Beers Criteria deprescribing checker (AGS 2023)
AGS Beers Criteria (2023) screen: flags potentially inappropriate medications, drug-disease and drug-drug interactions for an adult >= 65 from a checked medication and comorbidity list.
Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- Age
- 78 years
- Benzodiazepine
- Yes
- Opioid
- Yes
- history-of-falls
- Yes
Result: 5 Beers flags identified per AGS 2023: benzodiazepine PIM, opioid PIM, benzo + falls, opioid + falls, opioid + benzo drug-drug.
The tool opens with these values already filled in. Replace them with your own.
What the result means
- PIM flag
- AGS 2023 Table 2 - avoid or use with caution; deprescribe if possible.
- Drug-disease
- AGS 2023 Table 3 - specific medication + comorbidity interaction; strong recommendation to avoid.
- Drug-drug
- AGS 2023 Table 6 - high-severity respiratory-depression / CNS-depression risk; avoid concurrent use.
What you enter
- Age
- First-generation antihistamine (diphenhydramine, hydroxyzine, promethazine, chlorpheniramine)
- Tricyclic antidepressant (amitriptyline, doxepin >6 mg, imipramine, nortriptyline)
- Skeletal-muscle relaxant (cyclobenzaprine, methocarbamol, carisoprodol)
- Benzodiazepine (any)
- Z-drug hypnotic (zolpidem, zaleplon, eszopiclone)
- Antipsychotic (first- or second-generation)
- Long-acting sulfonylurea (glyburide, chlorpropamide)
The other 16 fields
- Proton-pump inhibitor (chronic, >8 weeks)
- Systemic NSAID, chronic (ibuprofen, naproxen, diclofenac, indomethacin, ketorolac)
- Peripheral alpha-1 blocker for HTN (doxazosin, prazosin, terazosin)
- Digoxin > 0.125 mg/day or for atrial fibrillation
- Centrally-acting alpha-agonist (clonidine, methyldopa, reserpine)
- Opioid (any, chronic)
- Gabapentinoid (gabapentin, pregabalin)
- Anticholinergic antimuscarinic for urinary incontinence (oxybutynin, tolterodine, fesoterodine, solifenacin)
- history-of-falls
- history-of-syncope
- heart-failure
- gi-bleed-history
- parkinsonism
- dementia
- ckd
- delirium-history
How this is calculated
American Geriatrics Society 2023 updated AGS Beers Criteria for potentially inappropriate medication use in older adults. J Am Geriatr Soc. 2023;71(7):2052-2081 (Tables 2, 3, and 6 cross-referenced for PIM, drug-disease, and drug-drug flags). Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.