Safety of Baclofen and Tizanidine in Older Adults: A Retrospective Cohort Study in a Large Integrated Health Care System

Older adult patients dispensed baclofen or tizanidine were found to have an increased risk of injury when compared with cyclobenzaprine, currently included on the Beers Criteria. These findings support the inclusion of baclofen and tizanidine on the Beers Criteria along with other SMRs as potentially inappropriate medications in use in older adults with musculoskeletal complaints. Due to a retrospective design, the risk for residual confounding may remain.

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Publication Details

Journal
Journal of the American Geriatrics Society
Published
2025-09-13
DOI
https://doi.org/10.1111/jgs.70097
Citations
2
Primary Topic
Botulinum Toxin and Related Neurological Disorders
Type
article
Field-Weighted Citation Impact
2.78

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article

Safety of Baclofen and Tizanidine in Older Adults: A Retrospective Cohort Study in a Large Integrated Health Care System

Joanie Chung, Robert L. Deamer, Jasmine Jafari, Jing Zhang et al.
2 citations
Journal of the American Geriatrics Society
Botulinum Toxin and Related Neurological Disorders
2.78
article

Safety of Baclofen and Tizanidine in Older Adults: A Retrospective Cohort Study in a Large Integrated Health Care System

Joanie Chung, Robert L. Deamer, Jasmine Jafari, Jing Zhang, Monique Margaret George, Dounia Bitar, Erin L. Adams, Sunha Lee-Rodriguez
article en
2 citations

Abstract

Older adult patients dispensed baclofen or tizanidine were found to have an increased risk of injury when compared with cyclobenzaprine, currently included on the Beers Criteria. These findings support the inclusion of baclofen and tizanidine on the Beers Criteria along with other SMRs as potentially inappropriate medications in use in older adults with musculoskeletal complaints. Due to a retrospective design, the risk for residual confounding may remain.

Journal of the American Geriatrics SocietyVol. 73(11)
Kaiser Permanente (US), Los Angeles Medical Center (US), Woodland Hills Medical Center (US), Virtual Reality Medical Center (US), Kaiser Permanente West Los Angeles Medical Center (US), Kaiser Permanente Capitol Hill Medical Center (US)
Kaiser Permanente
Openalex Percentile: Top 9%
Botulinum Toxin and Related Neurological Disorders
2.78
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Safety of Baclofen and Tizanidine in Older Adults: A Retrospective Cohort Study in a Large Integrated Health Care System — Joanie Chung, Robert L. Deamer, et al. · Journal of the American Geriatrics Society (2025) | TGRS Research Map | TGRS