As providers, we know there are medications not recommended for seniors, but unfortunately, sometimes we have no other choice. The American Geriatrics Society established a BEERS Criteria for medications in seniors, which is a list of approximately 100 medications not recommended for patients over 65 years old. The latest updates to the BEERS Criteria focus mainly on antithrombotic medications, including aspirin as a potentially inappropriate medication for older adults.

Staying on topic, PALTmed has a podcast discussing the deprescribing of anticoagulants, The IF, WHEN, and HOW. The discussion is with a cardiologist and ties back to the updated BEERS Criteria for medications in seniors—coincidence? Probably not! Be sure to listen in.

PALTmed also posted a podcast on optimizing the use of Gabapentin (Neurontin) in post-acute care. This medication is on the BEERS Criteria list, yet there has been a 350% increase in its use among seniors. Gabapentin is labeled for use in post-herpetic neuralgia and partial onset seizures. However, many residents living with dementia do not have either of these diagnoses but continue to be prescribed this medication. Remember, no medication is without side effects—first, do no harm.

Stay well and stay informed!