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Optimizing Medicines: STOPP/START Criteria for Potentially Inappropriate Prescribing

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What is the primary goal of optimizing medicines?

To ensure a person is taking their medicines as intended

What is the main purpose of the STOPP/START criteria?

To identify potential prescribing omissions in older people

What is the significance of the expansion of the STOPP/START criteria from version 2 to version 3?

It reflects an expansion of the pharmacopeia and clinical trials evidence base

What is the main difference between STOPP/START version 2 and version 3?

Version 3 has more criteria than version 2

What is the target population for the STOPP/START criteria?

Older people with multimorbidity and polypharmacy

Study Notes

Optimizing Medicines

  • Optimizing medicines is crucial to ensure a person takes their medicines as intended, which can support the management of long-term conditions, multimorbidity, and polypharmacy.

STOPP/START Criteria

  • The goal is to update and validate STOPP/START criteria for potentially inappropriate prescribing.

STOPP/START Version 3

  • STOPP/START version 3 has been expanded and validated by an international European panel of experts in geriatric pharmacotherapy.
  • Version 3 includes 190 criteria, significantly larger than version 2 (114 criteria).
  • The expansion reflects the growth of the pharmacopeia and clinical trials evidence base relevant to older people since the publication of version 2.

Purpose of STOPP/START Version 3

  • STOPP/START version 3 represents an updated explicit list of potentially inappropriate medications and potential prescribing omissions.
  • The purpose is to optimize medication and minimize adverse drug reactions and events during medication review in older people, particularly those with multimorbidity and polypharmacy.

Update and validation of STOPP/START criteria for optimizing medicines, particularly for geriatric patients with long-term conditions, multimorbidity, and polypharmacy.

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