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Related Experiment Videos

Prescribing to older ED patients.

Kevin M Terrell1, Kennon Heard, Douglas K Miller

  • 1Department of Emergency Medicine, Indiana University Center for Aging Research, Regenstrief Institute, Inc, School of Medicine, Indianapolis, IN 46202, USA. kterrel@iupui.edu

The American Journal of Emergency Medicine
|June 22, 2006
PubMed
Summary

Emergency physicians should avoid potentially inappropriate medications for seniors, like those on the Beers list. Careful use of NSAIDs, benzodiazepines, anticholinergics, and opioids is crucial for safe prescribing in older adults.

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Area of Science:

  • Geriatric Medicine
  • Clinical Pharmacology
  • Emergency Medicine

Background:

  • Older adults are at increased risk for adverse drug events.
  • The Beers list identifies potentially inappropriate medications for this population.
  • Safe and effective medication selection for seniors is a critical clinical challenge.

Purpose of the Study:

  • To guide emergency physicians in choosing safe and effective drug therapies for geriatric patients.
  • To highlight medications to generally avoid and those requiring cautious use in seniors.
  • To inform prescribing practices regarding specific drug classes and renal function in older adults.

Main Methods:

  • Review of current literature on geriatric pharmacotherapy.
  • Analysis of risks associated with specific medication classes (NSAIDs, benzodiazepines, anticholinergics, opioids).

Related Experiment Videos

  • Discussion of Beers list medications and creatinine clearance estimation.

    • Main Results:

    • Medications on the Beers list should generally be avoided due to safer alternatives.
    • NSAIDs, benzodiazepines, and anticholinergics pose significant risks and require cautious use in seniors.
    • Opioids can be used safely in older adults with careful titration, precautions, and constipation management.

    Conclusions:

    • Emergency physicians must prioritize avoiding inappropriate medications for seniors.
    • Judicious use of certain drug classes and consideration of renal function are essential for geriatric prescribing.
    • Further research is needed on optimal dosing, safety, and electronic decision support for medications in seniors.