Question

A 79-year-old woman takes diphenhydramine nightly for insomnia. She reports falls and confusion. Which is the most guideline-concordant recommendation?

Accepted Answer

Avoid strong anticholinergics such as diphenhydramine in older adults

Answer

Continue diphenhydramine; it is safe in older adults

Answer

Switch to zolpidem 10 mg nightly

Answer

Add quetiapine 25 mg nightly

Answer

Start amitriptyline 25 mg at night

Practice question

A 79-year-old woman takes diphenhydramine nightly for insomnia. She reports falls and confusion. Which is the most guideline-concordant recommendation?