Geriatric emergency medication safety recommendations
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| 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 |