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Polypharmacy can significantly contribute to the fall risk, especially those medications that are on the Beers Criteria list. Skeletal muscle relaxants are on this list, and an increased risk of falls is associated with their use. These medications are inappropriately used as an alternative to conventional pain medications and can be as harmful as opioids in the geriatric population. Education of patients and prescribers is necessary in order to prevent inappropriate muscle-relaxant use and to lessen the risk of falls. In the United States, an estimated 29 million falls occurred in 46 million people older than age 65 years in, and 7 million of those falls resulted in injuries.
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Moreover, in, nearly 70 percent of patients prescribed muscle relaxants were simultaneously prescribed an opioid — a combination that has the potential to cause dangerous interactions. Skeletal muscle relaxants are drugs that were approved years ago for short-term treatment of muscle spasms and back pain, and are used today, without good evidence, to treat chronic pain and other conditions.
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