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Home , Acetylcholine, Dexbrompheniramine, Dexchlorpheniramine, Flavoxate, Hyoscyamine, Meclizine

Iowa Center for Education and Meds (Continued) Anticholinergic Meds (Continued) Research on Therapeutics The University of Iowa , Dizziness, Ulcer & Acid Reflux (Dramamine) (Tagamet) (Dramamine II, (Zantac) Antivert) Anticholinergic (Compazine) Gastrointestinal Muscle Relaxers (Phenergan) (Transderm Scop, Clidinium (Librax) in Scopace, Donnatal) Dicyclomine (Bentyl) (Levsin, Levbid, Symax, HyoMax) Older Adults Amitripyline (Elavil) (Norpramin, Eye Drops Pertofrane) (Atropisol) (Sinequan, Silenor) Pheneramine (Opcon-A) What are they used for? (Tofranil) Scopolamine (Isopto Hyoscine) (Pamelor) (Vivactil) What side effects can they cause? Anxiety For more information on (Atarax) Who is at risk? use and safety in Seizures, Mood Swings older adults, visit: (Tegretol) www.IowaCERT.org

Muscle Spasms, Muscle Pain

Cyclobenzaprine (Flexeril, Fexmid, Amrix) (Norflex, Flexon, Mephenamin) This work was supported by an Agency for (Doans, Vicks Healthcare Research and Quality (AHRQ) Centers Percogesic, Momentum Extra) for Education and Research on Therapeutics cooperative agreement #5 U18 HSO16094

Q: What is an anticholinergic? Q: Who is at risk? Anticholinergic

A: “Anticholinergic” is a term A: Older adults, especially (grouped by reason for use)

for a drug that reduces those with , are , Cold & Cough activity. more likely to have confusion nasal spray (Astelin, Acetylcholine is a and sedation side effects. Astepro) Other side effects are also that plays (Bromfed, an important role in the more common in older adults. Dimetapp) . Chlorpheniramine (Clor- Q: What should I do if I am Trimeton) Q: What side effects can taking an anticholinergic? or Meclastin (Tavist) they have? (Drixoral) A: Ask your doctor or A: can cause pharmacist whether there is (Polaramine) () Confusion a safer drug you could be taking instead. Tell your Hydroxyzine (Atarax, Vistaril) Sedation (sleepiness) doctor or pharmacist if you nasal spray Constipation (Pantanase) think you are experiencing

Difficulty urinating side effects. Blurred vision Bladder Problems Dry mouth Q: Which drugs have (Enablex) High temperature anticholinergic effects? (Urispas) (Ditropan, Gelnique) High A: Drugs with anticholinergic (Vesicare) Loss of balance and falls effects are commonly used (Detrol) to treat allergies, colds, Trospium (Sanctura) bladder problems, stomach or intestinal problems, and & Sleep Problems other ailments. Some Diphenhydramine (Tylenol PM, common anticholinergics are generic PM pain relievers) listed on the next page and (Unisom, generic other side of this brochure. nighttime sleep aids)