DRUGS ASSOCIATED WITH INCREASED FALL RISK Beverly Hospital PSYCHOTROPICS PSYCHOTROPICS ANTIHYPERTENSIVES NARCOTICS Antidepressants Antipsychotics(Atypical) ACE Inhibitors Acetaminophen-Codeine- Citalopram (Celexa) Clozapine (Clozaril) Benazepril (Lotensin) Caffeine (Tylenol # 1/2/3) Fluoxetine (Prozac) Olanzapine (Zyprexa) Captopril (Capoter) Codeine Fluvoxamine (Luvox) Quetiapine (Seroquel) Perindopril (Coversy) Fentanyl (Sublimaze, Duragesi) Paroxetine (Paxit) Antipsychotics(Neuroleptics) Cilazapril (Inhibace) Hydromorphone (Dilaudid, Sentraline (Zoloft) Chiorpromazine (Largactil) Enalapril (Vasotec) Hydromorph Contin) Venlafaxine (Effexor) Haloperidol (Haldol) Ramipril (Altace) Meperidine (Demerol) Amitriptyline (Elavil) Hydroxyzine (Atarax) Lisinopril (Prinivil, Zestril) Morphine (MOS, MS Contin, Bupropion (Wellbutrin) Lithium Quinapril (Accupril) M-Eston) Clomipramine (Anafranit) Loxapine (Loxapac) Fosinopril (Monopril) Oxycodone (Percocel, Desipramine (Norpramin) Methotrimeprazine (Nozinan Beta Blockers Percodan, OxyContin) Doxepin (Sinequan) Perphenazine (Trilafon) Acebutolo (Sectrail) Pentazocine (Talwin) Imipramine (Tofranit) Prochlorperazine (Stemetil) Atenolol (Tenormin) Note: May be administered with Mirtazapine (Remeron) Risperidone (Resperdal) Bisoprolol (Monocor) dimenhydrinate (Gravol) or Moclobemide (Manerix) Thioridazine (Mellaril) Carvedilol (Coreg) prochlorperazine (Stemeo) which may increase side effects of drowsiness and Nortriptyline (Aventy) Trifluoperazine (Stelazine) Labetalol (Trandate) dizziness. Trazodone (Desyrel) Antihistamines/Antinauseants Metoprolol (Lopressor) OVER THE COUNTER Benzodiazepines(Long Acting) Dimenhydrinate (Gravol) Proprandol (Inderal) Chlordiazepoxide(Librium) Diphenhydramine (Benadry) Sotalol (Sotacor) Over the counter medications bought Clonazepam (Rivotril) Meclizine (Bonamine) Timolol (Biocadren) without a doctors prescription may contain the medications identified in Diazepam (Valium) Metoclopramide (Maxeran) Calcium Channel Blockers this resource. Medications with line- Flurazepam (Daimane Prochlorperazine (Sternetile) Amlodipine (Norvasco) extensions (Tylenol-Cold) contain more Benzodiazepines(Intermediate Promethazine (Phenergane) Ditiazem (Cardizem) than one substance. It is important to Acting) Scopolamine Patch (Transdem) Verapamil (Isoptine) check the labels and ask the pharmacist. Alprazolarn (Xanax) ANTIPARKINSONIAN AGENT Nifedipine (Adalat) Allergy medicines Lorazepam (Ativan) Amantadine (Symmetret) Felodipine (Plendil) Antinauseants Nitrazepan (Mogadon) Bromocripline (Parlodel) Vasodilators Cold remedies Oxazepam (Serax) Entacapone (Comtan) Isosorbide (Isordi) Cough preparations Temazepam (Restoril Levodopa/Benserazide (Prolope) Hydralazine (Apresoline) Muscle relaxants Benzodiazepines(Short Acting) Levodopa/Carbidopa (Sinemet) Nitroglycein (Nitro-Dur) Painkillers Triazolam (Halcion) Pergolide (Permax) Terazosin (Hytrin) Sleeping pills Midazolam (Versed) Pramipexole (Mirapex) Diuretics Note: Some herbal and alternative remedies may increase the risk of falls Anticonvulsants Amiloride/HCTZ (Modure) Selegiline (Eldepry) ALCOHOL. Carbamazepine (Tegretol) Note: Risk of postural hypotension Furosemide (Lasix) when the patient is also receiving Gabapentin (Neurontin) Hydrochiorothiazide Liquid medications may contain antihypertensives. Lamotrigine (Lamicta) Triamterene/HCTZ ethanol. Alcohol is the most commonly Phenytain (Dilantin) ANTIHYPERTENSIVE Note:Some patients may take used substance by seniors. Avoiding Topinamate (Topamax) Angiotensin II Receptor various combinations of the anti- alcohol when taking medication is the Valproate (Depakene) Antagonists hypertensive drugs mentioned best practice. Besides leading to falls above. these drugs can lead to the inability to Vigabatrin (Sabril) Cardesartan (Atacand) use equipment safely and impaired Phenobarbital Eprosartan (Teveter) driving which is a criminal offence. Alzheimer’s Drugs Irbesatan (Avapro) There is also some evidence of elderly Losatan (Cozaar) illicit drug use: Cocaine, LSD, Donepezil (Aricept) Marijuana, and some Opiates (Heroin). Galantamine (Reminyt) Telmisartan (Micardise) Disclaimer: Virtually all drugs can at Rivastigmie (Exelone) Valsartan (Diovan) sometime cause central nervous system effects which could cause a fall. The above list is to be used as a tool to assist in determining the potential cause of a fall, but is in no way to be considered all-inclusive .