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Geriatrics and Special Populations

GeriatricsBeers CriteriaPolypharmacyDeprescribing

30-Second Snapshot

What it is:Geriatric pharmacotherapy isn't a disease state, it's a lens. The same drug, at the same dose, behaves differently in a 78-year-old than a 38-year-old because absorption, distribution, metabolism, excretion, and receptor sensitivity all shift with age, usually without any single lab value telling you so.

The core problem:Older adults carry more chronic disease, take more drugs, and tolerate errors worse than any other population, yet they're the group most often excluded from the trials those drugs were tested in. Medication-related problems (MRPs) are common, costly, and mostly preventable.

What you do about it:Assume nothing is "just aging" until you've ruled out the drug list. Start low, go slow, reassess constantly, and be just as willing to stop a drug as to start one.

Worth knowing

Simonson's framing: "It is an art of no little importance to administer medicines properly, but it is an art of much greater and more difficult acquisition to know when to suspend or altogether omit them."(Philippe Pinel, 1745-1826). Two and a half centuries later, deprescribing is still the harder skill to teach.

Aging Physiology & PK/PD - Why Dosing Changes

None of these changes are diseases. They're the expected trajectory of every organ system, and they're why "normal" adult dosing can be wrong in an otherwise healthy 80-year-old.

What changes physically

SystemWhat happens
Renal↓ GFR, ↓ renal blood flow, ↓ functioning nephrons, ↓ tubular secretion, ↓ renal mass
SensoryPresbyopia (can't focus near), ↓ night vision, presbycusis (high-pitch hearing loss), ↓ smell and taste
Musculoskeletal↓ bone mass (osteopenia), ↓ muscle mass, joint stiffening, altered gait and posture
Skin/hairThinning stratum corneum, fewer melanocytes, thinner subcutaneous fat, atrophied sweat glands
Body composition↓ lean muscle, ↑ fat mass; height loss of roughly 0.4 in per decade after 40, more after 70
The number that gets tested

GFR falls roughly 25-50% between ages 25 and 90, though the rate varies a lot by patient. Since creatinine production also falls with lost muscle mass, serum creatinine alone can look deceptively normal in a frail older adult with real renal impairment. Estimate CrCl, don't eyeball SCr.

Pharmacokinetics: what aging does to a drug

PhaseChangeWhy it matters
AbsorptionPassive diffusion and bioavailability are largely unchanged for most drugs. Active transport drops, so actively absorbed nutrients (calcium, iron, B12) absorb less. Reduced first-pass metabolism can raise bioavailability of some drugs and lower it for some prodrugs.Absorption is the PK phase that changes the least. Don't blame it first.
Distribution↓ total body water and ↑ body fat. Water-soluble drugs (digoxin, morphine, lithium) get a smaller Vdand higher plasma concentration per dose. Fat-soluble drugs, including most CNS/psychiatric drugs, get a larger Vdand longer terminal half-life. Serum albumin tends to fall, so more drug circulates unbound (active) for highly protein-bound agents.This is why a benzodiazepine or antipsychotic can linger for days in an older adult even after a single dose.
MetabolismLiver shrinks and hepatic blood flow falls. Capacity-limited (Phase I, oxidative) metabolism is affected more than Phase II (conjugation). Drugs with high hepatic extraction lose clearance and gain half-life.When picking between two similar drugs, the one cleared by Phase II glucuronidation (like lorazepam) is often gentler than one needing Phase I oxidation.
ExcretionRenal clearance falls in step with GFR, extending half-life for renally cleared drugs and their active metabolites.This is the phase with the most direct, most predictable dosing consequence. Always estimate CrCl before dosing renally cleared drugs.
Distribution example worth remembering

Digoxinis water-soluble and distributes mainly into lean tissue. Less muscle mass in an older adult means a smaller volume of distribution, so the same loading dose produces a higher peak concentration. Combine that with reduced renal clearance of a narrow-therapeutic-index drug and you can see why digoxin toxicity skews heavily toward older patients.

Pharmacodynamics: what a drug does to an older body

PD changes are harder to quantify than PK changes and can go either direction, enhancing or blunting a drug's effect. The pattern seen most consistently is heightened CNS sensitivity: sedation, confusion, and falls appear at doses a younger adult would tolerate easily. Anticholinergic toxicity is also more pronounced, and baroreceptor reflexes blunt with age, making orthostatic hypotension more common and more dangerous (a fall risk, not just a lab abnormality).

Worth knowing

Simonson's one-line summary of this whole section: "Start low and go slow."It sounds obvious, but it's the organizing principle behind essentially every geriatric dosing decision that follows in this document.

Atypical Disease Presentation - Old Rules Don't Apply

The classic textbook presentation of a disease is frequently absent in older adults. Confusion, lethargy, and functional decline often stand in for the pain or fever you'd expect. Missing this is a major driver of delayed diagnosis.

DiseaseHow it actually shows up
Acute MIOnly ~50% present with chest pain. Look instead for weakness, confusion, syncope, or abdominal pain. ECG findings are unchanged from younger patients.
Heart failureInstead of classic dyspnea, expect hypoxic symptoms, lethargy, restlessness, and confusion.
GI bleed~10% mortality, but presentation is nonspecific: altered mental status or syncope with hemodynamic collapse. Abdominal pain is often absent entirely.
Upper respiratory infectionLethargy, confusion, anorexia, and decompensation of an existing condition. Fever and productive cough may or may not show up.
UTIDysuria, fever, and flank pain may be absent. More common: incontinence, confusion, abdominal pain, nausea/vomiting, azotemia.
The trap this sets

New confusion, forgetfulness, gait instability, or incontinence in an older adult gets written off as "just aging" or "just dementia" far too often. Before accepting that explanation, rule out an acute illness andthe medication list. Simonson quoted this directly: don't attribute new symptoms to aging without first asking whether they're an adverse drug effect.

Assessment Tools - Function and Appropriateness

Functional status: ADLs vs IADLs

Before you can judge whether a regimen is appropriate, you need to know what the patient can actually do for themselves.

ADLs (basic self-care)IADLs (independent living)
Feeding · continence (bladder/bowel) · walking independently · toileting independentlyUsing the telephone · shopping · preparing food · housekeeping · laundry · transportation · handling medications· handling finances
Why this matters for you

"Handling medications" is an IADL, not an ADL.A patient can be fully continent and mobile and still be unable to safely self-administer a 12-drug regimen. Nursing facility residents need heavy ADL assistance (96% need help bathing, 58% eating); assisted living residents need much less, which is exactly why medication regimen review requirements differ between the two settings.

Beers Criteria vs STOPP Criteria

Both are lists of potentially inappropriate medications (PIMs), but "potentially" is doing real work: PIM ≠ definitely inappropriate. They're a starting point for judgment, not a rulebook to apply blindly.

Beers Criteria (AGS)STOPP Criteria
Organization5 tables, organized by organ system/therapeutic category11 sections, organized by physiologic system
CoversPIMs for all older adults · PIMs by drug-disease interaction · PIMs to use with caution · high-risk drug-drug interactions to avoid · dose adjustments by renal functionDrugs to avoid, drug-drug interactions, renal dosing considerations, drug-disease interactions
Unique featureExplicitly flags "avoid ≥3 concurrent CNS-active drugs" to reduce fall riskIncludes a non-drug-specific section: no evidence-based indication, wrong duration, therapeutic duplication

Medication Appropriateness Index (MAI)

Ten questions to ask about every single medication on the list, every time you review it:

Exam distinction

Beers and STOPP tell you which drugsare risky in general. The MAI is a processyou apply to one patient's actual list. You need both: a drug can pass every Beers screen and still fail the MAI if it's duplicative or the dose was never reassessed.

Medication-Related Problems - The 8 Types

Hepler and Strand defined a medication-related problem (MRP) as any event or circumstance involving drug therapy that actually or potentially interferes with an optimal outcome. In the elderly, MRPs aren't rare: they cause or worsen falls, cognitive loss, dehydration, incontinence, and depression, and drive hospitalization, nursing facility placement, and death.

The scale of this problem

MRPs cost an estimated $200 billion annuallyin the US and contribute to over 200,000 deaths a year. If adverse drug effects were tracked as a single disease, they'd rank as roughly the 5th leading cause of deathin the country. Nearly a third of ambulatory ADEs and half of nursing-facility ADEs are preventable, and most preventable errors happen at the prescribing or monitoring step, not dispensing.

#TypeReal example from practice
1Needs therapy for an untreated conditionUndiagnosed osteoporosis never started on a bisphosphonate
2Wrong drug for the conditionLook-alike/sound-alike dispensing error: hydroxyzine ordered, hydralazinedispensed, patient became hypotensive and syncopal. Why TALL-man lettering (hydrOXYzine vs hydRALazine) exists.
3Correct drug, dose too lowUnderdosed pain control or antidepressant therapy, common because clinicians under-titrate in older patients out of caution
4Correct drug, dose too highMethotrexate 7.5 mg ordered dailyinstead of weekly for RA. The resident developed mouth sores, then severe leukopenia, then fatal septicemia. Weekly methotrexate is effective; daily dosing at that strength is lethal within weeks.
5Not receiving the prescribed drugFosamax (alendronate) 70 mg weekly with bioavailability of only 0.64% under ideal conditions, dropping ~60% further if taken with coffee or OJ, and becoming negligible if taken after breakfast. Poor administration technique = the patient effectively isn't getting the drug.
6Taking a drug with no valid indicationHaloperidol and omeprazole started during a hospitalization for delirium/stress ulcer prophylaxis, then carried forward indefinitely after discharge with no one revisiting whether either was still needed
7Adverse drug reactionConfusion and cardiac rhythm disturbances traced to OTC Tylenol PM(diphenhydramine + acetaminophen). The diphenhydramine, a Beers-listed anticholinergic, was the culprit, and the patient didn't consider it "a medication" because it was OTC.
8Drug-drug, drug-food, or drug-lab interactionStable warfarin patient's INR crashed after he started eating large amounts of spinach for its "health benefits." Vitamin K antagonizes warfarin's inhibition of factors II, VII, IX, X.
Quinolones + corticosteroids = tendon rupture

A 75-year-old on a routine inhaled corticosteroid developed bilateral Achilles tendon ruptures within 2 weeks of starting a fluoroquinolone for a skin infection. Baseline tendinopathy risk with a quinolone alone is ~0.14-0.4%, roughly 1.5-2.7x higher after age 60, but concurrent corticosteroid use in patients 60+ raises that risk about 47-fold.Median onset is 6 days; it can occur from hours after the first dose to months after the drug is stopped.

Why the elderly are hit harder

More chronic conditions, more drugs, more high-risk drugs, more prior ADRs, more prescribers who don't talk to each other, physical/cognitive barriers to taking drugs correctly, and financial or access barriers all stack on top of the PK/PD changes already covered above.

The Prescribing Approach

There's no single "treatment algorithm" for geriatrics the way there is for a single disease. The algorithm is a way of thinking that gets applied to every prescription, every refill, and every new symptom.

Types of non-adherence worth naming

Underuse, overuse, intelligent non-compliance(patient deliberately skips a dose because of a side effect they never reported), premature discontinuation, and simply not filling the prescription. "Intelligent non-compliance" is worth specifically asking about, since patients often assume you already know why they stopped.

High-Risk Starting Doses in Older Adults

These aren't a complete geriatric dosing reference, they're the specific examples that keep showing up as teaching cases because the standard adult dose causes real harm.

Drug / classStandard adult dosingGeriatric approachWhy
Sedative-hypnotics
Zolpidem10 mg (men) / 5 mg (women) at bedtime5 mg for all older adults, and avoid outright per Beers when possibleSlower hepatic clearance across the board; falls and next-day cognitive impairment risk regardless of sex
Benzodiazepines, if unavoidableVariesLorazepam preferredover diazepam, alprazolam, or clonazepamNo active metabolites and an intermediate half-life; less accumulation than long-acting agents like diazepam
Doxepin for insomnia25-50 mg (antidepressant dosing)≤6 mgas a sleep aidAt antidepressant doses it's a strongly anticholinergic Beers-listed drug; at ≤6 mg it's selective enough to avoid that burden
Anxiolytics
Alprazolam (GAD)0.25-0.5 mg TID0.25 mg 2-3x/dayReduced clearance in older adults produces higher plasma concentrations at the same dose
Narrow therapeutic index
DigoxinWeight-based loadingLower loading and maintenance doses; confirm renal function firstSmaller Vd from reduced lean mass plus reduced renal clearance = higher peak and trough concentrations
Methotrexate (RA)Low-dose weekly regimenConfirm "weekly" explicitly with every new order; daily dosing at RA strength is fatalDaily administration at what should be a weekly dose causes cumulative myelosuppression and death within weeks
Administration technique counts as "dosing" too

Alendronate's oral bioavailability is only 0.64% under perfect conditions (full glass of water, empty stomach, upright 30 minutes, nothing else by mouth for 30 minutes) and drops another ~60% with coffee or OJ, becoming negligible after breakfast. A "correctly dosed" bisphosphonate taken incorrectly is functionally an MRP type 5: not receiving the drug at all.

Beers Criteria & Drug-Disease Interactions - Deep Dive

High-yield Beers-listed drug classes and why each one is flagged

You won't be expected to recite all ~100 Beers entries, but a handful come up constantly in case-based questions and in real geriatric patients:

  • Z-drugs (zolpidem, zaleplon, eszopiclone):flagged for falls, cognitive impairment, and limited efficacy relative to their risk, despite feeling "safer" than benzodiazepines to prescribers.
  • First-generation antihistamines (diphenhydramine, hydroxyzine):strongly anticholinergic, sedating, and hidden in dozens of OTC sleep and allergy combination products (Tylenol PM, Benadryl, Unisom, Excedrin PM). Patients frequently don't report these as "medications."
  • Benzodiazepines, especially long-acting ones (diazepam):accumulation from long half-lives and active metabolites drives sedation, falls, and cognitive impairment. Short/intermediate agents without active metabolites (lorazepam) are the lesser evil if a benzodiazepine truly can't be avoided.
  • Tricyclic antidepressants:anticholinergic and sedating on top of cardiac conduction effects.
  • Peripheral α1-blockers and acetylcholinesterase inhibitors:flagged specifically for syncope risk.

The common thread across nearly the entire high-yield Beers list: anticholinergic burden and CNS depression.If you can name the mechanism, you can usually guess whether a drug is on the list even without memorizing it.

Drug-disease interactions from the Beers Criteria expert panel
DiseaseDrug/class to avoid
Heart failureNSAIDs, COX-2 inhibitors, thiazolidinediones, dronedarone
HFrEF specificallyNon-dihydropyridine CCBs (diltiazem, verapamil)
SyncopeAcetylcholinesterase inhibitors, peripheral nonselective α1-blockers, tertiary TCAs, antipsychotics
DeliriumAnticholinergics, antipsychotics, benzodiazepines, corticosteroids, H2 blockers, z-hypnotics
Cognitive impairmentAnticholinergics, antipsychotics, benzodiazepines, nonbenzodiazepine hypnotics, z-hypnotics
History of fallsAntiepileptics, antipsychotics, benzodiazepines, antidepressants, z-hypnotics, opioids
Parkinson diseaseAntipsychotics exceptquetiapine, clozapine, pimavanserin; metoclopramide, prochlorperazine, promethazine
Peptic ulcer diseaseAspirin ≥325 mg/day, NSAIDs
CKD stage IV+NSAIDs
Urinary incontinence (women)Peripheral α1-blockers

Notice how many rows point back to the same few drug classes (anticholinergics, antipsychotics, benzodiazepines, NSAIDs). Learn those four classes cold and most of this table falls out for free.

Tapering a benzodiazepine safely (ASAM framework)

If a patient is already dependent on a benzodiazepine, stopping abruptly is its own MRP, not a fix. The withdrawal itself can worsen the anxiety or insomnia you're trying to treat, and in a case example an abrupt lorazepam discontinuation directly preceded a return visit for worsened symptoms.

  • If withdrawal symptoms are already present:restabilize at an equivalent dose first, then begin a gradual, individualized taper. Don't try to taper through active withdrawal.
  • Taper rate for low-to-moderate withdrawal risk:reduce by 10-25% every 1-2 weeks, adjusting pace to what the patient tolerates.
  • Preferred agent if a benzodiazepine must be used:lorazepam, for the PK reasons above.
  • Safer alternatives once tapered off:CBT-I is first-line for chronic insomnia in older adults (sleep hygiene alone isn't enough). If pharmacologic therapy is still needed: low-dose doxepin (≤6 mg), daridorexant, lemborexant, suvorexant, or ramelteon. None of these are risk-free, but all carry less falls/cognitive risk than a benzodiazepine or Z-drug.

Don't forget the rest of the regimen while you're focused on the benzodiazepine:in the teaching case, correcting an iatrogenically over-replaced levothyroxine dose (causing subclinical hyperthyroidism) and correcting an iron deficiency driving restless legs syndrome were just as important to fixing the patient's sleep as anything done to the sedative-hypnotic.

Deprescribing

Deprescribing is the systematic, planned, and supervised process of stopping or reducing medications when existing or potential harms outweigh existing or potential benefits. It is not "cutting corners," it's the second half of good prescribing.

When to consider it

BenefitsBarriers
↓ medication burden · ↑ cognition (less delirium) · ↑ mobility · ↓ falls · ↑ quality of life · financial savingsPressure to prescribe · clinical complexity · fragmented care across multiple prescribers · reluctance to stop a drug someone else started · incomplete patient information · ambiguous or shifting care goals · time pressure · fear of withdrawal effects · simply not knowing how
High-yield deprescribing targets

The drug classes with the most-developed deprescribing algorithms: proton pump inhibitors, antihyperglycemics, antipsychotics, benzodiazepines, cholinesterase inhibitors/memantine, and opioids. PPIs deserve special mention: they're started appropriately for stress ulcer prophylaxis in the hospital and then frequently never stopped, and long-term use carries fracture and C. difficilerisk that most patients and prescribers underweight.

Worth knowing

"It's a lot easier to start a medication than it is to stop one."Indications come and go; medications, left unattended, tend to stay. Ongoing medication regimen review exists specifically to keep matching the drug list back to a current, active indication.

Care Settings & Special Populations

Where a patient lives changes both the acuity you should expect and the pharmacist's regulatory role.

SettingScale (US)Pharmacist's role
Nursing facility~14,700 facilities, 1.6M licensed beds, 1.2M residentsFederally mandated monthly Medication Regimen Review (MRR)for every resident, plus committee work (QAPI, psychotropic drug review) and survey compliance support
Assisted living / residential care~32,200 facilities, 1.3M beds, ~1M residentsSimilar population and polypharmacy burden to NF, but with less-skilled staff and MRR requirements that vary by state rather than federal mandate
Home health care~11,500 agencies, 3.3M individuals served annuallyLargely untapped for pharmacy; major opportunity in preventing re-hospitalization
Hospice~5,800 agencies, 1.8M served annuallyComfort-focused care where deprescribing shifts from "consider it" to the default assumption
Nursing facility vs assisted living, the distinction that matters

Both populations look similar on paper (elderly, multiple diagnoses, increasing acuity, multiple prescriptions, ADL assistance needs), but nursing facility residents need dramatically more hands-on assistance (96% need help bathing vs 62% in AL; 58% need help eating vs 20% in AL) and are under federal MRR mandate, while AL regulation is state-dependent and inconsistent. Don't assume "assisted living" means low-acuity or low medication risk.

Cost context(useful for counseling conversations about site of care): a semi-private nursing facility room runs roughly $115,000/year, private room $130,000/year; assisted living averages about $74,000/year; non-medical in-home caregiving runs about $80,000/year. Costs vary enormously by state (a private NF room can run from roughly $90,000/year to well over $380,000/year).

Monitoring - What, When, Why

ParameterWhenWatching for
Estimated CrCl/GFRBaseline and at least annually, more often if acutely ill or on new renally cleared drugsRenally cleared drug accumulation; don't trust SCr alone given reduced muscle mass
Full medication list, including OTC/supplementsEvery visit, and formally every month in nursing facilities (MRR)Duplication, expired indications, Beers-listed agents, new drug-drug or drug-disease interactions
Cognition and mental statusBaseline and with any new confusion, sedation, or behavioral changeAnticholinergic burden, delirium, over-sedation; don't default to "it's just aging"
Falls history and orthostaticsEvery visit, especially after starting/titrating CNS-active or antihypertensive drugsBlunted baroreceptor response, ≥3 concurrent CNS-active drugs
Functional status (ADL/IADL)Periodically and after any hospitalizationNew inability to self-manage medications; may require simplifying the regimen or caregiver involvement
Adherence patternEvery refillUnder-use, over-use, intelligent non-compliance, cost barriers
Narrow-TI drug levels (digoxin, etc.)Steady state, and with any renal or dose changeSmaller Vd and reduced clearance both push levels up

Patient (and Caregiver) Counseling

  • Bring every bottle in the house to your next appointment,including anything from the drugstore aisle. "Is this a medication I should tell my pharmacist about?" - the answer for OTC sleep aids and allergy pills is almost always yes.
  • "Just because you feel fine on it doesn't mean it's still needed."Frame deprescribing as active care, not abandonment: "We're not giving up on treating you, we're making sure everything you're taking is still pulling its weight."
  • For a new sedative or sleep aid:"This can make you unsteady on your feet, especially the first few nights. Get up slowly, and call us if you feel groggy the next morning."
  • For anyone stopping a benzodiazepine:"Don't just stop this on your own, even if you want off it. Stopping suddenly can make your anxiety or sleep worse, sometimes seriously. We'll bring it down gradually together."
  • For bisphosphonates:"Take it first thing in the morning with a full glass of plain water, nothing else by mouth, and stay upright for 30 minutes. Coffee, juice, or lying back down too soon means the dose barely absorbs at all."
  • For anyone on a fluoroquinolone plus a steroid inhaler or oral steroid:"Tell us right away about any new tendon pain, especially in the heel. It can happen even after just a few days."
  • Explain why "the pharmacist keeps asking about my other doctors":"Each of your doctors only sees part of the picture. My job is to look at everything together and catch anything that overlaps or conflicts."
  • Normalize speaking up about side effects:patients quietly stop drugs on their own ("intelligent non-compliance") far more often than they report the side effect that caused it. Ask directly rather than assuming adherence.

High-Yield Recall Sheet

  • "Start low and go slow"is the one-line summary of every PK/PD change in this document.
  • GFR falls ~25-50% from age 25 to 90, but SCr can look falsely normal because muscle mass (and creatinine production) falls too. Estimate CrCl.
  • Water-soluble drugs get a smaller Vd(digoxin, morphine, lithium) → higher plasma levels. Fat-soluble drugs get a larger Vd(most CNS drugs) → longer half-life.
  • Absorption changes the leastof the four PK phases; don't blame it first.
  • MRPs cost ~$200 billion/yearand contribute to 200,000+ deaths/yearin the US.
  • 8 MRP types(Hepler & Strand): needs therapy, wrong drug, dose too low, dose too high, not receiving the drug, no valid indication, ADR, interaction.
  • Beers = 5 tables by organ system; STOPP = 11 sections by physiologic system.STOPP uniquely flags duration/duplication issues that aren't drug-specific.
  • MAI = 10 questionsapplied to each individual drug: indication, effectiveness, dose, directions, practicality, interactions (drug-drug, drug-disease), duplication, duration, cost.
  • Zolpidem/Z-drugs, first-gen antihistamines, benzodiazepines, and TCAsare the Beers-listed classes that show up again and again: anticholinergic burden and CNS depression are the common thread.
  • Lorazepam is the "least bad" benzodiazepinein older adults (no active metabolites, intermediate half-life) if one truly can't be avoided.
  • Benzodiazepine taper: 10-25% reduction every 1-2 weeksfor low-to-moderate withdrawal risk. Never stop abruptly.
  • Quinolone + corticosteroid = ~47x higher tendon rupture riskin patients 60+; median onset 6 days.
  • Alendronate bioavailability is ~0.64%even under ideal conditions, and drops further with food, coffee, juice, or lying down too soon.
  • Daily instead of weekly methotrexateis a classic fatal dosing error in RA.
  • "Handling medications" is an IADL, not an ADL.Physical independence doesn't guarantee medication safety.
  • Nursing facilities require federally mandated monthly MRR; assisted living MRR requirements vary by state.
  • Atypical presentation:confusion, lethargy, and functional decline often replace pain and fever as presenting symptoms of MI, HF, GI bleed, URI, and UTI.
  • Deprescribing is not withdrawal of care,it's matching the regimen to current goals and current evidence.