Osteoporosis
This bisphosphate is an option for patients that are unable to tolerate GI side effects or timing considerations of "traditional" bisphosphonates
Zoledronic Acid
This is the mainstay of osteoarthritis management and should generally be tried first before all other interventions
Nonpharmacologic measures
This drug class should generally not be used in the elderly for management of depression
TCAs
Generally, this drug class should not be used chronically in elderly patients, especially those with a history of hypertension because it can increase your blood pressure, and increase your risk of heart disease
NSAIDs
For most patients, it is recommended to take a drug holiday from oral bisphosphonates after ___ years
5 years
This is the first pharmacotherapy choice for management of osteoarthritis in the elderly
Topical NSAID or (Acetaminophen)
This electrolyte abnormality is seen especially in the elderly with use of SSRI/SNRIs
Hyponatremia
Individuals with HFrEF should at minimum be on which two antihypertensive drug classes to decrease their risk of morbidity and mortality
Beta Blockers
Ace inhibitors/ ARBs/ ARNI
Use of alendronate is not recommended in patients with CrCl <
35
This medication has been shown to have benefit for knee osteoarthritis and may be a potential option for elderly patients that also have neuropathic pain
Duloxetine
This SSRI/SNRI is potentially inappropriate for use in the elderly
Paroxetine
Per the USPSTF, it is no longer recommended to initiate aspirin in individuals > the age of ___ for primary prevention
60
Patients with osteopenia that have a FRAX 10-year osteoporotic fracture hip score of _____ and major osteoporotic fracture score of _____ are candidates for bisphosphonate therapy
> 3% and > 20%
The combination of these two medications is often used first-line for patients that use opioids long-term for management of constipation
senna + docusate
This is the most appropriate questionnaire to use to test for depression in the elderly
Geriatric Depression Scale
When is it appropriate to decrease the dose of Eliquis to 2.5 mg BID for patients with atrial fibrillation?
If patient is ≥80 years of age and either weighs ≤60 kg or has a serum creatinine ≥1.5 mg/dL
This drug class has been shown to increase the risk of fractures with long-term use and may also diminish the therapeutic effects of oral bisphosphonates
Proton Pump Inhibitors
This medication works by depleting substance P and may be used to decrease or eliminate the need for oral NSAIDs and/or opioids
Capsaicin
If an elderly patient with dementia is experiencing appetite suppression/weight loss as well as depression, this may be the most appropriate antidepressant to use
Mirtazapine
No matter the age, this LDL should be targeted for adults with clinical ASCVD at very high risk
< 55