Question

A 72-year-old with multiple medications is started on diphenhydramine nightly for sleep. According to Beers Criteria, what is the concern?

Accepted Answer

Avoid diphenhydramine due to strong anticholinergic effects and risk of confusion/falls

Answer

Safe in older adults at low doses

Answer

Preferred over nonpharmacologic approaches

Answer

Combining with other sedatives is recommended

Answer

Long-term nightly use improves sleep architecture

Practice question

A 72-year-old with multiple medications is started on diphenhydramine nightly for sleep. According to Beers Criteria, what is the concern?