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ANTICHOLINERGICS: Reference List

ANTICHOLINERGICS: Reference List of Drugs with Potential Anticholinergic Effects 1, 2, 3, 4, 5 J Bareham BSP Aug 2021 WHENEVER POSSIBLE, AVOID DRUGS WITH MODERATE TO HIGH ANTICHOLINERGIC ACTIVITY IN OLDER ADULTS (>65 YEARS OF AGE) Low Anticholinergic Activity; Moderate/High Anticholinergic Activity -B in combo Beers Antibiotics ampicillin *ALL AVAILABLE AS cefOXitin GENERIC clindamycin gentamicin (Oint & Sol n NIHB covered) piperacillin vancomycin Antidepressants amitriptyline ELAVIL clomiPRAMINE ANAFRANIL desipramine NORPRAMIN doxepin >6mg SINEQUAN imipramine TOFRANIL nortriptyline AVENTYL -less anticholinergic effects than amitriptyline & imipramine trimipramine SURMONTIL ---------------------------------------- ---------------------------------------- --------------- citalopram CELEXA escitalopram CIPRALEX FLUoxetine PROZAC fluvoxaMINE LUVOX PARoxetine PAXIL sertraline ZOLOFT ---------------------------------------- ---------------------------------------- --------------- buPROPion wellbutrin , ZYBAN desvenlafaxine PRISTIQ DULoxetine CYMBALTA mirtazapine REMERON mo

buPROPion WELLBUTRIN, ZYBAN desvenlafaxine PRISTIQ MOTILIUM DULoxetine CYMBALTA mirtazapine REMERON moclobemide if used short termMANERIX phenelzine NARDIL traZODone TRAZOREL venlafaxine EFFEXOR In the elderly, citalopram CELEXA & sertraline prochlorperazineZOLOFT are the usually preferred SSRIs. carBAMazepine

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