Primary Care to Relevant Potentially Inappropriate Medications from Beers Criteria*
| Therapeutic Category/Drug | Recommendation | Therapeutic Category/Drug | Recommendation |
|---|---|---|---|
| Anticholinergics (Excludes TCAs) | Avoid | Barbiturates | Avoid |
| Brompheniramine (oral) | Butalbital | ||
| Carbinoxamine | Phenobarbital | ||
| Chlorpheniramine | Benzodiazepines | Avoid for treatment of insomnia, agitation, or delirium | |
| Clemastine | Short and interm. acting | ||
| Cyproheptadine | Alprazolam | ||
| Dexbrompheniramine | Estazolam | ||
| Dexchlorpheniramine | Lorazepam | ||
| Diphenhydramine | Oxazepam | ||
| Doxylamine | Temazepam | ||
| Hydroxyzine | Triazolam | ||
| Promethazine | Long acting | ||
| Triprolidine | Chlorazepate | ||
| Antiparkinson agents | Chlordiazepoxide | ||
| Benztropine | Avoid | Chlordiazepoxide-amitriptyline | |
| Trihexyphenidyl | Clidinium-chlordiazepoxide | ||
| Antispasmodics | Avoid except in short-term palliative care | Clonazepam | |
| Belladonna alkaloids | Diazepam | ||
| Clidinium-chlordiazepoxide | Flurazepam | ||
| Dicyclomine | Quazepam | ||
| Hyoscyamine | Nonbenzodiazepine hypnotics | Avoid chronic use (>90 days) | |
| Propantheline | Eszopiclone | ||
| Scopolamine | Zolpidem | ||
| Tertiary TCAs (Alone or in Combination) | Avoid | Zaleplon | |
| Amitriptyline | Megestrol | Avoid | |
| Chlordiazepoxide-amitriptyline | Meprobamate | Avoid | |
| Clomipramine | Trimethobenzamide | Avoid | |
| Imipramine | Pain Medications | ||
| Perphenazine-amitriptyline | Meperidine | Avoid | |
| Trimipramine | Indomethacin | Avoid | |
| Thioridazine | Avoid | Ketorolac (oral) | Avoid |
| Mesoridazine | Avoid | Skeletal muscle relaxants | Avoid |
| Dessicated thyroid | Avoid | Carisoprodol | |
| Testosterone | Avoid unless indicated for moderate to severe hypogonadism | Chlorzoxazone | |
| Cyclobenzaprine | |||
| Metaxalone | |||
| Estrogens with/without progestins | Avoid oral and topical patch | Methocarbamol | |
| Orphenadrine | |||
| Sulfonylureas, long duration | Avoid | ||
| Chlorpropamide | |||
| Glyburide | |||
TCA, tricyclic antidepressant.
↵* Primary care–relevant PIMs were selected from Table 2 of 2012 American Geriatric Society Beers Criteria for Potentially Inappropriate Medication Use in Older Adults.24