BEERS CRITERIA

by. Mark H. Beers

American Geriatrics Society 2019
 Definisi “GERIATRI atau LANSIA”
Geriatri atau Lansia adalah
seseorang dengan umur
diatas 65 tahun (American
Geriatrics Society 2019)

Geriatri atau Lansia adalah

seseorang dengan umur diatas 60
tahun (Depkes,2019)

Lavan et al, 2016

 Beers Criteria or Beers List

Obat tidak penting

ADEs
Kualitas HIDUP Lansia
(Adverse Effect)
 Beers Criteria → AGS

The 2019 AGS Beers Criteria contain six tables: PIMs in

older adults, drug–disease or drug–syndrome
interactions that may exacerbate the disease or
syndrome, drugs to be used with caution in older adults,
drug–drug interactions that should be avoided in
older adults, medications that should be avoided or
have their dosage reduced with varying levels of kidney
function in older adults, and drugs with strong
anticholinergic properties
 Changes to PIM
s l is t !
• Ticlopidine dan
Oral Pentazocine
• Methscopolam (REMOVED)
ine (DITAMBAHK
sebagai ANTISPA AN dlam LIST
SMODIC)
• Pyrilamin (DIT
AMBAHKAN ke
ANTIHISTAMIN
)
• OAD “GLIMEP
IRIDE” (WARNIN
HIPOGLIKEMIA G SEVERE
)
• OAD “GLIPIZI
DE short acting su
(LEBIH AMAN) lfonylurea
Case !
Answer
 STOPP & START
CRITERIA
Screening Tool of Older Person’s Prescriptions and
Screening Tool to Alert doctors to Right Treatment

25 Januari 2010
 Contents of
STOPP and START
PHYSIOLOGICAL SYSTEM NUMBER OF
CRITERIA Physiological system Number of criteria
Cardiovascular system 17
Central nervous system 13 Cardiovascular system 8
Gastro-intestinal system 5
Musculoskeletal system 8 Respiratory system 3
Respiratory system 3
Urogenital system 6 Central nervous system 2
Endocrine system 4
Drug thet adversely affect Gastrointestinal system 2
5
fallers
Analgesics 3 Musculoskeletal system 3
Duplicate drug clasess 1
Endocrine system 4
 Pustaka
• Mahony et al, 2010. STOPP and START criteria: a new approach
to detecting potentially inappropriate prescribing in old age
• Lavan et al, 2016. Methods to reduce prescribing errors in
elderly patiens with multimorbidity
• American Geriatrics Society 2019 Update AGS Berrs Criteria for
potentially Inappropriate Medication use in Older Adults.
• AGS beers Criteria for older adults, 2019
• AAFP, Practice Guidelines