Organizations Nurses Occupational Therapists Optometrists Other Patients Pharmacists Physical Therapists Physician Assistants Physicians Podiatrists Psychologists/Non-physician Behavioral Health Clinicians Public Health Department Public Health Departments Respiratory Care Practitioners Social Workers Speech-Language Pathologists Students Substance Use Disorders Treatment Providers Utilization Management AABBAIM Specialty Health Academy For Chiropractic Education Academy Of Breastfeeding Medicine Academy Of Nutrition And Dietetics Agency For Health Quality And Assessment Of Catalonia Alberta Health Services, Cancer Care Alzheimer's Association American Academy Of Allergy, Asthma And Immunology American Academy Of Child And Adolescent Psychiatry American Academy Of Dermatology American Academy Of Family Physicians American Academy Of Neurology American Academy Of Ophthalmology American Academy Of Orthopaedic Surgeons American Academy Of Orthopaedic Surgeons (AAOS)American Academy Of Orthopaedic Surgeons (aaos)American Academy Of Otolaryngology - Head And Neck Surgery Foundation American Academy Of Pediatric Dentistry American Academy Of Pediatrics American Academy Of Sleep Medicine American Association For Respiratory Care American Association For The Study Of Liver Diseases American Association Of Clinical Endocrinologists American Association Of Manipulation Under Anesthesia Providers American Association Of Neuromuscular And Electrodiagnostic Medicine American Cancer Society American College Of Cardiology Foundation American College Of Chest Physicians American College Of Emergency Physicians American College Of Gastroenterology American College Of Medical Genetics And Genomics American College Of Obstetricians And Gynecologists American College Of Physicians American College Of Preventive Medicine American College Of Rheumatology American College Of Surgeons American Dental Association American Diabetes Association American Epilepsy Society American Gastroenterological Association Institute American Geriatrics Society American Heart Association American Medical Directors Association American Occupational Therapy Association, Inc.American Optometric Association American Pain Society American Physical Therapy Association, Inc., The Orthopaedic Section American Psychiatric Association American Society For Blood And Marrow Transplantation American Society For Gastrointestinal Endoscopy American Society For Parenteral And Enteral Nutrition American Society For Radiation Oncology American Society For Reproductive Medicine American Society Of Anesthesiologists American Society Of Clinical Oncology American Society Of Colon And Rectal Surgeons American Society Of Health-system Pharmacists American Society Of Interventional Pain Physicians American Society Of Plastic Surgeons American Thoracic Society American Thyroid Association American Urological Association Education And Research, Inc.Greenberg, Ph D, RN, GNP-BC, The Hartford Institute for Geriatric Nursing, New York University Rory Meyers College of Nursing Issue Number 16, Revised 2019 WHY: The American Geriatrics Society (AGS) 2019 Updated Beers Criteria, updated from 2015, are designed to reduce older adults' drug-related problems including, but not limited to exposure to potentially inappropriate medications, drug-disease interactions, and medications that warrant extra caution in the older adult population.