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 |
1Behavioral and psychiatric symptoms in dementia