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Among the non-meclizine group, 102 patients (10. Conclusion: There was no increase in return visits in elderly patients discharged from the big five ED with a prescription for meclizine after a diagnosis of benign dizziness. Meclizine prescriptions at discharge were associated with fewer return visits to the ED within 1 week.

Dizziness and vertigo are common symptoms encountered by emergency physicians. Not only is the evaluation Percocet (Oxycodone and Acetaminophen)- Multum dizziness a diagnostic dilemma, the treatment modalities are limited especially in elderly patients.

Vestibular suppressant medications are often used during the Emergency Department (ED) stay and administered as a discharge prescription to treat symptoms if peripheral etiology of vertigo is suspected. Medications used to treat peripheral vertigo include antiemetics, antihistimines such as meclizine, or benzodiazepines. Meclizine is one of the more commonly prescribed Percocet (Oxycodone and Acetaminophen)- Multum for patients discharged from the Emergency Department with a diagnosis of peripheral vertigo.

Although traditionally used for ambulatory care settings, Emergency Departments (ED) are starting to use the Beers criteria as a guide for ED prescribing. Despite existing recommendations, meclizine is still administered in this vulnerable age group, possibly due to a lack of safer alternatives. The purpose of this study is to evaluate Emergency Department (ED) patients age 65 years old or older who received a prescription for meclizine during their ED stay.

This retrospective study aims to determine the correlation between uses of meclizine and return Percocet (Oxycodone and Acetaminophen)- Multum to the ED within 1 week in patients older than 65 years old.

This was a retrospective observational study conducted at 2 tertiary care EDs between June 4, 2012 - Dec 31, 2017.

Inclusion criteria included all patients age 65 years or older who presented to either ED with a chief complaint of dizziness or vertigo and were subsequently discharged from the ED. We excluded patients who were given a final diagnosis of central causes of vertigo, or who required admission to the hospital. The study group included patients who were either given meclizine in the ED or discharged with a home prescription.

A control group included patients 65 or older with chief complaints of dizziness or Percocet (Oxycodone and Acetaminophen)- Multum who were discharged without any medications. The electronic medical record was queried using standard SQL queries for age, chief complaint, clinical impression, disposition, medications prescribed in the ED, home prescriptions and return visits within 7 days along with return chief complaint.

This study was approved by our institutions Institutional Review Board. Primary outcomes included return visits to the ED within 7 days. Secondary outcomes included chief complaint on second presentation, specifically gastrointestinal complaints, dizziness, weakness, hypotension, syncope or falls.

The meclizine group was stratified by those who received a home prescription and those who only received it while in the ED. Demographic characteristics are reported. The rate of 7-day revisits is reported for each group and each meclizine group was compared to the non-meclizine group using a chi-square Percocet (Oxycodone and Acetaminophen)- Multum and the chief complaints for the return visits are described. Comparisons were considered statistically significant with a p - values There were 669 patients age 65 years old or older who were identified as receiving meclizine in the ED during the study period.

Of this group, there were 36 return visits (6. Of those return visits, 12 visits were for ongoing dizziness (32.

In the control group, 962 patients were seen for dizziness without Percocet (Oxycodone and Acetaminophen)- Multum meclizine dispensed during their ED stay and at discharge.

Of these, 102 patients (10. Patients who were only given meclizine while in the ED without home prescriptions (121) had 16 return visits within 7 days (13. Patients who were given a prescription for meclizine at discharge had a significantly lower 7-day return visit rate compared to those who did not receive meclizine (6. Dizziness is a general term often used to describe various symptoms such as vertigo, lightheadedness, presyncope and disequilibrium. Other causes of dizziness can be related to cardiac pathology, electrolyte abnormalities, or medication side effects (particularly polypharmacy that is often common in elderly patients).

Of those with formal diagnoses the greatest percentage (11. The diagnosis of benign versus life-threatening causes of vertigo and dizziness is beyond the scope of discussion here, however most complaints of dizziness presenting to the ED are found to be due to peripheral causes and not how fast to lose weight. Once emergent etiologies ablutophobia dizziness have been ruled out, the challenge becomes how Percocet (Oxycodone and Acetaminophen)- Multum best manage benign but bothersome symptoms.

Several classes of medications are used in the management of peripheral vertigo including antihistamines (meclizine, vanessa johnson, antiemetics (ondansetron, prochlorperazine, promethazine, metoclopramide), or benzodiazepines.

All of these medications are used for their ability to suppress Percocet (Oxycodone and Acetaminophen)- Multum vestibular system however they have differing mechanisms of action and side effects.

The Beers Criteria were created by the American Geriatrics Society (AGS) as a list of potentially inappropriate medications to be avoided in older adults. The criteria are applicable to older adults with the exception being those in palliative or hospice Percocet (Oxycodone and Acetaminophen)- Multum. As a result of this, therapeutic options for treatment of dizziness in the elderly population are limited. One of the most effective and commonly prescribed Percocet (Oxycodone and Acetaminophen)- Multum for benign dizziness is meclizine, a first-generation antihistamine.

Meclizine is an H-1 piperazine-derivative sedating antihistamine.

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Comments:

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