Generic	Brand Name	UBC formulary	Drug 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 Anticholinergic5-aminosalicylic acid	"Pentasa, Rowasa, Asacol"	x	IBD	None	None			abatacept	Orencia		Biologics	None	None			acarbose	Precose		Diabetes other	None	None			acebutolol	Sectral		Beta-blockers	None	Avoid in those with diabetes mellitus and frequent hypoglycemic events			acetaminophen	Tylenol	x	Acetaminophen	None	None			acetazolamide	Diamox			None	None			acitretin	Soriatane			None	None			adalimumab	Humira		Biologics	None	None			alefacept	Amevive			None	None			alendronate	Fosamax	x	Bisphosphonates	None	None			alfacalcidol				None	None			alfuzosin	Uroxatral 		Alpha-blockers	None	Avoid in males with frequent incontinence or long term urinary catheter			aliskiren	Tekturna		Hypertension other	None	None			allopurinol	Zyloprim	x	Xanthine oxidase inhibitors	None	None			almotriptan	Axert		Triptans	None	None			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	None	None			yamiloride	Midamor	x	Hypertension other	None	None			amiodarone	Cordarone	x	Antiarrhythmic	Avoid antiarrhythmic drugs as first-line treatment of atrial fibrillation	None			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	yamlodipine	Norvasc	x	Calcium antagonists	None	None			anakinra	Kineret			None	None			antacids: Al++/Mg++			Gastrointestinal other	None	None			aripiprazole	Abilify	x	Second generation antipsychotics	None	"Avoid for long-term (>1 month) as hypnotics, with Parkinsonism, if fallen in past 3  months"			ASA	Aspirin	x	NSAIDs	None	"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	None	"Avoid for long-term (>1 month) as hypnotics, with Parkinsonism, if fallen in past 3  months"			atenolol	Tenormin		Beta-blockers	None	Avoid in those with diabetes mellitus and frequent hypoglycemic events			atomoxetine	Strattera		ADHD	None	None			atorvastatin	Lipitor	x	Statins	None	None			auranofin	Ridaura			None	None			azatadine	Zadine		Antihistamine	None	None			azathioprine	Imuran	x		None	None			azilsartan	Edarbi		Angiotensin 2 blockers	None	None		x	baclofen	Lioresal	x		None	None	2 points		ybeclomethasone	Beclovent		Inhaled steroids	None	None			benazepril	Lotensin		ACE inhibitors	None	None		x	benztropine	Cogentin			Avoid	None			ybezafibrate	Bezalip		Fibrates	None	None			bisacodyl	Dulcolax		Constipation	None	None			bismuth subsalicylate	Pepto-Bismol		Gastrointestinal other	None	None			bisoprolol	Zebeta		Beta-blockers	None	Avoid in those with diabetes mellitus and frequent hypoglycemic events			bromocriptine	Parlodel			None	None			brompheniramine	Dimetane		Antihistamine	Avoid	Avoid			ybudesonide	Pulmicort		Inhaled steroids	None	None			budesonide/formoterol	Symbicort			None	None			bumetanide	Bumex		Thiazides	None	Avoid with history of gout			buprenorphine	Buprenex		Narcotics	None	"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	None	None		x	buserelin	Suprefact			None	None			buspirone	BuSpar			None	None			butalbital	Butisol			None	None			calcitonin	Calcimar		Osteoporosis other	None	None			calcitriol	Rocaltrol		Osteoporosis other	None	None			calcium		x	Vitamins/supplements	None	None			candesartan	Atacand		Angiotensin 2 blockers	None	None		x	captopril	Capoten		ACE inhibitors	None	None		x	carbamazepine	Tegretol	x	Epilepsy	None	None			ycarvedilol	Coreg	x	Beta-blockers	None	Avoid in those with diabetes mellitus and frequent hypoglycemic events			castor oil			Constipation	None	None			celecoxib	Celebrex	x	NSAIDs	None	"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	None	None			cetirizine	Zyrtec		Antihistamine	None	None	2 points		chloral hydrate	Noctec		Non-benzodiazepine sedatives	Avoid	None			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			None	None			chlorpheniramine	Chlortripolon		Antihistamine	Avoid	Avoid	3 points		ychlorpromazine	Thorazine		First generation antipsychotics	None	"Avoid for long-term (>1 month) as hypnotics, with Parkinsonism, if fallen in past 3  months"	3 points		ychlorpropamide	Diabinese		Sulfonylureas	Avoid	Avoid for type 2 diabetes			chlorthalidone	"Thalitone,Hygroton"		Thiazides	None	Avoid with history of gout			cholestyramine	Questran		Cholesterol other	None	None			ciclesonide	Alvesco		Inhaled steroids	None	None			cilazapril	Inhibace		ACE inhibitors	None	None		x	cimetidine	Tagamet		H2 antagonists	None	None	2 points		ycinacalcet	Sensipar			None	None			citalopram	Celexa	x	SSRI	None	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	None	None			clomiphene	Clomid	x		None	None			clomipramine	Anafranil		TCA	Avoid	"Avoid with dementia, glaucoma, cardiac conductive abnormalities, constipation, opioids, calcium channel blockers, prostatism or prior history of urinary retention"		x	yclonazepam	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	None			clopidogrel	Plavix	x		None	None		x	clozapine	Clozaril		Second generation antipsychotics	None	"Avoid for long-term (>1 month) as hypnotics, with Parkinsonism, if fallen in past 3  months"	2 points		ycodeine			Narcotics	None	Avoid for treatment of diarrhea of unknown cause or severe infective gastroenteritis		x	colchicine	Colcrys	x	Colchicine	None	None			colestipol	Colestid		Cholesterol other	None	None			cyclobenzaprine	Flexeril			Avoid	None			ycyclosporine	Restasis	x		None	None			cyproheptadine	Periactin		Antihistamine	Avoid	Avoid			ydabigatran	Pradaxa	x	NOAC	None	None		x	danazol	Danocrine			None	None			dantrolene	Dantrium			None	None			darbepoetin alfa	Aranesp			None	None			darifenacin	Enablex		Incontinence	None	None			denosumab	Xgeva		Biologics	None	None			desipramine	Norpramin		TCA	None	"Avoid with dementia, glaucoma, cardiac conductive abnormalities, constipation, opioids, calcium channel blockers, prostatism or prior history of urinary retention"		x	ydesloratadine	Clarinex		Antihistamine	None	None			desvenlafaxine	"Khedezla, Pristiq"		SNRI	None	None		x	dexamethasone	Decadron		Corticosteroids	None	Avoid for COPD if inhaled corticosteroids could be used		x	dexlansoprazole	Dexilant		PPIs	None	Avoid for peptic ulcer disease at full therapeutic dosage for >8 weeks			dextroamphetamine	"Adderal, Adderal XR, Dexedrine"		ADHD	None	None			dextromethorphan	Robitussin			None	None			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	None			ydiethylpropion	Tenuate		Weight loss	None	None			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	None	None			diltiazem	"Cardizem, Cartia XT, Tazia XT"		Calcium antagonists	None	"Avoid in heart failure, chronic constipation, or with other vasodilator drugs"			dimenhydrinate	Dramamine	x	Antihistamine	None	None			ydiphenhydramine	Benadryl		Antihistamine	Avoid	Avoid			ydiphenoxylate	Lomotil		Diarrhea	None	Avoid for treatment of diarrhea of unknown cause or severe infective gastroenteritis			ydipyridamole	Persantine			Avoid	None			disopyramide	Norpace		Antiarrhythmic	Avoid	None			ydivalproex	Depakote		Epilepsy	None	None			docusate	Colace		Constipation	None	None			dofetilide	Tikosyn		Antiarrhythmic	Avoid antiarrhythmic drugs as first-line treatment of atrial fibrillation 	None			dolasetron	Anzemet		Nausea	None	None			domperidone	Motilium		Gastrointestinal other	None	None			donepezil	Aricept	x	Cholinesterase inhibitors	None	None			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	ydronabinol	Marinol			None	None			dronedarone	Multaq		Antiarrhythmic	Avoid antiarrhythmic drugs as first-line treatment of atrial fibrillation 	None			dutasteride	Avodart		5-alpha reductase inhibitors	None	None			efalizumab	Raptiva		Biologics	None	None			eletriptan	Relpak		Triptans	None	None			enalapril	Vasotec		ACE inhibitors	None	None		x	enoxaparin	Lovenox	x	Heparin	None	None			eplerenone	Inspra		Aldosterone antagonists	None	None			eprosartan	Teveten		Angiotensin 2 blockers	None	None		x	ergotamine	Ergomar		Migraine other	None	None			escitalopram	Lexapro		SSRI	None	Avoid with a history of clinically significant hyponatremia		x	esomeprazole	Nexium		PPIs	None	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	None			etanercept	Enbrel		Biologics	None	None			etidronate	Didronel		Bisphosphonates	None	None			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	None	None			famotidine	Pepcid		H2 antagonists	None	None			felodipine	Plendil		Calcium antagonists	None	Avoid in chronic constipation or with other vasodilator drugs 			fenofibrate	Tricor		Fibrates	None	None			fentanyl	Duragesic	x	Narcotics	None	"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	None	None			fexofenadine	Allegra		Antihistamine	None	None			finasteride	Proscar		5-alpha reductase inhibitors	None	None			flavoxate	Urispas		Incontinence	None	None			flecainide	Tambocor		Antiarrhythmic	Avoid antiarrhythmic drugs as first-line treatment of atrial fibrillation 	None			flunarizine	Sibelium		Migraine other	None	None			fluoxetine	Prozac		SSRI	None	Avoid with a history of clinically significant hyponatremia		x	flupenthixol	Fluanxol		First generation antipsychotics	None	"Avoid for long-term (>1 month) as hypnotics, with Parkinsonism, if fallen in past 3  months"			fluphenazine	Prolixin		First generation antipsychotics	None	"Avoid for long-term (>1 month) as hypnotics, with Parkinsonism, if fallen in past 3  months"			yflurazepam	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	None	None			fluticasone/salmeterol	Advair	x		None	None			fluvastatin	Lescol		Statins	None	None			fluvoxamine	Luvox		SSRI	None	Avoid with a history of clinically significant hyponatremia		x	folic acid			Vitamins/supplements	None	None			formoterol	Oxese		Beta-agonists	None	None			fosinopril	Monopril		ACE inhibitors	None	None		x	frovatriptan	Frova		Triptans	None	None			furosemide	Lasix	x	Diuretics	None	"Avoid for ankle edema, hypertension"		x	gabapentin	Neurontin	x	Epilepsy	None	None			gemfibrozil	Lopid		Fibrates	None	None			gliclazide	Diamicron		Sulfonylureas	None	None			glimepiride	Amaryl		Sulfonylureas	None	None			glucosamine				None	None			glyburide	"DiaBeta , Glynase , Micronase"	x	Sulfonylureas	Avoid	Avoid for type 2 diabetes			glycerin			Constipation	None	None			haloperidol	Haldol	x	First generation antipsychotics	None	"Avoid for long-term (>1 month) as hypnotics, with Parkinsonism, if fallen in past 3  months"	1 point		heparin		x	Heparin	None	None			hydralazine	"Apresoline, Dralzine"		Hypertension other	None	None			hydrochlorothiazide	Microzide		Thiazides	None	Avoid with history of gout			hydrocodone	Vicodin		Narcotics	None	"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	None	Avoid for COPD if inhaled corticosteroids could be used		x	hydromorphone	Dilaudid		Narcotics	None	"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			None	None			hydroxyzine	Atarax	x	Antihistamine	Avoid	Avoid	3 points		yibuprofen	"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	yindapamide	Lozol		Thiazides	None	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	None	None			insulin		x	Insulin	Avoid if sliding scale	None			interferon alfa	Intron A			None	None			ipratropium	Atrovent		Anticholinergics	None	Avoid nebulized form if glaucoma			irbesartan	Avapro		Angiotensin 2 blockers	None	None		x	iron				None	None			isoniazid				None	None			isosorbide dinitrate or 5-mononitrate	"Imdur , ISMO"		Nitrates	None	None			isotretinoin	Accutane	x		None	None			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	None	None			L-tryptophan			Vitamins/supplements	None	None			labetalol	Trandate		Beta-blockers	None	Avoid in those with diabetes mellitus and frequent hypoglycemic events			lactulose			Constipation	None	None			lamotrigine	Lamictal	x	Epilepsy	None	None			lansoprazole	Prevacid		PPIs	None	Avoid for peptic ulcer disease at full therapeutic dosage for >8 weeks			leuprolide	Lupron			None	None			levetiracetam	Keppra	x	Epilepsy	None	None			levodopa		x	Parkinson's	None	None			levonorgestrel			Estrogen/progesterone	None	None			levothyroxine	"Synthroid , Levoxyl , Levothroid"	x	Thyroid	None	None			lidocaine	"Lidoderm ( Patch ) , Xylocaine ( Injection )"			None	None			linagliptan	"Tradjenta, Trajenta"		Diabetes other	None	None			liothyronine	Cytomel			None	None			liraglutide	Victoza		Diabetes other	None	None			lisdexamphetamine	Vyvanse		ADHD	None	None			lisinopril	"Prinivil , Zestril"		ACE inhibitors	None	None		x	lithium	Lithobid	x		None	None			yloperamide	Imodium	x	Diarrhea	None	Avoid for treatment of diarrhea of unknown cause or severe infective gastroenteritis	2 points		yloratadine	Claritin		Antihistamine	None	None	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	None	None		x	lovastatin	Mevacor		Statins	None	None			loxapine	Loxapac		First generation antipsychotics	None	"Avoid for long-term (>1 month) as hypnotics, with Parkinsonism, if fallen in past 3  months"			ylumiracoxib	Prexige		NSAIDs	None	"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	None	"Avoid for long-term (>1 month) as hypnotics, with Parkinsonism, if fallen in past 3  months"			magnesium hydroxide	Milk of Magnesia		Constipation	None	None			magnesium sulfate	Epsom salts		Constipation	None	None			maprotiline	Ludiomil		Depression other	None	None		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		None	None			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	ymercaptopurine	Purinethol			None	None			metformin	Glucophage	x	Metformin	None	None			methadone		x	Narcotics	None	"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				None	None			methimazole		x		None	None			methocarbamol	Robaxin			Avoid	None			ymethotrexate	Rheumatrex	x		None	None			methotrimeprazine	Nosinan		First generation antipsychotics	None	"Avoid for long-term (>1 month) as hypnotics, with Parkinsonism, if fallen in past 3  months"			ymethoxsalen	Oxsoralen			None	None			methyldopa	Aldomet		Hypertension other	Avoid	None			methylnaltrexone	Relistor		Constipation	None	None			methylphenidate	Ritalin	x	ADHD	None	None			methylprednisolone	Medrol		Corticosteroids	None	Avoid for COPD if inhaled corticosteroids could be used		x	methysergide	Sansert		Migraine other	None	None			metoclopramide	Reglan	x	Gastrointestinal other	"Avoid, unless for gastroparesis"	Avoid with Parkinsonism			metolazone	Zaroxolyn		Diuretics	None	"Avoid for ankle edema, hypertension"		x	metoprolol	"Toprol XL, Lopressor"	x	Beta-blockers	None	Avoid in those with diabetes mellitus and frequent hypoglycemic events			metronidazole	Flagyl			None	None			mexiletine	Mexitil		Antiarrhythmic	None	None			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			None	None			mineral oil	"Fleet Enema Mineral Oil, Lansoyl"		Constipation	Avoid	None			mirabegron	Myrbetriq		Incontinence	None	None			mirtazapine	Remeron	x	Depression other	None	None	1 point	x	misoprostol	Cytotec		Misoprostol	None	None			mixed salts amphetamine			ADHD	None	None			moclobemide	Manerix		Depression other	None	None		x	montelukast	Singulair	x	Leukotriene antagonists	None	None			morphine		x	Narcotics	None	"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	None	Avoid in those with diabetes mellitus and frequent hypoglycemic events			nafarelin	Synarel			None	None			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	None	None			nateglinide	Starlix		Diabetes other	None	None			nebivolol	Bystolic		Beta-blockers	None	Avoid in those with diabetes mellitus and frequent hypoglycemic events			niacin	Niaspan		Niacin	None	None			nicotine		x	Smoking cessation	None	None			nifedipine	"Adalat , Procardia"		Calcium antagonists	Avoid if immediate release	Avoid in chronic constipation or with other vasodilator drugs 			nitroglycerin	NitroStat	x	Nitrates	None	None			nizatidine	Axid		H2 antagonists	None	None			norethindrone			Estrogen/progesterone	None	None			nortriptyline	"Pamelor , Aventyl"		TCA	None	"Avoid with dementia, glaucoma, cardiac conductive abnormalities, constipation, opioids, calcium channel blockers, prostatism or prior history of urinary retention"	2 points	x	yoctreotide	Sandostatin			None	None			olanzapine	Zyprexa	x	Second generation antipsychotics	None	"Avoid for long-term (>1 month) as hypnotics, with Parkinsonism, if fallen in past 3  months"			yolmesartan	Benicar		Angiotensin 2 blockers	None	None		x	olsalazine	Dipentum		IBD	None	None			omalizumab	Xolair		Biologics	None	None			omega 3s			Vitamins/supplements	None	None			omeprazole	Prilosec	x	PPIs	None	Avoid for peptic ulcer disease at full therapeutic dosage for >8 weeks			ondansetron	Zofran		Nausea	None	None			orlistat	Xenical		Weight loss	None	None			orphenadrine	Norflex			Avoid	None			yoxaprozin	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	None	None			yoxprenolol	Trasacor		Beta-blockers	None	Avoid in those with diabetes mellitus and frequent hypoglycemic events			oxybutynin	Ditropan		Incontinence	None	None	3 points		oxycodone	Oxycontin		Narcotics	None	"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	None	None			pantoprazole	Protonix		PPIs	None	Avoid for peptic ulcer disease at full therapeutic dosage for >8 weeks			paroxetine	Paxil		SSRI	None	Avoid with a history of clinically significant hyponatremia	1 point	x	ypeginterferon alfa	"Pegasys, Pegintron "			None	None			penicillamine	"Depen, Cuprimine"			None	None			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			None	None			perindopril	Aceon		ACE inhibitors	None	None		x	perphenazine	Trilafon		First generation antipsychotics	None	"Avoid for long-term (>1 month) as hypnotics, with Parkinsonism, if fallen in past 3  months"			yphenelzine	Nardil		Depression other	None	None		x	phenobarbital	Donnatal	x		Avoid	None			phentermine	"Adipex , Fastin"		Weight loss	None	None			phenylbutazone			NSAIDs	None	"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	None	None			pimozide	Orap		First generation antipsychotics	None	"Avoid for long-term (>1 month) as hypnotics, with Parkinsonism, if fallen in past 3  months"			ypindolol	Visken		Beta-blockers	None	Avoid in those with diabetes mellitus and frequent hypoglycemic events			pioglitazone	Actos		Glitazones	None	None			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	None	None			polycarbophil	Prodiem		Constipation	None	None			polyethylene glycol	"Lax-A-Day, Pegalax, Restoralax"		Constipation	None	None			pramipexole	Mirapex	x	Parkinson's	None	None			prasugrel	Effient			None	None			pravastatin	Pravachol		Statins	None	None			prazosin	Minipress		Hypertension other	Avoid as antihypertensive	None			prednisone	"Sterapred , Orasone , Deltasone"	x	Corticosteroids	None	Avoid for COPD if inhaled corticosteroids could be used		x	pregabalin	Lyrica		Epilepsy	None	None			primaquine				None	None			primidone	Mysoline			None	None			probenecid	Benemid		Gout other	None	None			procainamide	Pronestyl		Antiarrhythmic	Avoid antiarrhythmic drugs as first-line treatment of atrial fibrillation 	None			prochlorperazine	Compazine		First generation antipsychotics	None	"Avoid for long-term (>1 month) as hypnotics, with Parkinsonism, if fallen in past 3  months"	2 points		yprocyclidine	Kemadrin		Parkinson's	None	None			yprogesterone		x	Estrogen/progesterone	None	None			promethazine	Phenadoz		Antihistamine	Avoid	Avoid			ypropafenone	Rythmol		Antiarrhythmic	Avoid antiarrhythmic drugs as first-line treatment of atrial fibrillation 	None			propoxyphene	Darvon		Narcotics	None	"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	Inderal	x	Beta-blockers	None	Avoid in those with diabetes mellitus and frequent hypoglycemic events			propylthiouracil				None	None			prucalopride	Resotran			None	None			pseudoephedrine				None	None			psyllium	Metamucil		Constipation	None	None			quetiapine	Seroquel		Second generation antipsychotics	None	"Avoid for long-term (>1 month) as hypnotics, with Parkinsonism, if fallen in past 3  months"	1 point		yquinapril	Accupril		ACE inhibitors	None	None		x	quinidine			Antiarrhythmic	Avoid antiarrhythmic drugs as first-line treatment of atrial fibrillation 	None			quinine				None	None			rabeprazole	Aciphex		PPIs	None	Avoid for peptic ulcer disease at full therapeutic dosage for >8 weeks			raloxifene	Evista		Raloxifene	None	None			ramipril	Altace	x	ACE inhibitors	None	None		x	ranitidine	Zantac	x	H2 antagonists	None	None	1 point		yrasagiline	Azilect		Parkinson's	None	None			repaglinide	Prandin		Diabetes other	None	None			risedronate	Actonel		Bisphosphonates	None	None			risperidone	Risperdal		Second generation antipsychotics	None	"Avoid for long-term (>1 month) as hypnotics, with Parkinsonism, if fallen in past 3  months"			rituximab	Rituxan		Biologics	None	None			rivaroxaban	Xarelto		NOAC	None	None		x	rizatriptan	Maxalt		Triptans	None	None			ropinirole	Requip		Parkinson's	None	None			rosiglitazone	Avandia	x	Glitazones	None	None			rosuvastatin	Crestor		Statins	None	None			salbutamol	Ventolin	x	Beta-agonists	None	None			salmeterol	Serevent		Beta-agonists	None	None			scopolamine			Nausea	None	None			selegiline	Zelapar		Parkinson's	None	None			senna	Senokot	x	Constipation	None	None			sertraline	Zoloft		SSRI	None	Avoid with a history of clinically significant hyponatremia		x	sibutramine	Meridia		Weight loss	None	None			sildenafil	Viagra		Erectile	None	None			simvastatin	Zocor		Statins	None	None			sitagliptin	Januvia	x	Diabetes other	None	None			sodium phosphates	Fleet Enema		Constipation	None	None			solifenacin	Vesicare		Incontinence	None	None			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	None			sucralfate	Carafate		Sucralfate	None	None			sulfasalazine	Azulfidine			None	None			sulfinpyrazone	Anturan		Gout other	None	None			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	None	None			tacrolimus	Prograf			None	None			tadalafil	Cialis		Erectile	None	None			tamsulosin	Flomax	x	Alpha-blockers	None	Avoid in males with frequent incontinence or long term urinary catheter			telmisartan	Micardis		Angiotensin 2 blockers	None	None		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	None	"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	None	None			testosterone	Androgel	x	Testosterone	Avoid	None			theophylline	TheoDur			None	Avoid as monotherapy for COPD			thiamine			Vitamins/supplements	None	None			thiothixene	Navane		First generation antipsychotics	None	"Avoid for long-term (>1 month) as hypnotics, with Parkinsonism, if fallen in past 3  months"			ytiaprofenic acid	Surgam		NSAIDs	None	"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	None	None		x	ticlopidine	Ticlid			Avoid	None			timolol	Blocadren		Beta-blockers	None	Avoid in those with diabetes mellitus and frequent hypoglycemic events			tinzaparin	Innohep		Heparin	None	None			tiotropium	Spiriva	x	Anticholinergics	None	None			tizanidine	Zanaflex			None	None			ytocilizumab	Actemra		Biologics	None	None			tolbutamide	Orinase		Sulfonylureas	None	None			tolcapone	Tasmar		Parkinson's	None	None			tolmetin	Tolectin		NSAIDs	None	"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	None	None			topiramate	Topamax	x	Epilepsy	None	None			torsemide	Demadex		Diuretics	None	"Avoid for ankle edema, hypertension"		x	tramadol	Ultram	x	Narcotics	None	"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	None	None		x	tranylcypromine	Parnate		Depression other	None	None		x	trazodone	Desyrel		TCA	None	"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	None	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	None	"Avoid for long-term (>1 month) as hypnotics, with Parkinsonism, if fallen in past 3  months"			ytrihexyphenidyl	Artane		Parkinson's	Avoid	None			ytrimeprazine	Vallergan		Antihistamine	None	None			trimetrexate	Neutrexin			None	None			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	None	None			valproic acid	Depakene	x	Epilepsy	None	None			valsartan	Diovan		Angiotensin 2 blockers	None	None		x	vardenafil	Levitra		Erectile	None	None			varenicline	Chantix		Smoking cessation	None	None			venlafaxine	Effexor		SNRI	None	None		x	verapamil	"Verelan , Calan , Isoptin"		Calcium antagonists	None	"Avoid in combination with beta-blocker, other vasodilators, or heart failure"			vigabatrin	Sabril		Epilepsy	None	None			vitamin C			Vitamins/supplements	None	None			vitamin D		x		None	None			vitamin E			Vitamins/supplements	None	None			warfarin	Coumadin	x	Warfarin	None	None		x	yohimbine			Erectile	None	None			zafirlukast	Accolate		Leukotriene antagonists	None	None			zaleplon	Sonata		Non-benzodiazepine sedatives	Avoid chronic use greater than 90 days	None			ziprasidone	Geodon		Second generation antipsychotics	None	"Avoid for long-term (>1 month) as hypnotics, with Parkinsonism, if fallen in past 3  months"			zoledronic acid	Aclasta		NSAIDs	None	"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	None	None			zolpidem	Ambien		Non-benzodiazepine sedatives	Avoid chronic use greater than 90 days	None			zopiclone	Imovane	x	Non-benzodiazepine sedatives	Avoid chronic use greater than 90 days	None			zuclopenthixol	Clopixol		First generation antipsychotics	None	"Avoid for long-term (>1 month) as hypnotics, with Parkinsonism, if fallen in past 3  months"