PIMS+

2019 PIMs+™

These notes have been developed to assist in optimal medication management and improved health outcomes for all older adults. [Draft, September 20, 2019, Proprietary and Confidential]. This work is the property of TaperMD, Department of Family Medicine McMaster University, and ASCP.

wdt_IDBrand(s)GenericClassPIMs+
1AcetazolamideAntiepileptics

Caution. Should be used with caution when prescribing these drugs for older adults. CNS effects of antiepileptics may cause ataxia, sedation, impaired cognition and confusion, dizziness, and blurred vision, all of which may place patients at inc

2Acetylsalicylic acidNSAID - Non Cox2

Acetylsalicylic Acid (ASA): Avoid. Should be avoided in patients with history of peptic ulcers, as use of ASA can cause or exacerbate gastric and duodenal ulcers. Should be used in caution in older people when used for primary prevention

3Alendronic acidBone resorption inhibitors

Avoid in patients with late stage dementia.

4AlfentanilOpioids

Caution. Caution should be used when prescribing these drugs for older adults. CNS effects of opiates may cause ataxia, sedation, impaired cognition and confusion, dizziness, and blurred vision, all of which may place patients at increased risk

5AliskirenRenin inhibitors

Avoid in patients with late stage dementia.

6AlminoprofenNSAID - Non Cox2

Non-aspirin NSAIDs: Avoid. Use may increase risk of serious cardiovascular thrombotic effect, myocardial infarction, increased risk of hypertension, or stroke, and should be used with caution or avoided in patients with heart failure. U

7AlprazolamBenzodiazepines

Avoid. Use of benzodiazepines in older populations may increase the risk of cognitive and psychomotor impairment, falls, fractures, hospital admissions, delirium, and motor vehicle accidents due to decreases in drug metabolism and slower elimina

8AlprostadilVasodilators

Avoid in patients with late stage dementia.

9AlteplaseThrombolytic Agents

Avoid in patients with late stage dementia.

10AmbrisentanVasodilators

Avoid in patients with late stage dementia.

GenericClass