Drug Burden Index (DBI)

Drug Burden Index (Hilmer 2007): for each anticholinergic or sedative drug, its daily dose (D) and minimum recommended dose (δ).

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Drug 1 daily dose
10
Drug 1 minimum dose
5
Drug 2 daily dose
4
Drug 2 minimum dose
4

Result: DBI 1.17 — functional medication burden.

The tool opens with these values already filled in. Replace them with your own.

What the result means

value
DBI = Σ D/(D + δ); a higher DBI predicts poorer physical and cognitive function in older adults.

What you enter

  • Drug 1 daily dose (D)
  • Drug 1 minimum dose (δ)
  • Drug 2 daily dose (D)
  • Drug 2 minimum dose (δ)
  • Drug 3 daily dose (D)
  • Drug 3 minimum dose (δ)
  • Drug 4 daily dose (D)
  • Drug 4 minimum dose (δ)
The other 2 fields
  • Drug 5 daily dose (D)
  • Drug 5 minimum dose (δ)
How this is calculated

Hilmer SN, Mager DE, Simonsick EM, et al. A drug burden index to define the functional burden of medications in older people. Arch Intern Med. 2007;167(8):781-787. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.