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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; 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 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. The American Geriatrics Society (AGS) Beers Criteria® (AGS Beers Criteria®) for Potentially Inappropriate Medication (PIM) Use in Older Adults are widely used by clinicians, educators, researchers, healthcare administrators, and regulators. Alternatives for eers riteria HighRisk Medications in Older Adults Alternatives for Beers Criteria High-Risk Medications in Older Adults 9 Society (AGS) Beers Criteria® (AGS Beers Criteria®) for Potentially Inappropriate Medication overall update and fourth since 11 criteria’s steward in 2012. As with previous updates, the AGS and its expert panel have 12 attempted to preserve the spirit and intent of the original Beers Criteria by providing an explicit 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 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. New medication interactions to note include opioids with benzodiazepines, gabapentin (Neurontin), or pregabalin (Lyrica) because of the risk of severe respiratory depression; phenytoin (Dilantin The American Geriatrics Society uses specific criteria to list potentially inappropriate medications for adults over age 65. The five sections of the Beers Criteria are: Medications to avoid if you’re over 65 years old and not in a hospice or a palliative care setting. Medications to avoid among people with certain health conditions. The Beers criteria for potentially inappropriate medication use in older adults are currently managed by the American Geriatrics Society and have been updated seven times since their introduction This guideline is provided by the American Geriatric Society (AGS) regarding potentially inappropriate medications (not definitively inappropriate medications) for individuals ages 65 and older; these standards are known as the Beers Criteria®. 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. 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. Key points 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 the quality of care, cost, and patterns of drug use in older adults. Further, gabapentin was added to the American Geriatrics Society Beers criteria in 2019 as a medication to avoid using with opioids due to higher risks of sedation, respiratory depression, and death (By the 2019 American Geriatrics Society Beers Criteria® Update Expert Panel, 2019). 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. Gabapentinoid drugs—specifically gabapentin (Neurontin) and pregabalin (Lyrica)—are increasingly being prescribed for pain because physicians and patients seek alternatives to opioids in the The Beers Criteria, first developed in 1991, is a list of medications that should be avoided, used with caution, or have their dosages reduced in older adults due to risks outweighing benefits in most cases 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.
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