Which of the following medications is NOT listed as potentially inappropriate or to be used with caution in older adults according to Beers criteria?

• A. Lisinopril
• B. Dabigatran
• C. Carbamazepine
• D. Tramadol

Answer: (A)

Beers criteria focus on medications that pose higher risks for adverse events in older adults, guiding clinicians to avoid or use with extra caution those drugs most likely to cause harm in the elderly.

Lisinopril, an ACE inhibitor, is not listed as potentially inappropriate or as a medication to be used with caution in the Beers criteria. It is commonly used to treat hypertension and heart failure in older adults, though it does carry its own safety considerations (such as monitoring for hyperkalemia, renal function, and blood pressure), these do not place it on the Beers avoid or caution list.

In contrast, dabigatran, carbamazepine, and tramadol each appear in Beers as drugs to be used with caution or avoided in many older patients due to specific risks: dabigatran because of bleeding risk and renal function considerations; carbamazepine due to CNS effects, hyponatremia, and fall risk; and tramadol due to delirium, sedation, and increased fall risk.