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Table of that Increase Fall Risk Class/Generic/Brand Risk Factors Antidiabetic agents (Humalog) insulin protamine lispro/lispro (Humalog 75/25, Humalog 50/50) insulin protamine aspart/aspart (Novolog 70/30) (Novolog) (Apidra) insulin regular (Humulin R, Novolin R) insulin NPH (Humulin N, Novolin N) insulin NPH/regular (Humulin 70/30, Novolin 70/30) (Lantus) (Levemir) insulin (Glucotrol) glyburide (DiaBeta, Micronase) glyburide, micronized (Glynase) (Amaryl) (Starlix) (Prandin) Cardiovascular agents Beta-blockers Orthostatic , (Tenormin) , , atenolol/chlorthalidone (Tenoretic) , impaired cerebral (Zebeta) bisoprolol/HCTZ (Ziac) (Lopressor, Toprol XL) metoprolol/HCTZ (Lopressor HCT) (Corgard) nadolol/bendroflumethazide (Corzide) (Inderal) (Sectral) (Visken) (Coreg) (Normodyne, Trandate) (Bystolic) Alpha-blockers (Cardura) (Hytrin) (Minipress)

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Table of Medications that Increase Fall Risk /Generic/Brand Risk Factors Cardiovascular agents (con’t) channel blockers Orthostatic (Norvasc) hypotension, (Plendil) dizziness, syncope, (DynaCirc) bradycardia, (Cardene) impaired cerebral (Procardia, Adalat, Nifedical) perfusion nidoldipine (Sular) (Cardizem, Cartia, Dilacor, Diltia, Tiazac, Taztia) (Calan, Isoptin, Verelan, Covera) Antiarrhythmics (generic only) (Pronestyl, Procan) (Norpace) (Mexitil) (Tambocor) (Rhythmol) (Cordarone) (Tikosyn) (Multaq) (Betapace) (Corvert) chlorthalidone (Hygroton) (HydroDiuril, Microzide) (Lozol) (Zaroxolyn) (Bumex) (Lasix) torsemide (Demadex) (Aldactone) spironolactone/HCTZ (Aldactazide) (Midamor)

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Table of Medications that Increase Fall Risk Drug Class/Generic/Brand Risk Factors Cardiovascular agents (con’t) Combinations , /HCTZ (Dyazide, Maxzide) dizziness, syncope, /HCTZ (Lotensin HCT) bradycardia, impaired cerebral /HCTZ (Capozide) perfusion /HCTZ (Vaseretic) /HCTZ (Prinzide, Zestoretic) /HCTZ (Uniretic) /HCTZ (Accuretic) /HCTZ (Atacand HCT) /HCTZ (Teveten HCT) /HCTZ (Avalide) /HCTZ (Hyzaar) omesartan/HCTZ (Benicar HCT) /HCTZ (Micardis HCT) /HCT (Diovan HCT) amiloride/HCTZ (Moduretic) Central alpha2- (Catapres) (Aldomet) Peripheral antagonists (generic only) Direct arterial vasodilators (Loniten) (Apresoline) Inotropic agents (Lanoxin) Psychotropic agents Psychomotor impairment, (Xanax) , orthostatic (Librium) hypotension, , (Klonopin) dizziness, confusion (Tranxene) (Valium) (Ativan) (Serax) (ProSom) (Lunesta) (Dalmane) (Doral) temezepam (Restoril) (Halcion) (Sonata) (Ambien)

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Table of Medications that Increase Fall Risk

Drug Class/Generic/Brand Risk Factors Psychotropic Agents (con’t) Psychomotor impairment, (Thorazine) sedation, orthostatic (Prolixin) hypotension, confusion, (Haldol) dizziness, confusion (Loxitane) (Moban) (Trilafon) (Mellaril) thiothixene (Navane) (Stelazine) (Abilify) (Saphris) (Clozaril) (Fanapt) (Zyprexa) (Invega) (Seroquel) (Risperdal) (Geodon) Sedating (Serzone) (Desyrel) (Remeron) (Elavil) (Anafranil) (Sinequan) (Norpramin) (Pamelor) (Nardil) patch (Emsam) (Parnate)

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Table of Medications that Increase Fall Risk Drug Class/Generic/Brand Risk Factors Sedation, confusion (Roxanol, MS Contin, Avinza, Kadian) (Dilaudid) (Opana) (generic only) (generic only) codeine/APAP ( #3) /APAP (Lortab, Lorcet, Vicodin) (Roxicodone, Oxy IR, Oxycodone) oxycodone/APAP (Percocet) meperidine (Demerol) (Duragesic) (Dolophine) (Talwin) (Stadol) (Nubain) (Buprenex) Central analgesics (Ultram) tramadol/APAP (Ultracet) (Nucynta) NSAIDs (Celebrex) (Voltaren, Cataflam, Flector) (Dolobid) (Lodine) (Nalfon) (Motrin, Advil) (Orudis, Oruvail) meclofenamate (Meclomen) (Ponstel) (Mobic) (Relafen) (Naprosyn, Anaprox, Aleve) (Daypro) (Feldene (Clinoril) (Tolectin) (Reglan) Psychomotor impairment, sedation

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Table of Medications that Increase Fall Risk Drug Class/Generic/Brand Risk Factors (Tegretol) Sedation, psychomotor (Zarontin) impairment, confusion (Felbatol) (Neurontin) (Vimpat) (Lamictal) levitiracetam (Keppra) (Trileptal) (generic only) (Dilantin) (Lyrica) (Mysoline) (Gabitril) (Topamax) valproic acid (Depakote, Depakene) (Sabril) (Zonegran) benztropine (Cogentin) Sedation, confusion (Artane) Sedating (many combination products available; check labels) (various cough/cold/ products) (various cough/cold/allergy products) chlorpheniramine (Chlor-Trimeton, various) (Tavist, various) (Periactin) (various cough/cold/allergy products) (various cough/cold/allergy products) (, various) (Unisom, various) (Atarax, Vistaril) (Phenergan, various) (various cough/cold/allergy products)

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Table of Medications that Increase Fall Risk Drug Class/Generic/Brand Risk Factors Anticholinergics (con’t) Antimuscarinics Sedation, confusion (Ditropan) (Detrol) trospium (Sanctura) (Vesicare) (Enablex) (Toviaz) (various combinations) belladonna (various combinations) dicyclomine (Bentyl) (Levsin, Lesinex) propantheline (generic only) scopalamine (Tranderm Scop) clidinium/chlordiazepozide (Librax) atropine/hyoscyamine/phenobarbital/ (Donnatal) hyoscyamine/methenamine/ (Urised, Prosed) Skeletal muscle relaxants (Soma) (Parafon Forte DSC) (Flexeril) (Skelaxin) (Robaxin) (Norflex)

Compiled by: Linda Sobeski Farho, PharmD, BCPS

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