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Optimal Medications Use: Wise Choices for Healthy Aging

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Appendix A (Cont'd)

Examples of Potentially Inappropriate Medications for Older Adults

Medication
Brand Name (generic name)
Use Risks for Older Adults
Talwin (pentazocine) Pain
  • Commonly causes side effects such as confusion and hallucinations
  • Can reverse the actions of other painkillers
Elavil
(amitryptiline)
Sinequan
(doxepin)
Depression (most commonly) Strong muscle-relaxing (anticholinergic) and sedating properties
Valium
(diazepam)
Dalmane
(flurazepam)
Anxiety and insomnia Very long-lasting action in the body, leading to increased and prolonged sedation
Norpace
(disopyramide)
Abnormal heart rhythms Strong anticholinergic properties and may worsen heart failure
Diabinese
(chlorpropamide)
Diabetes Very long-lasting action in the body, leading to a chance of prolonged low blood sugar
Benadryl
(diphenhydramine)
Chlor-Trimeton
(chlorpheniramine)
Phenergan
(promethazine)
etc.
Allergy, rash, cold and cough(these antihistamines are found in many over-the-counter products) Strong anticholinergic and sedating properties
Demerol
(meperidine)
Pain
  • Can cause central-nervous-system side effects, such as hallucinations
  • Not very effective by mouth

(Adapted with permission from Table I in Cameron, K.A., and Richardson, A.W. (2001) "A Guide to Medication and Aging." Generations 24:14-20)

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