generic brand formulary category AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults (2012) JUST TABLE 2 STOPP 1306 Feb 2013 version ANTICHOLINERGIC RANKINGPolypharmacy Guidance for Prescribing in Frail Adults (Wales) "Top reasons for hospitalization BMJ 2004; 329; 15-17,Br J Clin Pharmacol 2006; 63:2; 136-147" RX files Anticholinergic 5-aminosalicylic acid "Pentasa, Rowasa, Asacol" x IBD abatacept Orencia Biologics acarbose Precose Diabetes other acebutolol Sectral Beta-blockers Avoid in those with diabetes mellitus and frequent hypoglycemic events acetaminophen Tylenol x Acetaminophen acetazolamide Diamox acitretin Soriatane adalimumab Humira Biologics alefacept Amevive alendronate Fosamax x Bisphosphonates alfacalcidol alfuzosin Uroxatral Alpha-blockers Avoid in males with frequent incontinence or long term urinary catheter aliskiren Tekturna Hypertension other allopurinol Zyloprim x Xanthine oxidase inhibitors almotriptan Axert Triptans alprazolam Xanax Benzodiazepines "Avoid benzodiazepines for treatment of insomnia, agitation, or delirium " "Avoid long term (>1month) use, if fallen in last 3 months" amantadine Symmetrel Parkinson's y amiloride Midamor x Hypertension other amiodarone Cordarone x Antiarrhythmic Avoid antiarrhythmic drugs as first-line treatment of atrial fibrillation amitriptyline Elavil x TCA Avoid "Avoid with dementia, glaucoma, cardiac conductive abnormalities, constipation, opioids, calcium channel blockers, prostatism or prior history of urinary retention" 3 points x y amlodipine Norvasc x Calcium antagonists anakinra Kineret antacids: Al++/Mg++ Gastrointestinal other aripiprazole Abilify x Second generation antipsychotics "Avoid for long-term (>1 month) as hypnotics, with Parkinsonism, if fallen in past 3 months" ASA Aspirin x NSAIDs "Avoid with history of peptic ulcer disease or GI bleeding unless with concurrent H2RA, PPI, or misoprostil, with moderate-severe hypertension, with heart failure, with warfarin, with chronic renal failure, for long term (>3 months) for osteoarthritis unless simple analgesics are not effective, for chronic treatment of gout where there is no contraindication to allopurinol, with long term (>3 months) corticosteroids " x asenapine Saphris Second generation antipsychotics "Avoid for long-term (>1 month) as hypnotics, with Parkinsonism, if fallen in past 3 months" atenolol Tenormin Beta-blockers Avoid in those with diabetes mellitus and frequent hypoglycemic events atomoxetine Strattera ADHD atorvastatin Lipitor x Statins auranofin Ridaura azatadine Zadine Antihistamine azathioprine Imuran x azilsartan Edarbi Angiotensin 2 blockers x baclofen Lioresal x 2 points y beclomethasone Beclovent Inhaled steroids benazepril Lotensin ACE inhibitors x benztropine Cogentin Avoid y bezafibrate Bezalip Fibrates bisacodyl Dulcolax Constipation bismuth subsalicylate Pepto-Bismol Gastrointestinal other bisoprolol Zebeta Beta-blockers Avoid in those with diabetes mellitus and frequent hypoglycemic events bromocriptine Parlodel brompheniramine Dimetane Antihistamine Avoid Avoid y budesonide Pulmicort Inhaled steroids budesonide/formoterol Symbicort bumetanide Bumex Thiazides Avoid with history of gout buprenorphine Buprenex Narcotics "Avoid as first-line therapy for mild to moderate pain, for more than 2 weeks in those with chronic constipation, long-term use in dementia unless for chronic pain, those with recurrent falls" x bupropion "Wellbutrin , Zyban , Budeprion" x Depression other x buserelin Suprefact buspirone BuSpar butalbital Butisol calcitonin Calcimar Osteoporosis other calcitriol Rocaltrol Osteoporosis other calcium x Vitamins/supplements candesartan Atacand Angiotensin 2 blockers x captopril Capoten ACE inhibitors x carbamazepine Tegretol x Epilepsy y carvedilol Coreg x Beta-blockers Avoid in those with diabetes mellitus and frequent hypoglycemic events castor oil Constipation celecoxib Celebrex x NSAIDs "Avoid with history of peptic ulcer disease or GI bleeding unless with concurrent H2RA, PPI, or misoprostil, with moderate-severe hypertension, with heart failure, with warfarin, with chronic renal failure, for long term (>3 months) for osteoarthritis unless simple analgesics are not effective, for chronic treatment of gout where there is no contraindication to allopurinol, with long term (>3 months) corticosteroids " x certolizumab Cimzia Biologics cetirizine Zyrtec Antihistamine 2 points chloral hydrate Noctec Non-benzodiazepine sedatives Avoid chlordiazepoxide Librium Benzodiazepines "Avoid benzodiazepines for treatment of insomnia, agitation, or delirium " "Avoid long term (>1month) use, if fallen in last 3 months" chloroquine Aralen chlorpheniramine Chlortripolon Antihistamine Avoid Avoid 3 points y chlorpromazine Thorazine First generation antipsychotics "Avoid for long-term (>1 month) as hypnotics, with Parkinsonism, if fallen in past 3 months" 3 points y chlorpropamide Diabinese Sulfonylureas Avoid Avoid for type 2 diabetes chlorthalidone "Thalitone,Hygroton" Thiazides Avoid with history of gout cholestyramine Questran Cholesterol other ciclesonide Alvesco Inhaled steroids cilazapril Inhibace ACE inhibitors x cimetidine Tagamet H2 antagonists 2 points y cinacalcet Sensipar citalopram Celexa x SSRI Avoid with a history of clinically significant hyponatremia x clemastine Tavist Antihistamine Avoid Avoid clobazam Onfi Benzodiazepines "Avoid benzodiazepines for treatment of insomnia, agitation, or delirium " "Avoid long term (>1month) use, if fallen in last 3 months" clodronate Clasteon Bisphosphonates clomiphene Clomid x clomipramine Anafranil TCA Avoid "Avoid with dementia, glaucoma, cardiac conductive abnormalities, constipation, opioids, calcium channel blockers, prostatism or prior history of urinary retention" x y clonazepam Klonopin Benzodiazepines "Avoid benzodiazepines for treatment of insomnia, agitation, or delirium " "Avoid long term (>1month) use, if fallen in last 3 months" clonidine Catapres Hypertension other Avoid as a first-line antihypertensive clopidogrel Plavix x x clozapine Clozaril Second generation antipsychotics "Avoid for long-term (>1 month) as hypnotics, with Parkinsonism, if fallen in past 3 months" 2 points y codeine Narcotics Avoid for treatment of diarrhea of unknown cause or severe infective gastroenteritis x colchicine Colcrys x Colchicine colestipol Colestid Cholesterol other cyclobenzaprine Flexeril Avoid y cyclosporine Restasis x cyproheptadine Periactin Antihistamine Avoid Avoid y dabigatran Pradaxa x NOAC x danazol Danocrine dantrolene Dantrium darbepoetin alfa Aranesp darifenacin Enablex Incontinence denosumab Xgeva Biologics desipramine Norpramin TCA "Avoid with dementia, glaucoma, cardiac conductive abnormalities, constipation, opioids, calcium channel blockers, prostatism or prior history of urinary retention" x y desloratadine Clarinex Antihistamine desvenlafaxine "Khedezla, Pristiq" SNRI x dexamethasone Decadron Corticosteroids Avoid for COPD if inhaled corticosteroids could be used x dexlansoprazole Dexilant PPIs Avoid for peptic ulcer disease at full therapeutic dosage for >8 weeks dextroamphetamine "Adderal, Adderal XR, Dexedrine" ADHD dextromethorphan Robitussin diazepam Valium Benzodiazepines "Avoid benzodiazepines for treatment of insomnia, agitation, or delirium " "Avoid long term (>1month) use, if fallen in last 3 months" diclofenac "Cataflam, Voltaren" NSAIDs Avoid chronic use unless other alternatives are not effective and patient can take gastroprotective agent (proton pump inhibitor or misoprostol) "Avoid with history of peptic ulcer disease or GI bleeding unless with concurrent H2RA, PPI, or misoprostil, with moderate-severe hypertension, with heart failure, with warfarin, with chronic renal failure, for long term (>3 months) for osteoarthritis unless simple analgesics are not effective, for chronic treatment of gout where there is no contraindication to allopurinol, with long term (>3 months) corticosteroids " x dicyclomine Bentyl Avoid y diethylpropion Tenuate Weight loss diflunisal Dolobid NSAIDs Avoid chronic use unless other alternatives are not effective and patient can take gastroprotective agent (proton pump inhibitor or misoprostol) "Avoid with history of peptic ulcer disease or GI bleeding unless with concurrent H2RA, PPI, or misoprostil, with moderate-severe hypertension, with heart failure, with warfarin, with chronic renal failure, for long term (>3 months) for osteoarthritis unless simple analgesics are not effective, for chronic treatment of gout where there is no contraindication to allopurinol, with long term (>3 months) corticosteroids " x digoxin "Lanoxin , Digitek" x Digoxin Avoid if >0.125mg/d Avoid at a long-term dose > 125?g/day with impaired renal function x dihydroergotamine DHE 45 Migraine other diltiazem "Cardizem, Cartia XT, Tazia XT" Calcium antagonists "Avoid in heart failure, chronic constipation, or with other vasodilator drugs" dimenhydrinate Dramamine x Antihistamine y diphenhydramine Benadryl Antihistamine Avoid Avoid y diphenoxylate Lomotil Diarrhea Avoid for treatment of diarrhea of unknown cause or severe infective gastroenteritis y dipyridamole Persantine Avoid disopyramide Norpace Antiarrhythmic Avoid y divalproex Depakote Epilepsy docusate Colace Constipation dofetilide Tikosyn Antiarrhythmic Avoid antiarrhythmic drugs as first-line treatment of atrial fibrillation dolasetron Anzemet Nausea domperidone Motilium Gastrointestinal other donepezil Aricept x Cholinesterase inhibitors doxazosin Cardura Alpha-blockers Avoid as antihypertensive Avoid in males with frequent incontinence or long term urinary catheter doxepin "Sinequan, Prudoxin, Zonalon, Silenor" TCA Avoid if >6mg/day "Avoid with dementia, glaucoma, cardiac conductive abnormalities, constipation, opioids, calcium channel blockers, prostatism or prior history of urinary retention" x y dronabinol Marinol dronedarone Multaq Antiarrhythmic Avoid antiarrhythmic drugs as first-line treatment of atrial fibrillation dutasteride Avodart 5-alpha reductase inhibitors efalizumab Raptiva Biologics eletriptan Relpak Triptans enalapril Vasotec ACE inhibitors x enoxaparin Lovenox x Heparin eplerenone Inspra Aldosterone antagonists eprosartan Teveten Angiotensin 2 blockers x ergotamine Ergomar Migraine other escitalopram Lexapro SSRI Avoid with a history of clinically significant hyponatremia x esomeprazole Nexium PPIs Avoid for peptic ulcer disease at full therapeutic dosage for >8 weeks estrogens x Estrogen/progesterone Avoid oral and topical patch "Avoid with history of breast cancer or venous thromboembolism, or without progestogen in patients with intact uterus" eszopiclone Lunesta Non-benzodiazepine sedatives Avoid chronic use greater than 90 days etanercept Enbrel Biologics etidronate Didronel Bisphosphonates etodolac Lodine NSAIDs Avoid chronic use unless other alternatives are not effective and patient can take gastroprotective agent (proton pump inhibitor or misoprostol) "Avoid with history of peptic ulcer disease or GI bleeding unless with concurrent H2RA, PPI, or misoprostil, with moderate-severe hypertension, with heart failure, with warfarin, with chronic renal failure, for long term (>3 months) for osteoarthritis unless simple analgesics are not effective, for chronic treatment of gout where there is no contraindication to allopurinol, with long term (>3 months) corticosteroids " x ezetimibe Zetia Cholesterol other famotidine Pepcid H2 antagonists felodipine Plendil Calcium antagonists Avoid in chronic constipation or with other vasodilator drugs fenofibrate Tricor Fibrates fentanyl Duragesic x Narcotics "Avoid as first-line therapy for mild to moderate pain, for more than 2 weeks in those with chronic constipation, long-term use in dementia unless for chronic pain, those with recurrent falls" x fesoterodine Toviaz Incontinence fexofenadine Allegra Antihistamine finasteride Proscar 5-alpha reductase inhibitors flavoxate Urispas Incontinence flecainide Tambocor Antiarrhythmic Avoid antiarrhythmic drugs as first-line treatment of atrial fibrillation flunarizine Sibelium Migraine other fluoxetine Prozac SSRI Avoid with a history of clinically significant hyponatremia x flupenthixol Fluanxol First generation antipsychotics "Avoid for long-term (>1 month) as hypnotics, with Parkinsonism, if fallen in past 3 months" fluphenazine Prolixin First generation antipsychotics "Avoid for long-term (>1 month) as hypnotics, with Parkinsonism, if fallen in past 3 months" y flurazepam Dalmane Benzodiazepines "Avoid benzodiazepines for treatment of insomnia, agitation, or delirium " "Avoid long term (>1month) use, if fallen in last 3 months" flurbiprofen Ansaid NSAIDs Avoid chronic use unless other alternatives are not effective and patient can take gastroprotective agent (proton pump inhibitor or misoprostol) "Avoid with history of peptic ulcer disease or GI bleeding unless with concurrent H2RA, PPI, or misoprostil, with moderate-severe hypertension, with heart failure, with warfarin, with chronic renal failure, for long term (>3 months) for osteoarthritis unless simple analgesics are not effective, for chronic treatment of gout where there is no contraindication to allopurinol, with long term (>3 months) corticosteroids " x fluticasone Flovent x Inhaled steroids fluticasone/salmeterol Advair x fluvastatin Lescol Statins fluvoxamine Luvox SSRI Avoid with a history of clinically significant hyponatremia x folic acid Vitamins/supplements formoterol Oxese Beta-agonists fosinopril Monopril ACE inhibitors x frovatriptan Frova Triptans furosemide Lasix x Diuretics "Avoid for ankle edema, hypertension" x gabapentin Neurontin x Epilepsy gemfibrozil Lopid Fibrates gliclazide Diamicron Sulfonylureas glimepiride Amaryl Sulfonylureas glucosamine glyburide "DiaBeta , Glynase , Micronase" x Sulfonylureas Avoid Avoid for type 2 diabetes glycerin Constipation haloperidol Haldol x First generation antipsychotics "Avoid for long-term (>1 month) as hypnotics, with Parkinsonism, if fallen in past 3 months" 1 point heparin x Heparin hydralazine "Apresoline, Dralzine" Hypertension other hydrochlorothiazide Microzide Thiazides Avoid with history of gout hydrocodone Vicodin Narcotics "Avoid as first-line therapy for mild to moderate pain, for more than 2 weeks in those with chronic constipation, long-term use in dementia unless for chronic pain, those with recurrent falls" x hydrocortisone x Corticosteroids Avoid for COPD if inhaled corticosteroids could be used x hydromorphone Dilaudid Narcotics "Avoid as first-line therapy for mild to moderate pain, for more than 2 weeks in those with chronic constipation, long-term use in dementia unless for chronic pain, those with recurrent falls" x hydroxychloroquine Plaquenil hydroxyzine Atarax x Antihistamine Avoid Avoid 3 points y ibuprofen "Motrin , Advil" x NSAIDs Avoid chronic use unless other alternatives are not effective and patient can take gastroprotective agent (proton pump inhibitor or misoprostol) "Avoid with history of peptic ulcer disease or GI bleeding unless with concurrent H2RA, PPI, or misoprostil, with moderate-severe hypertension, with heart failure, with warfarin, with chronic renal failure, for long term (>3 months) for osteoarthritis unless simple analgesics are not effective, for chronic treatment of gout where there is no contraindication to allopurinol, with long term (>3 months) corticosteroids " x imipramine Tofranil TCA Avoid "Avoid with dementia, glaucoma, cardiac conductive abnormalities, constipation, opioids, calcium channel blockers, prostatism or prior history of urinary retention" 3 points x y indapamide Lozol Thiazides Avoid with history of gout indomethacin Indocid NSAIDs Avoid "Avoid with history of peptic ulcer disease or GI bleeding unless with concurrent H2RA, PPI, or misoprostil, with moderate-severe hypertension, with heart failure, with warfarin, with chronic renal failure, for long term (>3 months) for osteoarthritis unless simple analgesics are not effective, for chronic treatment of gout where there is no contraindication to allopurinol, with long term (>3 months) corticosteroids " x infliximab Remicade Biologics insulin x Insulin Avoid if sliding scale interferon alfa Intron A ipratropium Atrovent Anticholinergics Avoid nebulized form if glaucoma irbesartan Avapro Angiotensin 2 blockers x iron isoniazid isosorbide dinitrate or 5-mononitrate "Imdur , ISMO" Nitrates isotretinoin Accutane x ketoprofen Orudis NSAIDs Avoid chronic use unless other alternatives are not effective and patient can take gastroprotective agent (proton pump inhibitor or misoprostol) "Avoid with history of peptic ulcer disease or GI bleeding unless with concurrent H2RA, PPI, or misoprostil, with moderate-severe hypertension, with heart failure, with warfarin, with chronic renal failure, for long term (>3 months) for osteoarthritis unless simple analgesics are not effective, for chronic treatment of gout where there is no contraindication to allopurinol, with long term (>3 months) corticosteroids " x ketorolac Toradol NSAIDs Avoid "Avoid with history of peptic ulcer disease or GI bleeding unless with concurrent H2RA, PPI, or misoprostil, with moderate-severe hypertension, with heart failure, with warfarin, with chronic renal failure, for long term (>3 months) for osteoarthritis unless simple analgesics are not effective, for chronic treatment of gout where there is no contraindication to allopurinol, with long term (>3 months) corticosteroids " x ketotifen Zaditor Antihistamine L-tryptophan Vitamins/supplements labetalol Trandate Beta-blockers Avoid in those with diabetes mellitus and frequent hypoglycemic events lactulose Constipation lamotrigine Lamictal x Epilepsy lansoprazole Prevacid PPIs Avoid for peptic ulcer disease at full therapeutic dosage for >8 weeks leuprolide Lupron levetiracetam Keppra x Epilepsy levodopa x Parkinson's levonorgestrel Estrogen/progesterone levothyroxine "Synthroid , Levoxyl , Levothroid" x Thyroid lidocaine "Lidoderm ( Patch ) , Xylocaine ( Injection )" linagliptan "Tradjenta, Trajenta" Diabetes other liothyronine Cytomel liraglutide Victoza Diabetes other lisdexamphetamine Vyvanse ADHD lisinopril "Prinivil , Zestril" ACE inhibitors x lithium Lithobid x y loperamide Imodium x Diarrhea Avoid for treatment of diarrhea of unknown cause or severe infective gastroenteritis 2 points y loratadine Claritin Antihistamine 2 points lorazepam Ativan x Benzodiazepines "Avoid benzodiazepines for treatment of insomnia, agitation, or delirium " "Avoid long term (>1month) use, if fallen in last 3 months" losartan Cozaar x Angiotensin 2 blockers x lovastatin Mevacor Statins loxapine Loxapac First generation antipsychotics "Avoid for long-term (>1 month) as hypnotics, with Parkinsonism, if fallen in past 3 months" y lumiracoxib Prexige NSAIDs "Avoid with history of peptic ulcer disease or GI bleeding unless with concurrent H2RA, PPI, or misoprostil, with moderate-severe hypertension, with heart failure, with warfarin, with chronic renal failure, for long term (>3 months) for osteoarthritis unless simple analgesics are not effective, for chronic treatment of gout where there is no contraindication to allopurinol, with long term (>3 months) corticosteroids " x lurasidone Latuda Second generation antipsychotics "Avoid for long-term (>1 month) as hypnotics, with Parkinsonism, if fallen in past 3 months" magnesium hydroxide Milk of Magnesia Constipation magnesium sulfate Epsom salts Constipation maprotiline Ludiomil Depression other x mefenamic acid Ponstel NSAIDs Avoid chronic use unless other alternatives are not effective and patient can take gastroprotective agent (proton pump inhibitor or misoprostol) "Avoid with history of peptic ulcer disease or GI bleeding unless with concurrent H2RA, PPI, or misoprostil, with moderate-severe hypertension, with heart failure, with warfarin, with chronic renal failure, for long term (>3 months) for osteoarthritis unless simple analgesics are not effective, for chronic treatment of gout where there is no contraindication to allopurinol, with long term (>3 months) corticosteroids " x meloxicam Mobic NSAIDs Avoid chronic use unless other alternatives are not effective and patient can take gastroprotective agent (proton pump inhibitor or misoprostol) "Avoid with history of peptic ulcer disease or GI bleeding unless with concurrent H2RA, PPI, or misoprostil, with moderate-severe hypertension, with heart failure, with warfarin, with chronic renal failure, for long term (>3 months) for osteoarthritis unless simple analgesics are not effective, for chronic treatment of gout where there is no contraindication to allopurinol, with long term (>3 months) corticosteroids " x memantine Namenda x meperidine Demerol Narcotics Avoid "Avoid as first-line therapy for mild to moderate pain, for more than 2 weeks in those with chronic constipation, long-term use in dementia unless for chronic pain, those with recurrent falls" x y mercaptopurine Purinethol metformin Glucophage x Metformin methadone x Narcotics "Avoid as first-line therapy for mild to moderate pain, for more than 2 weeks in those with chronic constipation, long-term use in dementia unless for chronic pain, those with recurrent falls" x methazolamide methimazole x methocarbamol Robaxin Avoid y methotrexate Rheumatrex x methotrimeprazine Nosinan First generation antipsychotics "Avoid for long-term (>1 month) as hypnotics, with Parkinsonism, if fallen in past 3 months" y methoxsalen Oxsoralen methyldopa Aldomet Hypertension other Avoid methylnaltrexone Relistor Constipation methylphenidate Ritalin x ADHD methylprednisolone Medrol Corticosteroids Avoid for COPD if inhaled corticosteroids could be used x methysergide Sansert Migraine other metoclopramide Reglan x Gastrointestinal other "Avoid, unless for gastroparesis" Avoid with Parkinsonism metolazone Zaroxolyn Diuretics "Avoid for ankle edema, hypertension" x metoprolol "Toprol XL, Lopressor" x Beta-blockers Avoid in those with diabetes mellitus and frequent hypoglycemic events metronidazole Flagyl mexiletine Mexitil Antiarrhythmic midazolam Versed Benzodiazepines "Avoid benzodiazepines for treatment of insomnia, agitation, or delirium " "Avoid long term (>1month) use, if fallen in last 3 months" midodrine Proamatine mineral oil "Fleet Enema Mineral Oil, Lansoyl" Constipation Avoid mirabegron Myrbetriq Incontinence mirtazapine Remeron x Depression other 1 point x misoprostol Cytotec Misoprostol mixed salts amphetamine ADHD moclobemide Manerix Depression other x montelukast Singulair x Leukotriene antagonists morphine x Narcotics "Avoid as first-line therapy for mild to moderate pain, for more than 2 weeks in those with chronic constipation, long-term use in dementia unless for chronic pain, those with recurrent falls" x nabumetone Relafen NSAIDs Avoid chronic use unless other alternatives are not effective and patient can take gastroprotective agent (proton pump inhibitor or misoprostol) "Avoid with history of peptic ulcer disease or GI bleeding unless with concurrent H2RA, PPI, or misoprostil, with moderate-severe hypertension, with heart failure, with warfarin, with chronic renal failure, for long term (>3 months) for osteoarthritis unless simple analgesics are not effective, for chronic treatment of gout where there is no contraindication to allopurinol, with long term (>3 months) corticosteroids " x nadolol Corgard Beta-blockers Avoid in those with diabetes mellitus and frequent hypoglycemic events nafarelin Synarel naproxen "Aleve , Naprosyn , Anaprox" NSAIDs Avoid chronic use unless other alternatives are not effective and patient can take gastroprotective agent (proton pump inhibitor or misoprostol) "Avoid with history of peptic ulcer disease or GI bleeding unless with concurrent H2RA, PPI, or misoprostil, with moderate-severe hypertension, with heart failure, with warfarin, with chronic renal failure, for long term (>3 months) for osteoarthritis unless simple analgesics are not effective, for chronic treatment of gout where there is no contraindication to allopurinol, with long term (>3 months) corticosteroids " x naratriptan Amerge Triptans nateglinide Starlix Diabetes other nebivolol Bystolic Beta-blockers Avoid in those with diabetes mellitus and frequent hypoglycemic events niacin Niaspan Niacin nicotine x Smoking cessation nifedipine "Adalat , Procardia" Calcium antagonists Avoid if immediate release Avoid in chronic constipation or with other vasodilator drugs nitroglycerin NitroStat x Nitrates nizatidine Axid H2 antagonists norethindrone Estrogen/progesterone nortriptyline "Pamelor , Aventyl" TCA "Avoid with dementia, glaucoma, cardiac conductive abnormalities, constipation, opioids, calcium channel blockers, prostatism or prior history of urinary retention" 2 points x y octreotide Sandostatin olanzapine Zyprexa x Second generation antipsychotics "Avoid for long-term (>1 month) as hypnotics, with Parkinsonism, if fallen in past 3 months" y olmesartan Benicar Angiotensin 2 blockers x olsalazine Dipentum IBD omalizumab Xolair Biologics omega 3s Vitamins/supplements omeprazole Prilosec x PPIs Avoid for peptic ulcer disease at full therapeutic dosage for >8 weeks ondansetron Zofran Nausea orlistat Xenical Weight loss orphenadrine Norflex Avoid y oxaprozin Daypro NSAIDs Avoid chronic use unless other alternatives are not effective and patient can take gastroprotective agent (proton pump inhibitor or misoprostol) "Avoid with history of peptic ulcer disease or GI bleeding unless with concurrent H2RA, PPI, or misoprostil, with moderate-severe hypertension, with heart failure, with warfarin, with chronic renal failure, for long term (>3 months) for osteoarthritis unless simple analgesics are not effective, for chronic treatment of gout where there is no contraindication to allopurinol, with long term (>3 months) corticosteroids " x oxazepam Serax Benzodiazepines "Avoid benzodiazepines for treatment of insomnia, agitation, or delirium " "Avoid long term (>1month) use, if fallen in last 3 months" oxcarbazepine Trileptal Epilepsy y oxprenolol Trasacor Beta-blockers Avoid in those with diabetes mellitus and frequent hypoglycemic events oxybutynin Ditropan Incontinence 3 points oxycodone Oxycontin Narcotics "Avoid as first-line therapy for mild to moderate pain, for more than 2 weeks in those with chronic constipation, long-term use in dementia unless for chronic pain, those with recurrent falls" x pamidronate Aredia Bisphosphonates pantoprazole Protonix PPIs Avoid for peptic ulcer disease at full therapeutic dosage for >8 weeks paroxetine Paxil SSRI Avoid with a history of clinically significant hyponatremia 1 point x y peginterferon alfa "Pegasys, Pegintron " penicillamine "Depen, Cuprimine" pentazocine Talwin Narcotics Avoid "Avoid as first-line therapy for mild to moderate pain, for more than 2 weeks in those with chronic constipation, long-term use in dementia unless for chronic pain, those with recurrent falls" x pentoxifylline Trental perindopril Aceon ACE inhibitors x perphenazine Trilafon First generation antipsychotics "Avoid for long-term (>1 month) as hypnotics, with Parkinsonism, if fallen in past 3 months" y phenelzine Nardil Depression other x phenobarbital Donnatal x Avoid phentermine "Adipex , Fastin?" Weight loss phenylbutazone NSAIDs "Avoid with history of peptic ulcer disease or GI bleeding unless with concurrent H2RA, PPI, or misoprostil, with moderate-severe hypertension, with heart failure, with warfarin, with chronic renal failure, for long term (>3 months) for osteoarthritis unless simple analgesics are not effective, for chronic treatment of gout where there is no contraindication to allopurinol, with long term (>3 months) corticosteroids " x phenytoin Dilantin x Epilepsy pimozide Orap First generation antipsychotics "Avoid for long-term (>1 month) as hypnotics, with Parkinsonism, if fallen in past 3 months" y pindolol Visken Beta-blockers Avoid in those with diabetes mellitus and frequent hypoglycemic events pioglitazone Actos Glitazones piroxicam Feldene NSAIDs Avoid chronic use unless other alternatives are not effective and patient can take gastroprotective agent (proton pump inhibitor or misoprostol) "Avoid with history of peptic ulcer disease or GI bleeding unless with concurrent H2RA, PPI, or misoprostil, with moderate-severe hypertension, with heart failure, with warfarin, with chronic renal failure, for long term (>3 months) for osteoarthritis unless simple analgesics are not effective, for chronic treatment of gout where there is no contraindication to allopurinol, with long term (>3 months) corticosteroids " x pizotifen Sandomigran Migraine other polycarbophil Prodiem Constipation polyethylene glycol "Lax-A-Day, Pegalax, Restoralax" Constipation pramipexole Mirapex x Parkinson's prasugrel Effient pravastatin Pravachol Statins prazosin Minipress Hypertension other Avoid as antihypertensive prednisone "Sterapred , Orasone , Deltasone" x Corticosteroids Avoid for COPD if inhaled corticosteroids could be used x pregabalin Lyrica Epilepsy primaquine primidone Mysoline probenecid Benemid Gout other procainamide Pronestyl Antiarrhythmic Avoid antiarrhythmic drugs as first-line treatment of atrial fibrillation prochlorperazine Compazine First generation antipsychotics "Avoid for long-term (>1 month) as hypnotics, with Parkinsonism, if fallen in past 3 months" 2 points y procyclidine Kemadrin Parkinson's y progesterone x Estrogen/progesterone promethazine Phenadoz Antihistamine Avoid Avoid y propafenone Rythmol Antiarrhythmic Avoid antiarrhythmic drugs as first-line treatment of atrial fibrillation propoxyphene Darvon Narcotics "Avoid as first-line therapy for mild to moderate pain, for more than 2 weeks in those with chronic constipation, long-term use in dementia unless for chronic pain, those with recurrent falls" x propranolol Inderall? x Beta-blockers Avoid in those with diabetes mellitus and frequent hypoglycemic events propylthiouracil prucalopride Resotran pseudoephedrine psyllium Metamucil Constipation quetiapine Seroquel Second generation antipsychotics "Avoid for long-term (>1 month) as hypnotics, with Parkinsonism, if fallen in past 3 months" 1 point y quinapril Accupril ACE inhibitors x quinidine Antiarrhythmic Avoid antiarrhythmic drugs as first-line treatment of atrial fibrillation quinine rabeprazole Aciphex PPIs Avoid for peptic ulcer disease at full therapeutic dosage for >8 weeks raloxifene Evista Raloxifene ramipril Altace x ACE inhibitors x ranitidine Zantac x H2 antagonists 1 point y rasagiline Azilect Parkinson's repaglinide Prandin Diabetes other risedronate Actonel Bisphosphonates risperidone Risperdal Second generation antipsychotics "Avoid for long-term (>1 month) as hypnotics, with Parkinsonism, if fallen in past 3 months" rituximab Rituxan Biologics rivaroxaban Xarelto NOAC x rizatriptan Maxalt Triptans ropinirole Requip Parkinson's rosiglitazone Avandia x Glitazones rosuvastatin Crestor Statins salbutamol Ventolin x Beta-agonists salmeterol Serevent Beta-agonists scopolamine Nausea selegiline Zelapar Parkinson's senna Senokot x Constipation sertraline Zoloft SSRI Avoid with a history of clinically significant hyponatremia x sibutramine Meridia Weight loss sildenafil Viagra Erectile simvastatin Zocor Statins sitagliptin Januvia x Diabetes other sodium phosphates Fleet Enema Constipation solifenacin Vesicare Incontinence sotalol "Sorin, Betapace" x Beta-blockers Avoid antiarrhythmic drugs as first-line treatment of atrial fibrillation Avoid in those with diabetes mellitus and frequent hypoglycemic events spironolactone Aldactone x Aldosterone antagonists Avoid in patients with heart failure or with a CrCI < 30 mL/min if dose >25mg/d sucralfate Carafate Sucralfate sulfasalazine Azulfidine sulfinpyrazone Anturan Gout other sulindac Clinoril NSAIDs Avoid chronic use unless other alternatives are not effective and patient can take gastroprotective agent (proton pump inhibitor or misoprostol) "Avoid with history of peptic ulcer disease or GI bleeding unless with concurrent H2RA, PPI, or misoprostil, with moderate-severe hypertension, with heart failure, with warfarin, with chronic renal failure, for long term (>3 months) for osteoarthritis unless simple analgesics are not effective, for chronic treatment of gout where there is no contraindication to allopurinol, with long term (>3 months) corticosteroids " x sumatriptan Imitrex x Triptans tacrolimus Prograf tadalafil Cialis Erectile tamsulosin Flomax x Alpha-blockers Avoid in males with frequent incontinence or long term urinary catheter telmisartan Micardis Angiotensin 2 blockers x temazepam Restoril Benzodiazepines "Avoid benzodiazepines for treatment of insomnia, agitation, or delirium " "Avoid long term (>1month) use, if fallen in last 3 months" tenoxicam Mobiflex NSAIDs "Avoid with history of peptic ulcer disease or GI bleeding unless with concurrent H2RA, PPI, or misoprostil, with moderate-severe hypertension, with heart failure, with warfarin, with chronic renal failure, for long term (>3 months) for osteoarthritis unless simple analgesics are not effective, for chronic treatment of gout where there is no contraindication to allopurinol, with long term (>3 months) corticosteroids " x terazosin Hytrin x Alpha-blockers Avoid as antihypertensive Avoid in males with frequent incontinence or long term urinary catheter teriparatide Forteo Osteoporosis other testosterone Androgel x Testosterone Avoid theophylline TheoDur Avoid as monotherapy for COPD thiamine Vitamins/supplements thiothixene Navane First generation antipsychotics "Avoid for long-term (>1 month) as hypnotics, with Parkinsonism, if fallen in past 3 months" y tiaprofenic acid Surgam NSAIDs "Avoid with history of peptic ulcer disease or GI bleeding unless with concurrent H2RA, PPI, or misoprostil, with moderate-severe hypertension, with heart failure, with warfarin, with chronic renal failure, for long term (>3 months) for osteoarthritis unless simple analgesics are not effective, for chronic treatment of gout where there is no contraindication to allopurinol, with long term (>3 months) corticosteroids " x ticagrelor Brilinta NOAC x ticlopidine Ticlid Avoid timolol Blocadren Beta-blockers Avoid in those with diabetes mellitus and frequent hypoglycemic events tinzaparin Innohep Heparin tiotropium Spiriva x Anticholinergics tizanidine Zanaflex y tocilizumab Actemra Biologics tolbutamide Orinase Sulfonylureas tolcapone Tasmar Parkinson's tolmetin Tolectin NSAIDs "Avoid with history of peptic ulcer disease or GI bleeding unless with concurrent H2RA, PPI, or misoprostil, with moderate-severe hypertension, with heart failure, with warfarin, with chronic renal failure, for long term (>3 months) for osteoarthritis unless simple analgesics are not effective, for chronic treatment of gout where there is no contraindication to allopurinol, with long term (>3 months) corticosteroids " x tolterodine Detrol x Incontinence topiramate Topamax x Epilepsy torsemide Demadex Diuretics "Avoid for ankle edema, hypertension" x tramadol Ultram x Narcotics "Avoid as first-line therapy for mild to moderate pain, for more than 2 weeks in those with chronic constipation, long-term use in dementia unless for chronic pain, those with recurrent falls" x trandolapril Mavik ACE inhibitors x tranylcypromine Parnate Depression other x trazodone Desyrel TCA "Avoid with dementia, glaucoma, cardiac conductive abnormalities, constipation, opioids, calcium channel blockers, prostatism or prior history of urinary retention" 1 point x triamtereneHCTZ?? "Dyazide ( Capsule ) , Maxzide ( Tablet )" Thiazides Avoid with history of gout triazolam Halcion Benzodiazepines "Avoid benzodiazepines for treatment of insomnia, agitation, or delirium " "Avoid long term (>1month) use, if fallen in last 3 months" trifluoperazine Stelazine First generation antipsychotics "Avoid for long-term (>1 month) as hypnotics, with Parkinsonism, if fallen in past 3 months" y trihexyphenidyl Artane Parkinson's Avoid y trimeprazine Vallergan Antihistamine trimetrexate Neutrexin trimipramine Surmontil TCA Avoid "Avoid with dementia, glaucoma, cardiac conductive abnormalities, constipation, opioids, calcium channel blockers, prostatism or prior history of urinary retention" x triprolidine Histex Antihistamine Avoid Avoid ustekinumab Stelara Biologics valproic acid Depakene x Epilepsy valsartan Diovan Angiotensin 2 blockers x vardenafil Levitra Erectile varenicline Chantix Smoking cessation venlafaxine Effexor SNRI x verapamil "Verelan , Calan , Isoptin" Calcium antagonists "Avoid in combination with beta-blocker, other vasodilators, or heart failure" vigabatrin Sabril Epilepsy vitamin C Vitamins/supplements vitamin D x vitamin E Vitamins/supplements warfarin Coumadin x Warfarin x yohimbine Erectile zafirlukast Accolate Leukotriene antagonists zaleplon Sonata Non-benzodiazepine sedatives Avoid chronic use greater than 90 days ziprasidone Geodon Second generation antipsychotics "Avoid for long-term (>1 month) as hypnotics, with Parkinsonism, if fallen in past 3 months" zoledronic acid Aclasta NSAIDs "Avoid with history of peptic ulcer disease or GI bleeding unless with concurrent H2RA, PPI, or misoprostil, with moderate-severe hypertension, with heart failure, with warfarin, with chronic renal failure, for long term (>3 months) for osteoarthritis unless simple analgesics are not effective, for chronic treatment of gout where there is no contraindication to allopurinol, with long term (>3 months) corticosteroids " x zolmitriptan Zomig Triptans zolpidem Ambien Non-benzodiazepine sedatives Avoid chronic use greater than 90 days zopiclone Imovane x Non-benzodiazepine sedatives Avoid chronic use greater than 90 days zuclopenthixol Clopixol First generation antipsychotics "Avoid for long-term (>1 month) as hypnotics, with Parkinsonism, if fallen in past 3 months" Anticholinergic antispasmodic drugs Anticholinergics to treat extra pyradimal side effects of antipsychotic medications "Bladder antimuscarinic drugs with dementia, chronic glaucoma, chronic constipation, chronic prostatism"