• SUMMAIYYA AHMED Doctor Of Pharmacy, SCES’s Indira College of Pharmacy, Tathawade, Pune, Maharashtra, India.
  • PAVITRA MAHESH Doctor Of Pharmacy, SCES’s Indira College of Pharmacy, Tathawade, Pune, Maharashtra, India.
  • RUCHA DHAKNE Doctor Of Pharmacy, SCES’s Indira College of Pharmacy, Tathawade, Pune, Maharashtra, India.
  • SONALI JAMDADE Doctor Of Pharmacy, SCES’s Indira College of Pharmacy, Tathawade, Pune, Maharashtra, India.
  • MANASI WAGDARIKAR Assistant Professor, Department of Pharmaceutical Chemistry, SCES’s Indira College of Pharmacy, Tathawade, Pune, Maharashtra, India.
  • SAYALEE KARVE Assistant Professor, SCES’s Indira College of Pharmacy, Tathawade, Pune,Maharashtra, India.



Geriatric, Beer’s Criteria, Inappropriate prescribing, Morisky medication adherence scale, patient adherence


Objective: The objective of the present study was to determine the prescription pattern and adherence to Beers Criteria 2019 and also evaluate the reasons for non-adherence and ways to promote adherence among geriatric patients.

Methods: Retrospective as well as prospective data were collected using a predesigned form. A total of 268 patients aged 60 years and above were involved in the study. The prescriptions were analyzed for appropriateness using AGS Beers Criteria 2019 and the 8-Item Morisky Medication Adherence Scale was used for the assessment of medication adherence.

Results: The majority of the patients were in the age group of 65–69 years with a mean age of 73.6 ± 5.05 years with a male preponderance (67%). Out of 268 sample sizes observed, the maximum number of prescriptions had at least one potential inappropriate medication (PIM) – during admission (40.67%) and discharge (48.50%). The most common PIMs observed were PPIs and insulin sliding scale. The use of NSAIDs (aspirin) in heart and renal failure patients was the generally recognized drug-disease and drug-drug interactions. This study confirms the presence of moderate adherence to the prescription among geriatric patients.

Conclusion: Even though Beers Criteria have been commonly used as a reference in many studies, it has not made its way into conventional clinical practice. The prescribers need to make themselves aware of the Beers Criteria and it should be followed for the geriatric population. Hence, this study will help physicians to deliver quality care to elderly patients.


Download data is not yet available.


Fernanda BS, Rosangela F, Ana PG, Nathalia GV, Andrea B, Beatriz CA, et al. Sociodemographic profile and health condition of elderly patients attended at a community primary health center. J Clin Gerontol Geriatr 2016;7:93-8.

Maheshkumar P, Dhanapal K, Ramakrishna R. Assessment of potentially inappropriate medicines used in geriatric patients according to 2012 AGS Beer’s criteria in tertiary care teaching hospital. Asian J Pharm Health Sci 2015;5:1273-9.

Sharma R, Bansal P, Garg R, Ranjan R, Kumar R, Arora M. Prevalence of potentially inappropriate medication and its correlates in elderly hospitalized patients: A cross-sectional study based on beer’s criteria. J Family Community Med 2020;27:200-7. doi: 10.4103/jfcm. JFCM_175_20, PMID 33354151.

Castro-Rodríguez A, Machado-Duque ME, Medina-Morales DA, Machado-Alba JE. Identification of potentially inappropriate cardiovascular prescriptions in the elderly using Beers’ criteria. Rev Colomb Cardiol 2020;27:90-6. doi: 10.1016/j.rccar.2019.02.008.

Anjum SM, Jacob C, Benchamin A, Rodrigues P. A prospective study on geriatric prescribing pattern and medication adherence in a tertiary care hospital. Asian J Pharm Clin Res 2017;16:220-7.

Massoud L, Hala AA, Mahmoud T. Pharmacokinetic and pharmacodynamic changes in elderly people. World J Pharm Med Res 2017;3:14-23.

Maheshkumar VP, Dhanapal CK. Drug prescribing pattern in geriatric patients in a rural teaching hospital. Unique J Pharm Biol Sci 2013;1:16-8.

Jano E, Aparasu RR. Healthcare outcomes associated with beers’ criteria: A systematic review. Ann Pharmacother 2007;41:438-47. doi: 10.1345/aph.1H473, PMID 17311835.

By the 2019 American Geriatrics Society Beers Criteria® Update Expert Panel. American Geriatrics Society 2019 updated AGS beers Criteria® for potentially inappropriate medication use in older adults. J Am Geriatr Soc 2019;67:674-94. doi: 10.1111/jgs.15767, PMID 30693946.

Yap AF, Thirumoorthy T, Kwan YH. Medication adherence in the elderly. J Clin Gerontol Geriatr 2015;2:64-7.

Alshehri S, Alshibani M, Magboul G, Albandar A, Nasser R, Yaqoub RM, et al. Adherence to beers criteria in geriatrics: A retrospective study in a Saudi teaching hospital. Geriatrics (Basel) 2020;5:97. doi: 10.3390/ geriatrics5040097, PMID 33233330.

Pignone M, Alberts MJ, Colwell JA, Cushman M, Inzucchi SE, Mukherjee D, et al. Aspirin for primary prevention of cardiovascular events in people with diabetes: A position statement of the American diabetes association, a scientific statement of the American heart association, and an expert consensus document of the American college of cardiology foundation. Diabetes Care 2010;33:1395-402. doi: 10.2337/dc10-0555, PMID 20508233.

Silagy CA, McNeil JJ, Donnan GA, Tonkin AM, Worsam B, Campion K. Adverse effects of low-dose aspirin in a healthy elderly population. Clin Pharmacol Ther 1993;54:84-9. doi: 10.1038/clpt.1993.115, PMID 8330469.

Bermingham M, Shanahan MK, O’Connell E, Dawkins I, Miwa S, O’Hanlon R, et al. Aspirin use in heart failure: Is low-dose therapy associated with mortality and morbidity benefits in a large community population? Circ Heart Fail 2014;7:243-50. doi: 10.1161/ CIRCHEARTFAILURE.113.000132, PMID 24493706.

Chitra B, Senthilvel N, Sowmya R, Sreerekha S, Srisha R. A study on prescribing pattern of drugs in geriatric using beers criteria at a private corporate hospital. Int J Pharm Sci Res 2015;6:4810-25.

Khamis S, Abdi AM, Uzan A, Basgut B. Applying beers criteria for elderly patients to assess rational drug use at a University hospital in Northern Cyprus. J Pharm Bioallied Sci 2019;11:133-41. doi: 10.4103/ jpbs.JPBS_208_18, PMID 31148889.

Tan X, Patel I, Chang J. Review of the four-item Morisky medication adherence scale (MMAS-4) and eight-item Morisky medication adherence scale (MMAS-8). Innov Pharm 2014;5:165. doi: 10.24926/ iip.v5i3.347.



How to Cite

AHMED, S., P. MAHESH, R. DHAKNE, S. JAMDADE, M. WAGDARIKAR, and S. KARVE. “PRESCRIPTION ADHERENCE TO AGS BEERS CRITERIA AND MEDICATION ADHERENCE IN GERIATRIC PATIENTS”. Asian Journal of Pharmaceutical and Clinical Research, vol. 15, no. 7, July 2022, pp. 69-73, doi:10.22159/ajpcr.2022.v15i7.44921.



Original Article(s)