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. 2020 Dec 18;87(7):2807–2817. doi: 10.1111/bcp.14685

TABLE A1.

Beers and PROMPT criteria definition according to IADB database

PIM Definition IADB
Beers for ≥ 65 years PROMPT for 45–64 years

Antihistamines, first generation

‐ Avoid in Beers

‐ No first line for >7 days in PROMPT

R06AD01, N07CA52, N07CA02, R06AA04, R06AE03, R06AB03, N05BB01, R06AX17, R06AE05, R06AE55, R06AD08, R06AD02

Additionala: See PROMPT definition

No first line: R06 first generation (see list ATC codes for Beers) at initiation, i.e. without R06 in the preceding 1 year, and > 7 days

Corticosteroids

‐ No long term without biphosponate in PROMPT

Additionala: See PROMPT definition H02A or H02B or M01BA > 3 months, without M05BA or M05BB in the same period

Tricyclic antidepressants, alone or in combination

‐ Avoid in Beers

‐ No first line in PROMPT

N06AA N06AA, without N06 in the preceding 1 year

Benzodiazepines

‐ Avoid in Beers

‐ No long term in PROMPT

N05BA, N05CD

Additionala: See PROMPT definition

N05BA or N05CD > 4 weeks

Nonbenzodiazepine, benzodiazepine receptor agonist hypnotics

‐ Avoid in Beers

‐ No long term in PROMPT

N05CF

Additionala: See PROMPT definition

N05CF > 4 weeks

Strong opioids (e.g. buprenorphine, diamorphine, fentanyl, morphine, oxycodone)

‐ Not without laxatives in PROMPT

Additionala: See PROMPT definition N02A, without (A06AB or A06AC or A06AD) in overlapping period

Sulfonylureas, long‐acting

‐ Avoid in Beers and PROMPT

A10BB01, A10BB02 A10BB01, A10BB02

Proton pump inhibitors

‐ No long term (>8 weeks) in high dose

Additionala: See PROMPT definition with additional exclusion of chronic oral corticosteroids or NSAIDS, for which long term use is appropriate in elderly

Omeprazol A02BC01 > 20 mg, >8 weeks

Pantoprazol A02BC02 > 40 mg, >8 weeks

Lansoprazol A02BC03 > 30 mg, >8 weeks

Rabeprazole A02BC04 > 20 mg, >8 weeks

Esomeprazole A02BC05 > 40 mg, >8 weeks

Stimulant laxatives

‐ No long term (>4 weeks), except for opioid induced constipation

Additionala: See PROMPT definition A06AB > 4 weeks, excluding when N02A overlapping in the same period

NSAIDs without PPI or misoprostol

‐ Avoid in Beers

‐ No long term (>3 months) in PROMPT

M01A or N02BA01 dosage >325 mg/day, excluding M01AE52, without A02BC or A02BB01 in the same period M01A, excluding M01AE52, > 3 months, without A02BC or A02BB01 in the same period)

Dipyridamole, short acting

‐ Avoid in Beers

‐ No monotherapy in PROMPT

B01AC07, excluding extended‐release combination with B01AC06 B01AC07, without other B01A in same period

Theophylline

‐ No monotherapy in PROMPT

Additionala: See PROMPT definition R03DA04, without other R03 in the same period

Acetylsalicylic acid (aspirin) anti‐platelet

‐ Not >150 mg/day in PROMPT

Additionala: See PROMPT definition B01AC06, dosage >150 mg/day

Skeletal muscle relaxants

‐ Avoid in Beers

M03B X

Antispasmodics, anticholinergic

‐ Avoid in Beers

A03A, A03B, A03C, A03D, A03E, A04AD X

Oestrogens with or without progestins

‐ Avoid in Beers

G03CA, G03CB, G03CC, G03CX X

Insulins, sliding scale

‐ Avoid in Beers

A10AB only, without other A10A in overlapping period X

Disopyramide

‐ Avoid in Beers

C01BA03 X

Indomethacin

‐ Avoid in Beers

M01AB01 X

Digoxin

‐ No high dose in Beers

C01AA05, dosage >0.125 mg/day X

Nifedipine, immediate release

‐ Avoid in Beers

C08CA05, immediate release X

Pentazocine

‐ Avoid in Beers

N02AD01 X

Barbiturates

‐ Avoid in Beers

N05CA X

Meprobamate

‐ Avoid in Beers

N05BC01 X

Ergoloid mesylate

‐ Avoid in Beers

C04AE01 X

Desiccated thyroid (thyroid extract)

‐ Avoid in Beers

H03AA05 X

Megestrol

‐ Avoid in Beers

G03AC05, G03DB02 X

Mineral oil, oral (wonderolie, castor oil)

‐ Avoid in Beers

A06AB05 X

Meperidine (pethidine)

‐ Avoid in Beers

N02AB02 X

Ketorolac

‐ Avoid in Beers

M01AB15 X
a

For the ≥ 65 years, additional criteria were defined using the PROMPT definition.

X: not included in PROMPT