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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.

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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. 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