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The intention of the AGS Beers Criteria® is to: (1) reduce older adults’ exposure to Potentially Inappropriate Medications (PIMs) by improving medication selection; (2) educate clinicians and patients; and (3) serve as a tool for evaluating quality of care, cost, and patterns of drug use in older adults. Criteria® The American Geriatrics Society (AGS) Beers (AGS Beers Criteria®) for Potentially Inappropriate Medica-tion (PIM) Use in Older Adults are widely used by clini-cians, educators, researchers, healthcare administrators, and regulators. Since 2011, the AGS has been the steward of the criteria and has produced updates on a 3-year cycle. The AGS Beers Criteria® is an explicit list of The American Geriatrics Society Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults is a list of medication guidelines that help healthcare providers safely prescribe medications for adults over age 65. Learn which common drugs often affect memory & falls. Plus what to know about the Beers Criteria list of drugs older adults should avoid or use with caution. Gabapentinoids (pregabalin and gabapentin) which had been on the list to be used in only low doses due to ataxia and falls are now recommended to be avoided in combination with opioids due to sedation, respiratory depression, and death; New medication interactions to note include opioids with benzodiazepines, gabapentin (Neurontin), or pregabalin (Lyrica) because of the risk of severe respiratory depression; phenytoin (Dilantin Alternatives for eers riteria HighRisk Medications in Older Adults Alternatives for Beers Criteria High-Risk Medications in Older Adults Which statement and drug-drug interaction are correct? Gabapentin and hydrocodone-acetaminophen: increased risk of respiratory depression According to the 2019 AGS Beers Criteria, which recommendation and rationale are correct? Duloxetine should be discontinued because of the interaction with apixaban, increasing the bleeding risk. Sources: American Geriatrics Society 2015 Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults, Journal of the American Geriatrics Society 63:2227-2246, 2015; STOPP/START Criteria for Potentially Inappropriate Prescribing in Older People version 2; Mahoney, Denis et.al. Age and Ageing, volume 44, Issue 2, 1 March 2 Fick DM, Cooper JW, Wade WE et al. Updating the beers criteria for potentially inappropriate medication use in older adults: results of a US consensus panel of experts. Arch Intern Med. 2003;163(22):2716‐2724. Potentially Inappropriate Drug Combinations in the Elderly The AGS Beers List is a guideline that helps identify medications that are potentially inappropriate for elderly patients due to their increased risk of adverse effects, drug interactions, and overall health considerations. The combinations listed in the question include: OA) Morphine, gabapentin, and alprazolam B) Oxycodone It’s that time again. The American Geriatrics Society (AGS) Beers Criteria ® were updated recently, as they are every three years, by an interdisciplinary panel of geriatric experts. The Beers Criteria are a unique set of evidence-based recommendations tailored specifically for older adults (65 years and older) in all care settings, except hospice or palliative care. This list of Abstract The American Geriatrics Society (AGS) Beers Criteria® (AGS Beers Criteria®) for Potentially Inappropriate Medication (PIM) Use in Older Adults is widely used by clinicians, educators, researchers, healthcare administrators, and regula-tors. Since 2011, the AGS has been the steward of the criteria and has produced updates on a regular cycle. The AGS Beers Criteria® is an explicit When you hear something called a “Beers drug” or hear someone say that a drug is on the “Beers list” it refers to medications that could be potentially inappropriate for use in older adults. What is the Beers Criteria? The Centers for Medicare & Medicaid Services (CMS), in conjunction with the American Geriatrics Society (AGS) and Pharmacy Quality Alliance (PQA), has developed a list of medications to be avoided in the older adult population. The AGS Beers List is a recognized guideline that provides information on potentially inappropriate medications for older adults, which includes recommendations for possible dosage adjustments for specific medications like Gabapentin and Tramadol ER, especially in the context of renal function. The list of American Geriatrics Society Beers Criteria For Potentially Inappropriate Medication Use In Older Adults was reviewed by experts. The complete 2019 AGS Beers list is available in pdf for educators, doctors, clinicians, researchers, etc. The AGS Beers Criteria® is an explicit list of PIMs that are typically best avoided by older adults in most circumstances or under specific situations, such as in certain diseases or conditions. This list focuses on medications that are safer than the potentially inappropriate medications in the AGS 2015 Beers Criteria.® Your healthcare provider may choose to substitute these alternatives in place of potentially inappropriate medications included in the criteria. The Beers Criteria was created to assist healthcare professionals in recognizing which medications may present more risks than benefits to adults ages 65 and older. The guidance is recommended to pertain to adults in any setting, other than those who are in hospice or receiving end-of-life care. Ultimately, the goal is to help providers select safe medications, but the recommendations are not
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