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Sedative-related falls — DGM MCQ

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EasyFallsSedative-related fallsDGM

An 88-year-old woman attends after a nocturnal fall on the way to the toilet. She has no fracture and feels drowsy in the mornings. Neurological examination is normal. Current medicines include zopiclone, atorvastatin, colecalciferol, lactulose and eye drops. Which medication should be reviewed?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Zopiclone

Zopiclone is a sedative hypnotic associated with impaired balance, cognitive slowing and falls in older adults. Atorvastatin, colecalciferol, lactulose and lubricating eye drops are less likely to explain a nocturnal fall with morning drowsiness. STOPP-style review should prioritise medicines with anticholinergic, sedative or hypotensive effects.

Reference: STOPP/START criteria v3; BNF