A 78-year-old woman in a long-term care facility is prescribed lorazepam 1 mg at bedtime for chronic insomnia. She is at high falls risk. According to...

Question

A 78-year-old woman in a long-term care facility is prescribed lorazepam 1 mg at bedtime for chronic insomnia. She is at high falls risk. According to Choosing Wisely and geriatric guidance, what is the best approach?

Accepted Answer

Gradually taper benzodiazepine and implement non-pharmacologic sleep strategies

Answer

Continue lorazepam indefinitely

Answer

Switch to a different benzodiazepine

Answer

Add zopiclone in addition to lorazepam

Answer

Increase lorazepam dose for better effect

ca-mccqe1 MCQ (SBA): Benzodiazepine use in older adult

A 78-year-old woman in a long-term care facility is prescribed lorazepam 1 mg at bedtime for chronic insomnia. She is at high falls risk. According to Choosing Wisely and geriatric guidance, what is the best approach?