Updating the beers criteria for potentially
Several medications included in sections of the Beers Criteria are frequently used in clinical urology, including nitrofurantoin, the alpha1 blocker medications, and the antimuscarinic anticholinergic medications for the treatment of urge incontinence and overactive bladder. In 2012, the American Geriatrics Society (AGS) published the most recent update of the Beers Criteria for Potentially Inappropriate Medication (PIM) Use in Older Adults.
The writing panel used Institute of Medicine (IOM) methodology for grading the quality of the literature and also assigned a statement regarding the strength of the recommendation for each medication in the listing.Results: The rationale for creation and implementation of the Beers Criteria and its implications for urologic practice are reviewed.Careful examination of the Beers Criteria can help clinicians to avoid potentially inappropriate prescribing choices for their geriatric patients. Older adults and those with significant comorbidities are often excluded from clinical trials used to develop medications. Risks associated with medications in the older adult population are greater due to changes in physiologic function with age or disease.