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The AGS Beers Criteria ® and the list of alternatives are resources, not a replacement, for the expertise and knowledge of your healthcare provider. The AGS Health in Aging Foundation has developed this resource to help you talk to your healthcare provider about these possible alternatives to Beers Criteria ® medications you’re taking. What is the Beers Criteria? The Beers Criteria was first developed by Dr. Mark Beers in 1991 when he defined inappropriate prescribing of medication as those drugs whose risks outweigh the benefits, namely as it relates to the geriatric population. Over the years this list has evolved and is revised and updated by the American Geriatrics Society. This clinical tool, based on the 2023 AGS Updated Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults (AGS Beers Criteria ® ), has been developed to assist healthcare providers in improving medication safety in older adults. The Beers Criteria for Potentially Inappropriate Medication Use in Older Adults is a list of medications that healthcare providers reference to safely prescribe medications for people above age 65. Healthcare providers use the Beers Criteria as a guide to do no harm. American Geriatrics Society 2022 Updated AGS Beers Criteria® for Potentially . 2 . Inappropriate Medication Use in Older Adults . 3 . By the 2022 American Geriatrics Society Beers Criteria® Update Expert Panel . 4 . 5 The Beers Criteria were developed by Mark Beers, MD, and colleagues at the University of The AGS Beers Criteria® is an explicit list of PIMs that are typically best avoided by older adults in most circumstances or under specific situations, such as in certain diseases or conditions. Many of the drugs on the Beers and Canadian lists are included because of sedative and anticholinergic adverse effects. CNS depressants can cause sedation and cognitive impairment in the elderly, resulting in difficulty with self-care and falls. Potentially Harmful Drugs in the Elderly: Beers List In 1991, Dr. Mark Beers and colleagues published a methods paper describing the development of a consensus list of medicines considered to be inappropriate for long-term care facility residents. 12 The American Geriatrics Society Beers Criteria or “Beers list” is now in its fifth Gabapentinoids (pregabalin and gabapentin) which had been on the list to be used in only low doses due to ataxia and falls are now recommended to be avoided in combination with opioids due to sedation, respiratory depression, and death; 2023 AGS BEERS CRITERIA® THE AMERICAN GERIATRICS SOCIETY Geriatrics Health Professionals. AGS Leading change. Improving care for older adults. This clinical tool, based on the 2023 AGS Updated Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults (AGS Beers Criteria®), has been developed to assist healthcare Restless legs syndrome: pramipexole, ropinirole, levodopa, gabapentin If benzodiazepines are required, use shorter acting agents at low doses. Questionable safety, cause extrapyramidal adverse effects. Morgenstern, J. Beers criteria for potentially inappropriate medication use in older adults, First10EM, May 15, 2023. Available at: The Beers criteria (named after Dr. Beers and not your Friday night escapades) is a guideline to help guide safe prescribing practices in the geriatric population. The AGS Beers Criteria® is an explicit list of PIMs that are typically best avoided by older adults in most circumstances or under specific situations, such as in certain diseases or conditions. For neuropathic pain—SNRI, gabapentin, capsaicin topical, pregabalin, lidocaine patch arbiturate naproxen) if no heart failure or eGFR > mL/Amobarbital utabarbital utalbital Mephobarbital Opioids For epilepsy—other anticonvulsants (e.g., lamotrigine, levetiracetam) min and given with PPI Pentobarbital Phenobarbital Secobarbital for Notable beers updates in 2019. While it is worthwhile for those treating geriatric patients to review the complete Beers Criteria, these updates stood out as notable changes that might impact prescribers’ and pharmacists’ routine decision making at the point of care. Dementia and H2 blockers The American Geriatrics Society (AGS) Beers Criteria® (AGS Beers Criteria®) for Potentially Inappropriate Medication (PIM) Use in Older Adults are widely used by clinicians, educators, researchers, healthcare administrators, and regulators. Since 2011, the AGS has been the steward of the criteria and has produced updates on a 3-year cycle. The list of American Geriatrics Society Beers Criteria For Potentially Inappropriate Medication Use In Older Adults was reviewed by experts. The complete 2019 AGS Beers list is available in pdf for educators, doctors, clinicians, researchers, etc. Notable drug interactions added include opioids plus benzodiazepines or gabapentenoids.1 Use of the Beers list has not been convincingly shown to reduce morbidity, mortality, or cost but is often used by organizations as quality measures. New medication interactions to note include opioids with benzodiazepines, gabapentin (Neurontin), or pregabalin (Lyrica) because of the risk of severe respiratory depression; phenytoin (Dilantin Key words: medications; drugs; older adults; Beers list; Beers Criteria The American Geriatrics Society (AGS) Beers Criteria® (AGS Beers Criteria®) for Potentially Inappropriate Medication (PIM) Use in Older Adults are widely used by clinicians, educators, researchers, healthcare administrators, and regulators. Since 2011, the AGS has been
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