Geriatric emergency medication safety recommendations: Difference between revisions

Revision as of 18:50, 20 May 2026

Therapeutic Class	Alternatives	Exclusions
Barbiturates	Epilepsy: use other anticonvulsants (e.g., lamotrigine, levetiracetam). Agitation: treat pain first with acetaminophen then low-dose opioid. Severe agitation: use low-dose second-generation antipsychotic (eg, olanzapine, risperidone, quetiapine [Lewy body dementia]).	Seizures disorders, benzodiazepine or ethanol withdrawal, barbiturates are acceptable to use.
Benzodiazepines	Epilepsy: use other anticonvulsants (eg, lamotrigine, levetiracetam). Agitation: treat pain first with acetaminophen then low-dose opioid. Severe agitation: use nonpharmacologic approach then low-dose second-generation antipsychotic (eg, olanzapine, risperidone, quetiapine [Lewy body dementia]).	Seizure disorders: benzodiazepine or ethanol withdrawal, severe generalized anxiety disorder, and end of life, benzodiazepines are acceptable to use.

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 | Barbiturates
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-*Epilepsy: use other anticonvulsants (eg, lamotrigine, levetiracetam).
+*Epilepsy: use other anticonvulsants (e.g., [[lamotrigine]], [[levetiracetam]]).
 *Agitation: treat pain first with acetaminophen then low-dose opioid.
 *Severe agitation: use low-dose second-generation antipsychotic (eg, olanzapine, risperidone, quetiapine [Lewy body dementia]).
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 | Benzodiazepines
-| For epilepsy, use other anticonvulsants (eg, lamotrigine,<br />levetiracetam).46-48 For agitation, treat pain first with<br />acetaminophen then low-dose opioid.49,74,75 For severe<br />agitation, use nonpharmacologic approach then low-dose<br />second-generation antipsychotic (eg, olanzapine, risperidone,<br />quetiapine [Lewy body dementia]).49
+|
-| For seizure disorders,<br />benzodiazepine or ethanol<br />withdrawal, severe generalized<br />anxiety disorder, and end of life,<br />benzodiazepines are acceptable<br />to use.52-54,57,58
+*Epilepsy: use other anticonvulsants (eg, lamotrigine, levetiracetam).
+*Agitation: treat pain first with acetaminophen then low-dose opioid.
+**Severe agitation: use nonpharmacologic approach then low-dose second-generation antipsychotic (eg, olanzapine, risperidone,<br />quetiapine [Lewy body dementia]).
+|
+*Seizure disorders: benzodiazepine or ethanol withdrawal, severe generalized anxiety disorder, and end of life, benzodiazepines are acceptable to use.
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