Memory Tip: Old + benzo = Beers bad. Long-acting benzos worse than short-acting in elderly.
臨床シナリオ
Scenario A 78-year-old female with new-onset insomnia and mild anxiety was prescribed diazepam 5 mg PO HS at the outpatient clinic. Lives alone, frequent nocturia, no walker, moderate-to-high fall risk.
重要概念
Beers Criteria — AGS list of medications potentially inappropriate for adults ≥65.
Long half-life metabolite — An active byproduct of drug metabolism that persists longer than the parent drug.
Fall risk — Probability of an unintentional fall, increased by sedating drugs and benzodiazepines.