Beer's Criteria

Question 1

When to stop PPIs

Answer 1

when use is > 8 weeks w/o justification

Question 2

When to stop desmopressin tx

Answer 2

when tx is for nocturia or nocturnal polyuria

Question 3

Avoid eszoplicone and zaleplon in these pts

Answer 3

Those w/ dementia or cognitive impairment

Question 4

Avoid opioid use in these patients

Answer 4

Those w/ hx of falls

Question 5

Drugs that are not included in Beer’s criteria

Answer 5

• Drugs w/ risks not unique to elderly

- Drugs used in hospice or palliative setting

Question 6

Only use antipsychotics in this situation

Answer 6

when pt poses risk to self and others and non-pharm methods do not work

Question 7

Antipsychotic risk in elderly

Answer 7

CVA risk, increased cognitive decline, mortality in dementia

Question 8

Insulin, glyburide, and chlorpromide provide this risk

Answer 8

Hypoglycemia

Question 9

Nitrofurantoin risk

Answer 9

Pulmonary and hepatic toxicity

Question 10

PPI risk

Answer 10

C diff infection, bone loss and fractures

Question 11

benzodiazepine risk

Answer 11

increased risk of falling

Question 12

NSAIDs risk

Answer 12

GI bleeding

Question 13

Estrogen risk

Answer 13

carcinogenic risk, lack of efficacy in dementia/CV dz prevention

Question 14

Muscle relaxers

Answer 14

ineffective at tolerated doses, anticholinergic, falls

Question 15

Drugs linked to SIADH/hyponatremia

Answer 15

SSRI, TCA, CBZ, antipsychotics

Question 16

Avoid >/= ___ CNS activating drugs to prevent falls

Answer 16

3

Question 17

Drug interaction between steroids and NSAID risk

Answer 17

GI Bleeding, peptic ulcer dz

Question 18

Drug interaction between lithium and ACEIs or loop diuretics

Answer 18

Can lead to lithium toxicity

Question 19

Drug interaction between alpha 1 blockers and loop diuretics

Answer 19

urinary incontience in women

Question 20

Theophylline + cimetidine rxn can lead to

Answer 20

Theophylline toxicity

Question 21

Warfarin +amiodarone or NSAIDs can lead to

Answer 21

increased risk of bleeding