I have a question for you seasoned Beers Criteria knowledgeable nurses out there... Tofranil-pm Should this be given to a 78yo women...she has a hx of Breast CA(in the 80's, radical L mastectomy), severe osteoporosis, uses a walker/cane, very obstinant about asking for help with ADLs. She has taken it for a week now for problems with sleep and had a fall this am. As far as I can see elavil is on the list but not tofranil-pm, and I know Tyl-PM is also a bad one to give elderly. SO, can anyone out there let me know about this med with the elderly. Thank you so much for your time!