Medications with Significant Anticholinergic Properties
| MEDICATIONS WITH SIGNIFICANT ANTICHOLINERGIC PROPERTIES | ||||
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| Therapeutic Categories (Drug List*) | Potential Adverse Consequences | |||
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Antihistamines • chlorpheniramine, cyproheptadine, diphenhydramine, hydroxyzine |
Blood pressure, increased Breathing difficulty, changes Clumsiness or unsteadiness Convulsions Digestive system changes, e.g., • Bloating • Bowel motility, decreased • Constipation • Ileus, paralytic/adynamic • Nausea or vomiting • Swallowing difficulty with dry mouth Mental status/behavior changes, e.g., • Distress, excitement, nervousness • Attention, impaired • Cognitive decline • Confusion/disorientation • Hallucinations • Memory loss • Restlessness or irritability Delirium Dizziness or Drowsiness Fever Headache Heart rate, increased Lethargy, fatigue Mucous membrane dryness: mouth, nose Muscle weakness, severe Speech, slurring Skin, changes • Dryness • Sweating, decreased • Flushing • Warmth, excessive Vision impairment, changes in acuity • Blurring • Glaucoma, worsening • Eye pain • Light sensitivity Urinary retention or difficulty |
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Antidepressants • amoxapine, amitriptyline, clomipramine, desipramine, doxepin, imipramine, nortriptyline, protriptyline, paroxetine |
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Antiemetics • prochlorperazine, promethazine |
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Antipsychotics • chlorpromazine, clozapine, olanzapine, thioridazine |
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Antivertigo • meclizine, scopolamine |
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Cardiovascular • furosemide, digoxin, nifedipine, disopyramide |
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Gastrointestinal • Antidiarrheal: diphenoxylate atropine • Antispasmodics: belladonna, clidinium, chlordiazepoxide, dicyclomine, hyoscyamine, propantheline • Antiulcer: cimetidine, ranitidine |
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Muscle Relaxants • cyclobenzaprine, dantrolene, orphenadrine |
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Parkinsonism • amantadine, benztropine, biperiden, trihexyphenidyl |
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Urinary Incontinence • oxybutynin, propantheline, solifenacin, tolterodine, trospium |
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| NOTES | ||||
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*Not an inclusive list. Adapted from the CMS State Operations Manual: Appendix PP - Guidance to Surveyors for Long Term Care Facilities. Available at: cms.hhs.gov/manuals/Downloads/som107ap_pp_guidelines_ltcf.pdf. Accessed 6/2012. (Rev. 6/2012) |
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