Gallagher et al used the STOPP (Screening Tool of Older Person's Prescriptions) to help guide therapy in older adults. It is important to identify drugs that may increase the risk for falls. The authors are from Cork University in Ireland.


Patient selection: age >= 65 years



Reason for Increased Fall Risk


sedation, impaired sensorium

neuroleptic drug

dyspraxia, parkinsonism

first-generation antihistamine

sedation, impaired sensorium

vasodilator drugs

postural hypotension and risk for syncope

long-term opiate therapy

drowsiness, postural hypotension, vertigo


The risk is increased if the patient has a history of falls and/or other risk factors for falls.


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