Hey all, welcome back to the Real Life Pharmacology podcast on this special episode,

Part 2 of 2 on the Beers criteria.

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All right, so let's get into the drugs contained within the Beers criteria, part two.

Continuing on, I left off on some sedative type medications with benzodiazepines and Z drugs showing up on the

beer's criteria. I wanted to add to a couple of those. So not used very often, but they're

older kind of anti-seizure type medications in primadone and phenobarbital.

These two medications I have seen occasionally used, probably primadone a little bit more so than

phenobarbital for the use of management of essential tremor.

With that said, these medications do show up on the Beers criteria for their risk of dependence.

Also overdose risk, if patients take too much, it's significantly risky.

It can increase the risk for sedation, confusion, falls, may even cause some ataxia- type situations for patients. So definitely a

couple medications to avoid there within that class of drugs and older anti-seizure type

medications. All right, getting into some hormonal type therapies, let's talk testosterone.

This medication should be avoided unless you've got a specific diagnosis of hypogonadism.

Historically, I have seen providers occasionally try to use it to basically stimulate energy and muscle strength and that type of thing.

But again, generally not recommended for that purpose alone.

So definitely want that indication of hypogonadism if we're going to consider using testosterone therapy.

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