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Drug Safety8 min read|

Geriatric Prescribing: Avoiding Common Pitfalls

Older patients on multiple medications are at high risk from inappropriate prescribing. The AGS Beers Criteria, STOPP/START tool, anticholinergic burden, and falls-risk drugs are essential knowledge for every prescriber.

Reviewed by Shameer Deen, ST5 Urology Registrar

Older adults represent both the largest consumers of prescription medications and the population most vulnerable to drug-related harm. Physiological changes with ageing — reduced renal clearance, decreased hepatic mass and enzyme activity, altered body composition, diminished physiological reserve — fundamentally change how drugs behave in elderly patients [1]. A drug well tolerated in a 40-year-old may cause falls, delirium, or cardiac arrhythmias in an 80-year-old on the same dose. Safe prescribing for older adults requires a distinct skill set.

The AGS Beers Criteria

The American Geriatrics Society (AGS) Beers Criteria, last updated in 2023, provide a comprehensive list of potentially inappropriate medications (PIMs) in adults aged 65 and older [1]. The criteria are organised into several sections:

  • Medications to avoid in older adults regardless of diagnosis — includes first-generation antihistamines (chlorphenamine, promethazine), muscle relaxants, most benzodiazepines, antipsychotics (except for specific indications), tricyclic antidepressants, and long-acting sulphonylureas
  • Medications to avoid in specific diseases or conditions — e.g. NSAIDs in patients with CKD, history of peptic ulceration, or heart failure
  • Medications to use with caution — aspirin in patients with a history of falls or peptic ulcer disease; prasugrel in patients aged 75 or older
  • Drug-drug interactions to avoid — anticholinergic combinations, concurrent opioid and benzodiazepine use

STOPP/START: The European Perspective

The STOPP/START (Screening Tool of Older Persons' Prescriptions / Screening Tool to Alert doctors to Right Treatment) criteria, updated in 2023, provide a complementary European framework [2]. STOPP identifies medications that should be stopped or reconsidered in older patients, while START identifies potentially beneficial medications that are being omitted. Key STOPP signals include:

  • Proton pump inhibitors at maximum therapeutic dose for more than 8 weeks without justification
  • Benzodiazepines — risk of prolonged sedation, falls, road traffic accidents, delirium
  • Anticholinergic drugs in patients with cognitive impairment
  • Alpha-1-blockers in men with symptomatic orthostatic hypotension
  • Opioids without a concurrent laxative prescription

Anticholinergic Burden

Many commonly prescribed drugs have significant anticholinergic activity, and the cumulative anticholinergic burden of a polypharmacy regimen can cause peripheral effects (dry mouth, constipation, urinary retention) and central effects (cognitive impairment, delirium, falls) [1]. Drugs with high anticholinergic burden include:

  • Tricyclic antidepressants (amitriptyline, imipramine)
  • First-generation antihistamines
  • Bladder antimuscarinics (oxybutynin, tolterodine)
  • Some antipsychotics (chlorpromazine, olanzapine)
  • Antiemetics (prochlorperazine, promethazine)
  • Antispasmodics (hyoscine)

Several validated tools exist to quantify anticholinergic burden, including the Anticholinergic Cognitive Burden (ACB) scale. Reducing the total anticholinergic burden of a regimen is an important intervention in older patients with cognitive concerns.

Falls-Risk Medications

Falls are the leading cause of injury-related mortality in adults over 65 [2]. Several drug classes are independently associated with increased falls risk and should be used with caution or avoided:

  • Benzodiazepines and z-drugs — sedation, impaired balance and reaction time
  • Antipsychotics — extra-pyramidal effects, postural hypotension
  • Antihypertensives — orthostatic hypotension, particularly on initiation or dose increase
  • Diuretics — volume depletion, orthostatic hypotension
  • Opioids — sedation, impaired gait and proprioception
  • Alpha-blockers — orthostatic hypotension

A Systematic Approach to Geriatric Medication Review

At each clinical encounter with an older patient on multiple medications, apply a structured approach: identify and stop any PIMs identified by Beers or STOPP criteria; check for beneficial drugs that are being omitted (START); calculate and seek to reduce anticholinergic burden; and review falls-risk drugs if the patient has a history of falls or postural hypotension. MedNext Formulary's drug monographs include elderly-specific cautions and dosing guidance from the MedNext Audited Proprietary Dataset to support these reviews at the point of care.

References

  1. American Geriatrics Society 2023 Updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults. J Am Geriatr Soc. 2023;71(7):2052-2081.
  2. O'Mahony D, Cherubini A, Guiteras AR, et al. STOPP/START criteria for potentially inappropriate prescribing in older people: version 3. Eur Geriatr Med. 2023;14(4):625-632.

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