BC2019 American Geriatrics Society Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults recommends clinicians avoid using this medication with older patients.
Periodic (q4mo) reevaluation of antipsychotic dosage and ongoing need is important (see CMS guidance on unnecessary drugs in the nursing home: cms.gov/Regulations-and-Guidance/Guidance/Transmittals/downloads/ R22SOMA.pdf). Older adults are particularly sensitive to AEs of antipsychotic drugs. They are also at higher risk of developing TD. Periodic use of an AE scale such as the AIMS is highly recommended.