STOP/START criteria

Question 1

Which drug(s) should be considered in patients with chronic AF?

Answer 1

Vitamin K antagonists or direct thrombin inhibitors or factor Xa inhibitors

Question 2

Which drug(s) should be considered in patients with chronic AF, where vitamin K agonists, DOACs and Xa inhibitors are contraindicated?

Answer 2

Aspirin

Question 3

Which drug(s) should be considered in patients with a history of coronary, cerebral, or peripheral vascular disease?

Answer 3

• Aspirin
• Clopidogrel
• Prasugrel
• Ticagrelor
• Statin (unless EoL or >85)

Question 4

Which drug(s) should be considered for restless leg syndrome?

Answer 4

Dopamine agonist (ropinirole, pramipexole, rotigotine)
*once iron deficiency and renal failure have been excluded

Question 5

Which drug(s) should be considered in symptomatic prostatism, where prostatectomy is not considered necessary?

Answer 5

• Alpha-1 receptor blocker (tamsulosin)

- 5-alpha reductase inhibitor (finasteride)

Question 6

Which vaccine(s) should be recommended to older adults?

Answer 6

• Seasonal trivalent influenza vaccine annually

- Pneumococcal vaccine at least once after age 65