An 82-year-old woman who lives alone is seen in clinic after her second fall in 3 months. She was not injured and did not lose consciousness. She has taken lorazepam 1 mg nightly for 8 years for insomnia, amitriptyline 25 mg at bedtime for mild neuropathic pain in the feet, oxybutynin XL daily for urge incontinence, and omeprazole 40 mg daily that was started during a hospitalization 5 years ago and has no documented ongoing indication. She also takes acetaminophen as needed, vitamin D3 daily, and ramipril daily for hypertension. She has no history of gastrointestinal bleeding, and no known allergies. Blood pressure is 136/74 mm Hg sitting and 128/70 mm Hg after 3 minutes standing, and she is alert and oriented with a slow, cautious gait.
| Heart rate | 72/min |
| Respiratory rate | 14/min |
| Temperature | 36.7 °C |
| O2 saturation | 97%, room air |
| Blood pressure | 136/74 mm Hg sitting, 128/70 mm Hg standing |
Question 1 of 30
In addition to lorazepam, which of the following medications are the most appropriate to discontinue or replace?
Select 3. (0 / 3 selected)
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