Beers Criteria: Considering Diagnoses or Conditions

Updated: Jun 30, 2022
  • Author: Abimbola Farinde, PharmD, PhD; more...
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Potentially Inappropriate Medication Use in Older Adults

Cardiovascular disease (high severity rating [H])

  • Antiarrhythmic drugs (class Ia, Ic, III): Avoid as first-line agents for atrial fibrillation [1, 2, 3, 4]

  • Digoxin >0.125 mg/day [1]

  • High-sodium-content drugs

Hypertension (H)

  • Phenylpropanolamine hydrochloride

  • Diet pills

  • Amphetamines

Gastric/duodenal ulcer disease (H)

Seizures or epilepsy (H)

Blood clotting disorders or anticoagulation therapy (H)

Bladder outflow obstruction (H)

Stress incontinence (H)

  • Alpha blockers

  • Anticholinergics

  • Tricyclic antidepressants

  • Long-acting benzodiazepines

Arrhythmias (H)

  • Tricyclic antidepressants

Insomnia (H)

Parkinson disease (H)

Cognitive impairment (H)

  • Barbiturates

  • Anticholinergics

  • Antispasmodics

  • Muscle relaxants

  • CNS stimulants

  • H2 receptor antagonist

  • Antipsychotics (as needed and long-term use)

Depression (H)

  • Long-term benzodiazepines

  • Sympatholytic agents

Anorexia and malnutrition (H)

  • CNS stimulants

Syncope or falls (H)

  • Short- to intermediate-acting benzodiazepines

  • Tricyclic antidepressants

Syndrome of inappropriate antidiuretic hormone secretion/hyponatremia (low severity rating [L])

  • Selective serotonin reuptake inhibitors (SSRIs)

  • Antipsychotics

Obesity (L)

Chronic obstructive pulmonary disease (H)

  • Long-acting benzodiazepines

  • Beta-blockers

Chronic constipation (L)

  • Nondihydropyridine calcium channel blockers (eg, diltiazem and verapamil)

  • Anticholinergics/antispasmodics

  • Tricyclic antidepressants