Used in tandem with the AGS Beers Criteria, this list of alternatives provides additional guidance for clinicians and the older adults they care for, who are prescribed medication more frequently than any other age group in the U. Since that time, the AGS Beers Criteria have played a central role in high-quality care for older adults, influencing everything from research and professional education to care quality measures and health policy decisions. Potentially inappropriate medications are just that--potentially inappropriate. The Society also unveiled a suite of new companion resources--including a list of alternative therapies for potentially inappropriate medications and more detailed guidance on best practices for implementing AGS recommendations--all published online in the Journal of the American Geriatrics Society and available for free from GeriatricsCareOnline. Three new medications and two new "classes" of medications added to warning lists for most older people or for those with specific health concerns. Among these core tenets, expert panelists reiterated that: Several modifications to recommendations on potentially inappropriate medications carried over from the AGS Beers Criteria. The panel's revisions inform specific though not exhaustive lists of medications that may be harmful to older adults. Our update was developed after a review of the latest evidence, and we have created new companion tools intended to help older people, health professionals, and other stakeholders appreciate the AGS Beers Criteria as a resource, not a replacement, for sound clinical judgment on a case-by-case basis," Dr. Recognizing that older adults, healthcare professionals, and health plans might benefit from suggestions for evidence-based alternatives to potentially inappropriate medications, the expert panel also unveiled the AGS's first list of certain suggested alternative medications and treatment options outside pharmaceuticals.
Used in tandem with the AGS Beers Criteria, this list of alternatives provides additional guidance for clinicians and the older adults they care for, who are prescribed medication more frequently than any other age group in the U. A panel of 13 experts convened by the AGS identified more than 40 potentially problematic medications or classes of medications organized across five lists. They merit special scrutiny but should not be misconstrued as universally unacceptable in all cases or for all people. The criteria reviewed covered 2 types of statements: Potentially inappropriate medications for those with chronic constipation were dropped from the AGS Beers Criteria, for example, because constipation is common across the age spectrum and prescribing considerations are not specific to older adults. This study is an important update of previously established criteria that have been widely used and cited. Two new additions to the AGS Beers Criteria include a specific list of medication combinations that may lead to harmful interactions, as well as a separate synthesis of some medications that should be avoided or dosed differently for people with poor kidney function. Potentially inappropriate medications are just that--potentially inappropriate. It's important to remember that many of these medications are considered potentially inappropriate only in certain circumstances and for certain people. In addition to the highly anticipated list of possible alternate therapies for medications identified as potentially inappropriate, companion tools released with the AGS Beers Criteria update also include a separate set of guiding principles for implementing prescribing recommendations. Recognizing that older adults, healthcare professionals, and health plans might benefit from suggestions for evidence-based alternatives to potentially inappropriate medications, the expert panel also unveiled the AGS's first list of certain suggested alternative medications and treatment options outside pharmaceuticals. Separate guidance on avoiding 13 combinations of medications known to cause harmful "drug-drug interactions. Medication toxic effects and drug-related problems can have profound medical and safety consequences for older adults and economically affect the health care system. This tool works best as a starting point to address a person's full medication regimen. Tools like the AGS Beers Criteria can do much to support medication use that is safe, effective, and responsive to each person's health needs. Download PDF Copy October 12, The American Geriatrics Society AGS today released its second updated and expanded Beers Criteria--lists of potentially inappropriate medications for older adults who are not receiving hospice or palliative care, and one of the most frequently cited reference tools in the field of geriatrics. The AGS Beers Criteria should never solely dictate prescribing protocols, nor should they serve as a justification for restricting health coverage. Three new medications and two new "classes" of medications added to warning lists for most older people or for those with specific health concerns. Our update was developed after a review of the latest evidence, and we have created new companion tools intended to help older people, health professionals, and other stakeholders appreciate the AGS Beers Criteria as a resource, not a replacement, for sound clinical judgment on a case-by-case basis," Dr. Multiple studies now support a link between these medications and an increased risk for bone loss, fractures, and serious bacterial infections. Updates to remove several medications from the AGS Beers Criteria, either because they are no longer available or because the underlying condition or concern they address is no longer limited to older people. The AGS issued its first revision to the Beers Criteria in , one year after assuming responsibility for the resource. Of these potentially inappropriate drugs, 66 were considered by the panel to have adverse outcomes of high severity. The caveats and rationales informing AGS Beers Criteria recommendations are as important as the recommendations themselves. The application of the Beers criteria and other tools for identifying potentially inappropriate medication use will continue to enable providers to plan interventions for decreasing both drug-related costs and overall costs and thus minimize drug-related problems.
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