Difference between revisions of "Potentially Inappropriate Medications for Older Adults: 65 and Older - Independent of Diagnoses or Conditions - Based on 2000 Upated Beers Criteria (drugs with ADE severity rating of HIGH only)"

From Clinfowiki

Redirect page

Jump to: navigation, search

Revision as of 06:29, 31 May 2006 (view source) Aimanma (Talk | contribs) ← Older edit		Latest revision as of 21:29, 16 November 2011 (view source) Annathehybrid (Talk | contribs) (Redirected page to CDS)
(9 intermediate revisions by 2 users not shown)
Line 1:		Line 1:
−	==Potentially Inappropriate Medications for Older Adults: 65 and Older - Independent of Diagnoses or Conditions - Based on 2000 Upated Beers Criteria==	+	#REDIRECT [[CDS]]
−		+
−	'''''[[:Potentially_Inappropriate_Medication_%28PIM%29_Use_in_Older_Adults:_65_and_Older_-_Independent_of_Diagnoses_or_Conditions_-_Based_on_Upated_Beers_Criteria|Also See Upated Beers Criteria]]'''''	+
−	----	+
−	'''''Back to'''''	+
−		+
−	[[:CDS|CDS]]	+
−		+
−	[[:CDS#Medication-Based_Safety_Rules|Medication-Based Safety Rules]]	+
−	----	+
−	The list of drugs and drug-classes below have Concerns that Marked with '''''HIGH''''' in regard to prescribe to Older Adults: 65 and Older Based on 2000 Updated and revised Beers Criteria Independent of Diagnoses or Conditions.	+
−		+
−	The following rule is derived for the medications below:	+
−		+
−	'''Assumptions and conditions'''	+
−		+
−	-- Based on 2000 Updated and revised Beers Criteria	+
−	-- Drugs or Drug-Classes utilized by the rule are the "Generic" names	+
−	-- Some Drugs are no longer in use	+
−	-- All Drugs below are marked with HIGH Concern	+
−	-- The patient has no other conditions beside the one intended to be treated with the drugs below	+
−		+
−	'''The Rule'''	+
−		+
−	Event Prescribe new drug OR Add new drug OR Change current Drug	+
−	'''Conditions'''	+
−	If the patient is male or female and is 65 years or older	+
−	And	+
−	If the patient has no other conditions	+
−	And	+
−	If the drug being prescribed is from the list below	+
−	And	+
−	If patient has no allergy to this drug	+
−	And	+
−	If patient have no other drugs that are contradicting to this drug	+
−	And	+
−	If the drug is dose Independent	+
−	And	+
−	If the drug is dose dependent and the dose intended is matching the dose listed in the table	+
−	Then	+
−	The Drug has a marked with HIGH Concern and the decision should be re-evaluated.----	+
−		+
−	----	+
−	=='''Drugs By Generic Name'''==	+
−		+
−	===Amiodarone===	+
−	'''Drug Name (Generic)'''    : Amiodarone	+
−	'''Drug Name (Brand Name)'''   : Cordarone	+
−	'''Dose Dependent'''         : No	+
−	'''Doses, Exceptions & Other'''  : NA	+
−	'''Concerns and Rules'''   : Associated with QT interval problems and risk of provoking torsades depointes.	+
−	Lack of efficacy in older adults.	+
−	----	+
−	===Amitriptyline===	+
−	'''Drug Name (Generic)'''    : Amitriptyline	+
−	'''Drug Name (Brand Name)'''   : Elavil	+
−	'''Dose Dependent'''         : No	+
−	'''Doses, Exceptions & Other'''  : NA	+
−	'''Concerns and Rules'''   : Because of its strong anticholinergic and sedation properties, amitriptyline is	+
−	rarely the antidepressant of choice for elderly patients.	+
−	----	+
−	===Chlordiazepoxide-amitriptyline===	+
−	'''Drug Name (Generic)'''    : Chlordiazepoxide-amitriptyline	+
−	'''Drug Name (Brand Name)'''   : Limbitrol	+
−	'''Dose Dependent'''         : No	+
−	'''Doses, Exceptions & Other'''  : NA	+
−	'''Concerns and Rules'''   : Because of its strong anticholinergic and sedation properties, amitriptyline is	+
−	rarely the antidepressant of choice for elderly patients.	+
−	----	+
−	===Chlorpropamide===	+
−	'''Drug Name (Generic)'''    : Chlorpropamide	+
−	'''Drug Name (Brand Name)'''   : Limbitrol	+
−	'''Dose Dependent'''         : No	+
−	'''Doses, Exceptions & Other'''  : NA	+
−	'''Concerns and Rules'''   : It has a prolonged half-life in elderly patients and could cause prolonged	+
−	hypoglycemia. Additionally, it is the only oral hypoglycemic agent that causes (SIADH:syndrome of inappropriate	+
−	antidiuretic hormone secretionl).	+
−	----	+
−		+
−	=='''Drugs By Drug-Class'''==	+
−	===Amphetamines and Amphetamines agents===	+
−	'''Drug Class'''            : Amphetamines and Amphetamines agents	+
−	'''Dose Dependent'''           : No	+
−	'''Doses, Exceptions & Other''' : Excluding Methylphenidate hydrochloride and Anorexics	+
−	'''Concerns and Rules'''   : These drugs have potential for causing dependence, hypertension, angina, and	+
−	myocardial infarction. And (CNS:central nervous system) stimulant adverse effects.	+
−	----	+
−	===Anorexic agents===	+
−	'''Drug Class'''            : Anorexic agents	+
−	'''Dose Dependent'''           : No	+
−	'''Doses, Exceptions & Other''' : NA	+
−	'''Concerns and Rules'''   : These drugs have potential for causing dependence, hypertension, angina, and	+
−	myocardial infarction.	+
−	----	+
−	===Anticholinergics and antihistamines===	+
−	'''Drug Class'''            : Anticholinergics and antihistamines	+
−	'''Dose Dependent'''           : No	+
−	'''Doses, Exceptions & Other''' : NA	+
−	'''Concerns and Rules'''   : All nonprescription and many prescription antihistamines may have potent	+
−	anticholinergic properties. Nonanticholinergic antihistamines are preferred in elderly patients when treating	+
−	allergic reactions.	+
−	'''List of Drugs in this Class are'''	+
−	''"Drug Generic Name:Drug Brand Name"''	+
−	'''Hydroxyzine''':Atarax	+
−	'''Diphenhydramine''':Benadryl	+
−	'''Chlorpheniramine''':Chlor-Trimeton	+
−	'''Cyproheptadine''':Periactin	+
−	'''Promethazine''':Phenergan	+
−	'''Dexchlorpheniramine''':Polaramine	+
−	'''Tripelennamine''':Tripelennamine	+
−	'''Hydroxyzine''':Vistaril	+
−	----	+
−		+
−	===Barbiturates===	+
−	'''Drug Class'''            : Barbiturates	+
−	'''Dose Dependent'''           : No	+
−	'''Doses, Exceptions & Other''' : All type except phenobarbital Except when used to control seizures.	+
−	'''Concerns and Rules'''   : Are highly addictive and cause more adverse effects than most sedative or	+
−	hypnotic drugs in elderly patients.	+
−	----	+
−	===Benzodiazepines===	+
−	'''Drug Class'''            : Benzodiazepines	+
−	'''Dose Dependent'''           : Yes	+
−	'''Doses, Exceptions & Other''' : Doses of short-acting	+
−	'''Concerns and Rules'''   : Because of increased sensitivity to benzoadiazepines in elderly patients,	+
−	smaller doses may be effective as well as safer. Total daily doses should rarely exceed the suggested maximums.	+
−	'''List of Drugs in this Class are'''	+
−	''"Drug Generic Name:Drug Brand Name"''	+
−	'''Lorazepam''':Ativan  For doses greater than 3 mg	+
−	'''Triazolam''':Halcion  For doses greater than 0.25 mg	+
−	'''Temazepam''':Restoril For doses greater than 15 mg	+
−	'''Oxazepam''':Serax    For doses greater than 60 mg	+
−	'''Llprazolam''':Xanax  For doses greater than 2 mg	+
−	----	+
−		+
−	'''''Back to'''''	+
−		+
−	[[:CDS|CDS]]	+
−		+
−	[[:CDS#Medication-Based_Safety_Rules|Medication-Based Safety Rules]]	+
−		+
−	----	+
−	==References==	+
−	[http://archinte.ama-assn.org/cgi/content/full/163/22/2716 Donna M. Fick, PhD, RN, et al. Updating the Beers Criteria for Potentially Inappropriate Medication Use in Older Adults:Results of a US Consensus Panel of Experts. Archives of Internal Medicine. 2003;163:2716-2724]	+
−		+
−	----	+
−	'''Aiman Alrawabdeh 5/28/2006'''	+
−		+
−	----	+
−		+
−	[[Category:OHSU-SP-06]]	+
−	[[Category:CDS]]	+
−	[[Category:Medication-Based Safety Rules]]	+

---

Latest revision as of 21:29, 16 November 2011

CDS

Retrieved from "http://www.clinfowiki.org/wiki/index.php?title=Potentially_Inappropriate_Medications_for_Older_Adults:_65_and_Older_-_Independent_of_Diagnoses_or_Conditions_-_Based_on_2000_Upated_Beers_Criteria_(drugs_with_ADE_severity_rating_of_HIGH_only)&oldid=13196"