Potentially Inappropriate Medication Use in Older Adults
Analgesics/anti-inflammatory agents
Analgesics and anti-inflammatory agents included in the criteria include the following:
-
Indomethacin (H)
-
Fenoprofen (H)
-
Ibuprofen (H)
-
Ketorolac (H)
-
Meloxicam (H)
-
Meperidine (H)
-
Naproxen (H)
-
Oxaprozin (H)
-
Pentazocine (H)
-
Piroxicam (H)
-
Propoxyphene (low severity rating [L])
Antiarrhythmics
Antiarrhythmics include the following:
-
Amiodarone (H)
-
Dofetilide (H)
-
Procainamide (H)
-
Digoxin (L)
-
Quinidine (H)
-
Disopyramide (H)
Anticholinergics/antihistamines
Anticholinergics and antihistamines include the following:
-
Brompheniramine (L)
-
Chlorpheniramine (H)
-
Cimetidine (L)
-
Diphenhydramine (H)
-
Hydroxyzine (H)
-
Cyproheptadine (H)
-
Clemastine (H)
-
Promethazine (H)
-
Tripelennamine (H)
Antidepressants
Antidepressants include the following:
-
Amitriptyline (H)
-
Imipramine (H)
-
Doxepin >6 mg/day (H)
-
Fluoxetine (H)
Antihypertensive
Antihypertensive medications include the following:
-
Clonidine (L)
-
Guanfacine (L)
-
Guanabenz (L)
-
Cyclandelate (L)
-
Dipyridamole (L)
-
Doxazosin (L)
-
Ethacrynic acid (L)
-
Guanadrel (H)
-
Guanethidine (H)
-
Isoxsuprine (L)
-
Methyldopa (H)
-
Nifedipine (H)
-
Nitrofurantoin (H)
-
Reserpine (L)
Antiplatelet agents
Antiplatelet agents include the following:
-
Ticlopidine (H)
Antipsychotics
Antipsychotics include the following:
-
First-generation antipsychotics (H)
-
Thioridazine (H)
-
Mesoridazine (H)
Anxiolytics
Anxiolytics include the following:
-
Alprazolam (H)
-
Chlordiazepoxide (H)
-
Clorazepate (H)
-
Diazepam (H)
-
Halazepam (H)
-
Lorazepam (H)
-
Meprobamate (H)
-
Oxazepam (H)
-
Quazepam (H)
-
Rurazepam (H)
-
Temazepam (H)
-
Triazolam (H)
Dementia agents
Dementia agents include the following:
-
Anticholinergics (H)
-
Benzodiazepines (H)
-
Ergot mesyloids (L)
-
Cyclandelate (L)
Gastrointestinal antispasmodics
Gastrointestinal antispasmodics include the following:
-
Dicyclomine (H)
-
Hyoscyamine (H)
-
Propantheline (H)
-
Belladonna alkaloids (H)
Hormone agents
Hormone agents include the following:
-
Estrogen (L)
Laxatives
Laxatives include the following:
-
Bisacodyl (H)
-
Cascara sagrada (H)
-
Mineral oil (H)
-
Neoloid (H)
Muscle relaxants
Muscle relaxants include the following:
-
Carisoprodol (H)
-
Chlorzoxazone (H)
-
Cyclobenzaprine (H)
-
Metaxalone (H)
-
Methocarbamol (H)
-
Orphenadrine (H)
-
Oxybutynin (H)
Nutritional supplements
Nutritional supplements include the following:
-
Ferrous sulfate >325 mg/day (L)
Oral hypoglycemics
Oral hypoglycemics include the following:
-
Chlorpropamide (H)
Sedatives
Sedatives include the following:
-
Barbiturates (except phenobarbital) (H)
Stimulants/anorexic agents
Stimulants and anorexic agents include the following:
-
Amphetamines (H)
-
Phenylephrine stimulants (H)
-
Pseudoephedrine (H)
-
Methylphenidate (H)