Medications for Older Persons

Section 1. Recommendations for medications of older persons<br><br>1. A summary of medications that most benefit older patients: for clinicians, patients, their families, policy makers and health ministries<br><br>2. STOPP and American Geriatrics Society &ldquo;potentially inappropriate medications" (PIMs) and START &rdquo;potential prescribing omissions&rdquo; (PPOs)<br><br>3. The Calgary study of 295,706 admissions of older persons to four acute care hospitals 2013-2021<br><br>4. Adverse drug interactions in the Veterans Affairs Adverse Drug Event Reporting System<br><br>5. Pharmacokinetics and pharmacodynamics in older persons<br><br>6. Methods to identify adverse drug interactions and effects<br><br>7. How personalized medicine has changed senior patient outcomes at the Mayo Clinic and other centers<br><br>Section 2. Older persons alcohol consumption, self-medication, and medication list accuracy<br><br>8. Older persons alcohol consumption<br><br>9. Self-medication and over the counter medications by older persons<br><br>10. The accuracy of recording medication lists, transferring lists between community practitioners and medical institutions, and the potential effects on the accuracy of assessing PIMs, PPOs and adverse medication events<br><br>Section 3. Cardiovascular medications<br><br>11. Medications for hypertension<br><br>12. Medications for heart failure<br><br>13. Medications for arrhythmias<br><br>14. Medications for diuresis<br><br>15. Medications for coagulation<br><br>Section 4. Central Nervous System medications<br><br>16. Medications for depression<br><br>17. Medications for anxiety<br><br>18. Medications for insomnia<br><br>19. Neuroleptic/antipsychotic medications<br><br>20. Avoiding medications with risks of delirium<br><br>21. Avoiding medications that augment dementia<br><br>Section 5. Renal medication<br><br>22. Prescribing to reduce risks of renal insufficiency and failure<br><br>Section 6. Gastrointestinal medications<br><br>23. Prescribing to reduce the risks of peptic ulcer disease, gastritis, and esophagitis and treat if present<br><br>24. Prescribing to reduce the risks of constipation or diarrhea<br><br>Section 7. Musculoskeletal medications<br><br>25. Medications for arthritis<br><br>26. Medications for osteoporosis<br><br>Section 8. Respiratory medications<br><br>27. Medications for COPD<br><br>Section 9. Endocrine medications<br><br>28. Medications for diabetes<br><br>Section 10. Pain medications<br><br>29. Non-opioid analgesics and opioids for seniors<br><br>Section 11. Changing prescribing to prevent falls<br><br>30. Prescribing to prevent falls