TABLE A1.
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 |
For the ≥ 65 years, additional criteria were defined using the PROMPT definition.
X: not included in PROMPT