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Virus identification is recommended for influenza-like illnesses.

Nonpharmacologic behavioral management strategies are the preferred treatment for dementia-related problem behaviors.

Inappropriate prescribing (IP) is a common and serious global healthcare problem in elderly people, leading to increased risk of adverse drug reactions (ADRs), polypharmacy being the main risk factor for both IP and ADRs.

IP in older people is highly prevalent but preventable; hence screening tools for IP have been devised, principally Beers' Criteria and the Inappropriate Prescribing in the Elderly Tool (IPET).

Our prescribing privilege is a powerful tool to help heal our patients and a toxic means to harm them if we are careless, lack knowledge of potential drug interactions, or disregard this knowledge.

The risk of a toxic medication interaction is real considering that more than one half of noninstitutionalized adults older than 65 years take five or more different medications, and 12% use 10 or more.a set of pharmacologic features that make certain drugs particularly hazardous for patients over 65 years of age.A list of such drugs was first published in 1991 and has been periodically revised by specialists in geriatrics.Although Beers' Criteria have become the most widely cited IP criteria in the literature, nevertheless, they have serious deficiencies, including several drugs that are rarely prescribed nowadays, a lack of structure in the presentation of the criteria and omission of several important and common IP instances.New, more up-to-date, systems-based and easily applicable criteria are needed that can be applied in the routine clinical setting.




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