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"Medications to be Used in the Elderly"
A Statewide Clinical Recommendation on Potentially Inappropriate Medications
The New Mexico Prescription Improvement Coalition's (NMPIC's) Potentially Inappropriate Medications Advisory Board has issued a clinical recommendation, "Medications to be Used with Caution in the Elderly." This recommendation is the first statewide guideline addressing this issue in the nation and is jointly endorsed by many health care organizations serving New Mexicans. Developed by a consensus panel of health care providers including pharmacists, geriatric providers and managed care specialists, the recommendation includes high-risk medications and their drug classes, areas of concern, and alternative suggestions to the medications.
Select a drug from the list to view usage rating level, concerns and alternative suggestions. Many alternative suggestions include reference algorithms (reference-based tools to aid providers in decision making).
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alprazolam doses >2mg (XANAX®)
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amiodarone (CORDARONE®) |
amitriptyline (ELAVIL®) |
| amphetamines |
anorexic agents |
barbiturates |
| belladonna alkaloids (DONNATAL® and others) |
bisacodyl (DULCOLAX®) |
carisoprodol (SOMA®) |
| chlorazepate (TRANXENE®) |
chlordiazepoxide (LIBRIUM®), chlordiazepoxide-amitriptyline (LIMBITROL®) |
chlorpheniramine (CHLORTRIMETON®) |
| chlorpromazine (THORAZINE®) |
chlorpropamide (DIABINESE®) |
chlorzoxazone (PARAFLEX®) |
| cimetidine (TAGAMET®) |
clidinium-chlordiazepoxide (LIBRAX®) |
clonidine (CATAPRES®) |
| cyclobenzaprine (FLEXERIL®) |
cyproheptadine (PERIACTIN®) |
dexchlorpheniramine (POLARAMINE®) |
| diazepam (VALIUM®) |
dicyclomine (BENTYL®) |
digoxin (LANOXIN®) |
| diphenhydramine (BENADRYL®) |
dipyridamole (PERSANTINE®) |
disopyramide (NORPACE®, NORPACE CR®) |
| doxazosin (CARDURA®) |
doxepin (SINEQUAN®) |
ergot mesyloids (HYDERGINE®) |
| estrogens, oral (ESTRADIOL®) |
ethacrynic acid (EDECRIN®) |
iron >325mg/day |
| fluoxetine, daily dosing (PROZAC®) |
flurazepam (DALMANE®) |
guanethidine (ISMELIN®) |
| haloperidol (HALDOL®) |
hydroxyzine (VISTARIL®, ATARAX®) |
hyoscyamine (LEVBID®, LEVSIN®, LEVSINEX®) |
| indomethacin (INDOCIN®, INDOCIN SR®) |
isoxsuprine (VASODILAN®) |
ketorolac (TORADOL®) |
| lorazepam doses >3mg (ATIVAN®) |
meperidine (DEMEROL®) |
meprobamate (MILTOWN®) |
| metaxalone (SKELAXIN®) |
methocarbamol (ROBAXIN®) |
methyldopa (ALDOMET®) |
| methyldopa-hydrochlorothiazide (ALDORIL®) |
methyltestosterone (ANDROID®, TESTRED®, VIRILON®) |
naproxen (ALEVE®, ANAPROX®, NAPROSYN®) |
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nifedipine, immediate release (ADALAT®, PROCARDIA®) |
nitrofurantoin (MACROBID®, MACRODANTIN®) |
| orphenadrine (NORFLEX®) |
oxaprozin (DAYPRO®) |
oxazepam doses >60mg (SERAX®) |
| oxybutynin (DITROPAN®) |
pentazocine (TALWIN®) |
perphenazine-amitriptyline (TRIAVIL®) |
| piroxicam (FELDENE®) |
promethazine (PHENERGAN®) |
propantheline (PRO-BANTHINE®) |
| propoxyphene (DARVON®) propoxyphene/APAP (DARVOCET-N®) propoxyphene/ASA (DARVON/ASA®) |
reserpine |
temazepam doses >15mg (RESTORIL®) |
| thioridazine (MELLARIL®) |
thiothixene (NAVANE®) |
thyroid, desiccated (Armour THYROID®, NATURE-THYROID®, WESTHROID®) |
| ticlopidine (TICLID®) |
triazolam doses >0.25mg (HALCION®) |
trimethobenzamide (TIGAN®) |
To request a copy of "Medications To Be Used with Caution in Older Adults" as a printable PDF file, click here.
Patient Education Brochure
References
Reference Algorithms:
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