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Delirium medication sedative — DGM MCQ

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EasyDeliriumDelirium medication sedativeDGM

An 80-year-old man is admitted after becoming confused and falling at home. His wife reports he has been very sleepy since a new medicine for back spasm. Examination shows inattention without focal neurology. Current medicines include diazepam, paracetamol and metformin. Which medication should be reviewed?

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Correct answer: E — Diazepam

Diazepam is a benzodiazepine with sedative effects that can precipitate delirium and falls in older adults. Paracetamol, metformin, colecalciferol and lansoprazole are much less likely to cause acute sedation and inattention. Benzodiazepines are generally poor choices for muscle spasm in frail older people.

Reference: BNF; STOPP/START criteria v3