AGS Beers Criteria 2019 PDF sinequan

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Since 2011, the AGS has been the steward of the criteria and has produced updates on a 3‐year cycle. ��r-�ŦȰW�C����,aw�Ԗ7�/�5���W��À�$$✢�y8�y��B����: I�\Ӕ 0000045424 00000 n

0000010334 00000 n .K`87d�G_:�36�C��p���f�@V�v�E�x���wj�X:���~��teP�-?�^A�D��9�΅�Ji�?gy_j����/�4�|�(��K�,�`{5�S���>X�W8��4'?F�����$�t�N6�;��'M��H%�Ѡ�6��T�-L�* b�-Ђ�P��'���0���9c���3�&?ފ��$��G���$�()Z�E$jN!O�V�����)���_,� V2sy2�[k����45�.�]�c�B�� (C�y endstream endobj 212 0 obj <>]/Pages 207 0 R/Type/Catalog/ViewerPreferences<>>> endobj 213 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/Properties<>>>/Rotate 0/Thumb 199 0 R/TrimBox[9.0 9.0 801.0 621.0]/Type/Page>> endobj 214 0 obj <> endobj 215 0 obj <> endobj 216 0 obj <> endobj 217 0 obj <> endobj 218 0 obj [/Separation/PANTONE#202955#20C/DeviceCMYK<>] endobj 219 0 obj [/Separation/PANTONE#20159#20C/DeviceCMYK<>] endobj 220 0 obj <> endobj 221 0 obj <> endobj 222 0 obj <>stream 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. 40 medications or medication classes to use with caution or avoid when someone lives with certain diseases or conditions. 0000046869 00000 n 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. 0000039279 00000 n 211 0 obj <> endobj xref 211 84 0000000016 00000 n

J Am Geriatr Soc 67:674–694, 2019.Please check your email for instructions on resetting your password. 0000012751 00000 n First developed in 1991 by Dr. Mark Beers, a geriatrician, and colleagues, the report is based on expert panel recommendations and has been updated every three years since 2011.

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196 42

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The American Geriatrics Society (AGS) recently released its latest update to a highly utilized reference tool: The AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults. 0000060990 00000 n 0000028592 00000 n By the 2019 American Geriatrics Society Beers Criteria® Update Expert PanelBy the 2019 American Geriatrics Society Beers Criteria® Update Expert PanelI have read and accept the Wiley Online Library Terms and Conditions of Use

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A rigorous systematic review was performed to update and expand the criteria. 0000002415 00000 n 0000061593 00000 n 0000003274 00000 n n %PDF-1.3 %���� 0000009161 00000 n 0000046261 00000 n 0000065249 00000 n

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Across its five lists, the 2019 AGS Beers Criteria® includes: 30 individual medications or medication classes to avoid for most older people. 0000016761 00000 n

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Use the link below to share a full-text version of this article with your friends and colleagues. 0000002793 00000 n

Several changes to medications previously identified as potentially inappropriate. Across its five lists, the 2019 AGS Beers Criteria®includes: • 30 individual medications or medica - tion classes to avoid for most older people. In 1991, Dr. Mark Beers and colleagues published a methods paper describing the development of a consensus list of medicines considered to be inappropriate for long-term care facility residents.12 The “Beers list” is now in its sixth permutation.1 It is intended for use by clinicians in outpatient as well 0000015983 00000 n This risk is increased when TMP-SMX is used in combination with drugs that can raise potassium levels such as ACE Inhibitors, (lisinopril, benazepril, others);  ARBs (losartan, valsartan, telmisartan, and others); potassium-sparing diuretics (spironolactone);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;For patients with Parkinson’ disease, the guidelines have changed from avoiding all antipsychotics, to accepting quetiapine, clozapine, and pimavanserin;For patients with heart failure, non-dihydropyridine calcium channel blockers (diltiazem, verapamil) should be avoided in older adults with reduced ejection fraction heart failure  In addition, NSAIDs (ibuprofen, naproxen, others), COX-2 inhibitors (celecoxib), thiazolidinediones (pioglitazone) and dronedarone should be used with caution to patients who are asymptomatic and should be avoided in patients who have symptoms;Macrolides (excluding azithromycin) or ciprofloxacin should not be used in conjunction with warfarin due to bleeding risk;Dextromethorphan/quinidine (Neudexta) should be used with caution due to limited efficacy and increase the risk of falls and drug interactions.

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desired evidence).

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