Antiepileptic prescribing to persons living with dementia residing in nursing homes: A tale of two indications.

ABSTRACT:

Background

Antiepileptics are commonly prescribed to nursing home residents with Alzheimer's disease and related dementias (ADRD) but there is little scientific support for their use in this population. It is unclear whether different antiepileptics are targeting different indications.

Methods

Using the Minimum Data Set and Medicare data, including Part D pharmacy claims, we constructed annual cohorts of residents with ADRD with long-term stays in nursing homes from 2015 to 2019. For each year, we measured the proportion of residents with ADRD in nursing homes nationwide with at least one antiepileptic prescription. We also measured trends in valproic acid, gabapentin, antipsychotic, and opioid prescribing. Finally, we examined how prescribing rates differed based on whether

SUBMITTER: Candon M 

PROVIDER: S-EPMC9870979 | biostudies-literature | 2023 Jan

REPOSITORIES: biostudies-literature