Geriatric emergency medication safety recommendations: Difference between revisions
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! Therapeutic Class | ! Therapeutic Class | ||
! Alternatives | ! Alternatives | ||
! | ! Exclusions | ||
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| Barbiturates | | Barbiturates | ||
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*Agitation: treat pain first with acetaminophen then low-dose opioid. | *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]). | *Severe agitation: use low-dose second-generation antipsychotic (eg, olanzapine, risperidone, quetiapine [Lewy body dementia]). | ||
| For seizures disorders, | | For seizures disorders, benzodiazepine or ethanol withdrawal, barbiturates are<br />acceptable to use.52-56 | ||
|- | |- | ||
| Benzodiazepines | | 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 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 | | 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 | ||
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Revision as of 18:15, 20 May 2026
| Therapeutic Class | Alternatives | Exclusions |
|---|---|---|
| Barbiturates |
|
For seizures disorders, benzodiazepine or ethanol withdrawal, barbiturates are acceptable to use.52-56 |
| Benzodiazepines | For epilepsy, use other anticonvulsants (eg, lamotrigine, levetiracetam).46-48 For agitation, treat pain first with acetaminophen then low-dose opioid.49,74,75 For severe agitation, use nonpharmacologic approach then low-dose second-generation antipsychotic (eg, olanzapine, risperidone, quetiapine [Lewy body dementia]).49 |
For seizure disorders, benzodiazepine or ethanol withdrawal, severe generalized anxiety disorder, and end of life, benzodiazepines are acceptable to use.52-54,57,58 |