Question

A 73-year-old woman on multiple medications develops confusion and constipation. Review shows oxybutynin, amitriptyline, and diphenhydramine. According to Beers Criteria, what is the best next step?

Accepted Answer

Deprescribe strong anticholinergics and consider safer alternatives

Answer

Continue all; age-related changes are benign

Answer

Add benzodiazepine for agitation

Answer

Switch amitriptyline to doxepin 50 mg

Answer

Increase oxybutynin dose

Practice question

A 73-year-old woman on multiple medications develops confusion and constipation. Review shows oxybutynin, amitriptyline, and diphenhydramine. According to Beers Criteria, what is the best next step?