Table 6 Older people residing in nursing homes or at home: ten drugs in particular need for critical rethinking during educational interventions or medication reviews
Drug | Nursing home | Home |
|---|---|---|
Antidementia drugs | Severe dementia: overuse? | Mild dementia: underuse? |
Antipsychotic drugs | BPSD1: Too much, too long? Deprescribing should be tried | (little use) |
Antidepressants | Overuse: Poor effect in people with dementia, consider tapering down dosage and deprescribing | Possible overuse: Consider tapering down dosage and deprescribing |
Anxiolytics Hypnotics/sedatives | Overuse | Probable overuse |
Opioids | Overuse | Probable overuse |
Clomethiazole | Overuse: should be avoided whenever possible for reasons of safety | (almost no use at all) |
NSAIDs | (little use) | Overuse – try paracetamol instead |
Osteoporosis drugs | Possible underuse? | Possible underuse? |
Statins | (little use) | Possible overuse (oldest age group)? |
Drugs for peptic ulcer | Possible overuse | Possible overuse |