Tab-separated file of Beers criteria alerts

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This is a sample file of alerts for use in a Beers-criteria service. The drug names must be mapped to the vocabulary used in your alerting system.

Disclaimer: Do not use these alerts without validating them! They were developed for use in a research system, and are not designed to be used in a production clinical system. No guarantee is made as to their accuracy.

adalat	Potential for hypotension and constipation.
adderall	Amphetamines have potential for causing dependence, hypertension, angina, and myocardial infarction. CNS stimulant adverse effects.
aldomet	May cause bradycardia and exacerbate depression in elderly patients.
aldoril	May cause bradycardia and exacerbate depression in elderly patients.
aleve	Non–COX-selective NSAIDs have the potential to produce GI bleeding, renal failure, high blood pressure, and heart failure.
amiodarone	Associated with QT interval problems and risk of provoking torsades depointes. Lack of efficacy in older adults.
amitriptyline	Because of its strong anticholinergic and sedation properties, amitriptyline is rarely the antidepressant of choice for elderly patients.
amobarbital	Barbiturates are highly addictive and cause more adverse effects than most sedative or hypnotic drugs in elderly patients.
amphetamine	Amphetamines have potential for causing dependence, hypertension, angina, and myocardial infarction. CNS stimulant adverse effects.
android	Potential for prostatic hypertrophy and cardiac problems
aprobarbital	Barbiturates are highly addictive and cause more adverse effects than most sedative or hypnotic drugs in elderly patients.
atarax	All nonprescription and many prescription antihistamines may have potent anticholinergic properties. Nonanticholinergic antihistamines are preferred in elderly patients when treating allergic reactions.
avaprox	Non–COX-selective NSAIDs have the potential to produce GI bleeding, renal failure, high blood pressure, and heart failure.
belladonna alkaloids	GI antispasmodic drugs are highly anticholinergic and have uncertain effectiveness. These drugs should be avoided (especially for long-term use).
benadryl	All nonprescription and many prescription antihistamines may have potent anticholinergic properties. Nonanticholinergic antihistamines are preferred in elderly patients when treating allergic reactions.
bentyl	GI antispasmodic drugs are highly anticholinergic and have uncertain effectiveness. These drugs should be avoided (especially for long-term use).
bisacodyl	Stimulant laxatives may exacerbate bowel dysfunction.
butabarbital	Barbiturates are highly addictive and cause more adverse effects than most sedative or hypnotic drugs in elderly patients.
carisoprodol	Most muscle relaxants and antispasmodic drugs are poorly tolerated by elderly patients, since these cause anticholinergic adverse effects, sedation, and weakness. Additionally, their effectiveness at doses tolerated by elderly patients is questionable.
cascara sagrada	Stimulant laxatives may exacerbate bowel dysfunction.
chlordiazepoxide	GI antispasmodic drugs are highly anticholinergic and have uncertain effectiveness. These drugs should be avoided (especially for long-term use).
chlordiazepoxide-amitriptyline	Because of its strong anticholinergic and sedation properties, amitriptyline is rarely the antidepressant of choice for elderly patients.
chlorpheniramine	All nonprescription and many prescription antihistamines may have potent anticholinergic properties. Nonanticholinergic antihistamines are preferred in elderly patients when treating allergic reactions.
chlorpropamide	It has a prolonged half-life in elderly patients and could cause prolonged hypoglycemia. Additionally, it is the only oral hypoglycemic agent that causes (SIADH:syndrome of inappropriate antidiuretic hormone secretionl).
chlor-trimeton	All nonprescription and many prescription antihistamines may have potent anticholinergic properties. Nonanticholinergic antihistamines are preferred in elderly patients when treating allergic reactions.
chlorzoxazone	Most muscle relaxants and antispasmodic drugs are poorly tolerated by elderly patients, since these cause anticholinergic adverse effects, sedation, and weakness. Additionally, their effectiveness at doses tolerated by elderly patients is questionable.
clidinium	GI antispasmodic drugs are highly anticholinergic and have uncertain effectiveness. These drugs should be avoided (especially for long-term use).
cordarone	Associated with QT interval problems and risk of provoking torsades depointes. Lack of efficacy in older adults.
cyclobenzaprine	Most muscle relaxants and antispasmodic drugs are poorly tolerated by elderly patients, since these cause anticholinergic adverse effects, sedation, and weakness. Additionally, their effectiveness at doses tolerated by elderly patients is questionable.
cyproheptadine	All nonprescription and many prescription antihistamines may have potent anticholinergic properties. Nonanticholinergic antihistamines are preferred in elderly patients when treating allergic reactions.
dalmane	This benzodiazepine hypnotic has an extremely long half-life in elderly patients (often days), producing prolonged sedation and increasing the incidence of falls and fracture. Medium- or short-acting benzodiazepines are preferable.
daypro	Non–COX-selective NSAIDs have the potential to produce GI bleeding, renal failure, high blood pressure, and heart failure.
demerol	Not an effective oral analgesic in doses commonly used. May cause confusion and has many disadvantages to other narcotic drugs.
desiccated thyroid	Concerns about cardiac effects. Safer alternatives available.
desoxyn	Amphetamines have potential for causing dependence, hypertension, angina, and myocardial infarction. CNS stimulant adverse effects.
dexchlorpheniramine	All nonprescription and many prescription antihistamines may have potent anticholinergic properties. Nonanticholinergic antihistamines are preferred in elderly patients when treating allergic reactions.
dexedrine	Amphetamines have potential for causing dependence, hypertension, angina, and myocardial infarction. CNS stimulant adverse effects.
dextroamphetamine	Amphetamines have potential for causing dependence, hypertension, angina, and myocardial infarction. CNS stimulant adverse effects.
dextrostat	Amphetamines have potential for causing dependence, hypertension, angina, and myocardial infarction. CNS stimulant adverse effects.
diabinese	It has a prolonged half-life in elderly patients and could cause prolonged hypoglycemia. Additionally, it is the only oral hypoglycemic agent that causes (SIADH:syndrome of inappropriate antidiuretic hormone secretionl).
dicyclomine	GI antispasmodic drugs are highly anticholinergic and have uncertain effectiveness. These drugs should be avoided (especially for long-term use).
diphenhydramine	All nonprescription and many prescription antihistamines may have potent anticholinergic properties. Nonanticholinergic antihistamines are preferred in elderly patients when treating allergic reactions.
disopyramide	Of all antiarrhythmic drugs, this is the most potent negative inotrope and therefore may induce heart failure in elderly patients. It is also strongly anticholinergic. Other antiarrhythmic drugs should be used.
ditropan	Most muscle relaxants and antispasmodic drugs are poorly tolerated by elderly patients, since these cause anticholinergic adverse effects, sedation, and weakness. Additionally, their effectiveness at doses tolerated by elderly patients is questionable.
ditropan xl	Most muscle relaxants and antispasmodic drugs are poorly tolerated by elderly patients, since these cause anticholinergic adverse effects, sedation, and weakness. Additionally, their effectiveness at doses tolerated by elderly patients is questionable.
donnatal	GI antispasmodic drugs are highly anticholinergic and have uncertain effectiveness. These drugs should be avoided (especially for long-term use).
doxepin	Because of its strong anticholinergic and sedating properties, doxepin is rarely the antidepressant of choice for elderly patients.
dulcolax	Stimulant laxatives may exacerbate bowel dysfunction.
elavil	Because of its strong anticholinergic and sedation properties, amitriptyline is rarely the antidepressant of choice for elderly patients.
equanil	This is a highly addictive and sedating anxiolytic. Those using meprobamate for prolonged periods may become addicted and may need to be withdrawn slowly
flexeril	Most muscle relaxants and antispasmodic drugs are poorly tolerated by elderly patients, since these cause anticholinergic adverse effects, sedation, and weakness. Additionally, their effectiveness at doses tolerated by elderly patients is questionable.
fluoxetine	Long half-life of drug and risk of producing excessive (CNS:central nervous system) stimulation, sleep disturbances, and increasing agitation. Safer alternatives exist.
flurazepam	This benzodiazepine hypnotic has an extremely long half-life in elderly patients (often days), producing prolonged sedation and increasing the incidence of falls and fracture. Medium- or short-acting benzodiazepines are preferable.
guanadrel	May cause orthostatic hypotension.
guanethidine	May cause orthostatic hypotension. Safer alternatives exist.
hydroxyzine	All nonprescription and many prescription antihistamines may have potent anticholinergic properties. Nonanticholinergic antihistamines are preferred in elderly patients when treating allergic reactions.
hylorel	May cause orthostatic hypotension.
hyoscyamine	GI antispasmodic drugs are highly anticholinergic and have uncertain effectiveness. These drugs should be avoided (especially for long-term use).
indocin	Of all available nonsteroidal anti-inflammatory drugs, this drug produces the most (CNS:central nervous system) adverse effects.
indomethacin	Of all available nonsteroidal anti-inflammatory drugs, this drug produces the most (CNS:central nervous system) adverse effects.
ismelin	May cause orthostatic hypotension. Safer alternatives exist.
ketorolac	Immediate and long-term use should be avoided in older persons, since a significant number have asymptomatic (GI: gastrointestinal) pathologic conditions.
levsin	GI antispasmodic drugs are highly anticholinergic and have uncertain effectiveness. These drugs should be avoided (especially for long-term use).
levsinex	GI antispasmodic drugs are highly anticholinergic and have uncertain effectiveness. These drugs should be avoided (especially for long-term use).
librax	GI antispasmodic drugs are highly anticholinergic and have uncertain effectiveness. These drugs should be avoided (especially for long-term use).
limbitrol	Because of its strong anticholinergic and sedation properties, amitriptyline is rarely the antidepressant of choice for elderly patients.
macrodantin	Potential for renal impairment. Safer alternatives available.
mellaril	Greater potential for (CNS:central nervous system) and extrapyramidal adverse effects.
meperidine	Not an effective oral analgesic in doses commonly used. May cause confusion and has many disadvantages to other narcotic drugs.
mephobarbital	Barbiturates are highly addictive and cause more adverse effects than most sedative or hypnotic drugs in elderly patients.
meprobamate	This is a highly addictive and sedating anxiolytic. Those using meprobamate for prolonged periods may become addicted and may need to be withdrawn slowly
mesoridazine	(CNS:central nervous system) and extrapyramidal adverse effects.
metaxalone	Most muscle relaxants and antispasmodic drugs are poorly tolerated by elderly patients, since these cause anticholinergic adverse effects, sedation, and weakness. Additionally, their effectiveness at doses tolerated by elderly patients is questionable.
methamphetamine	Amphetamines have potential for causing dependence, hypertension, angina, and myocardial infarction. CNS stimulant adverse effects.
metharbital	Barbiturates are highly addictive and cause more adverse effects than most sedative or hypnotic drugs in elderly patients.
methocarbamol	Most muscle relaxants and antispasmodic drugs are poorly tolerated by elderly patients, since these cause anticholinergic adverse effects, sedation, and weakness. Additionally, their effectiveness at doses tolerated by elderly patients is questionable.
methyldopa	May cause bradycardia and exacerbate depression in elderly patients.
methyltestosterone	Potential for prostatic hypertrophy and cardiac problems
miltown	This is a highly addictive and sedating anxiolytic. Those using meprobamate for prolonged periods may become addicted and may need to be withdrawn slowly
mineral oil	Potential for aspiration and adverse effects. Safer alternatives available.
naprosyn	Non–COX-selective NSAIDs have the potential to produce GI bleeding, renal failure, high blood pressure, and heart failure.
naproxen	Non–COX-selective NSAIDs have the potential to produce GI bleeding, renal failure, high blood pressure, and heart failure.
neoloid	Stimulant laxatives may exacerbate bowel dysfunction.
nifedipine	Potential for hypotension and constipation.
nitrofurantoin	Potential for renal impairment. Safer alternatives available.
norflex	Causes more sedation and anticholinergic adverse effects than safer alternatives.
norpace	Of all antiarrhythmic drugs, this is the most potent negative inotrope and therefore may induce heart failure in elderly patients. It is also strongly anticholinergic. Other antiarrhythmic drugs should be used.
orphenadrine	Causes more sedation and anticholinergic adverse effects than safer alternatives.
oxaprozin	Non–COX-selective NSAIDs have the potential to produce GI bleeding, renal failure, high blood pressure, and heart failure.
oxybutynin	Most muscle relaxants and antispasmodic drugs are poorly tolerated by elderly patients, since these cause anticholinergic adverse effects, sedation, and weakness. Additionally, their effectiveness at doses tolerated by elderly patients is questionable.
paraflex	Most muscle relaxants and antispasmodic drugs are poorly tolerated by elderly patients, since these cause anticholinergic adverse effects, sedation, and weakness. Additionally, their effectiveness at doses tolerated by elderly patients is questionable.
pentazocine	Narcotic analgesic that causes more (CNS:central nervous system) adverse effects, including confusion and hallucinations, more commonly than other narcotic drugs. Additionally, it is a mixed agonist and antagonist.
periactin	All nonprescription and many prescription antihistamines may have potent anticholinergic properties. Nonanticholinergic antihistamines are preferred in elderly patients when treating allergic reactions.
perphenazine-amitriptyline	Because of its strong anticholinergic and sedation properties, amitriptyline is rarely the antidepressant of choice for elderly patients.
phenergan	All nonprescription and many prescription antihistamines may have potent anticholinergic properties. Nonanticholinergic antihistamines are preferred in elderly patients when treating allergic reactions.
phenobarbital	Barbiturates are highly addictive and cause more adverse effects than most sedative or hypnotic drugs in elderly patients.
polaramine	All nonprescription and many prescription antihistamines may have potent anticholinergic properties. Nonanticholinergic antihistamines are preferred in elderly patients when treating allergic reactions.
pro-banthine	GI antispasmodic drugs are highly anticholinergic and have uncertain effectiveness. These drugs should be avoided (especially for long-term use).
procardia	Potential for hypotension and constipation.
promethazine	All nonprescription and many prescription antihistamines may have potent anticholinergic properties. Nonanticholinergic antihistamines are preferred in elderly patients when treating allergic reactions.
propantheline	GI antispasmodic drugs are highly anticholinergic and have uncertain effectiveness. These drugs should be avoided (especially for long-term use).
prozac	Long half-life of drug and risk of producing excessive (CNS:central nervous system) stimulation, sleep disturbances, and increasing agitation. Safer alternatives exist.
robaxin	Most muscle relaxants and antispasmodic drugs are poorly tolerated by elderly patients, since these cause anticholinergic adverse effects, sedation, and weakness. Additionally, their effectiveness at doses tolerated by elderly patients is questionable.
secobarbital	Barbiturates are highly addictive and cause more adverse effects than most sedative or hypnotic drugs in elderly patients.
serentil	(CNS:central nervous system) and extrapyramidal adverse effects.
sinequan	Because of its strong anticholinergic and sedating properties, doxepin is rarely the antidepressant of choice for elderly patients.
skelaxin	Most muscle relaxants and antispasmodic drugs are poorly tolerated by elderly patients, since these cause anticholinergic adverse effects, sedation, and weakness. Additionally, their effectiveness at doses tolerated by elderly patients is questionable.
soma	Most muscle relaxants and antispasmodic drugs are poorly tolerated by elderly patients, since these cause anticholinergic adverse effects, sedation, and weakness. Additionally, their effectiveness at doses tolerated by elderly patients is questionable.
talwin	Narcotic analgesic that causes more (CNS:central nervous system) adverse effects, including confusion and hallucinations, more commonly than other narcotic drugs. Additionally, it is a mixed agonist and antagonist.
testrad	Potential for prostatic hypertrophy and cardiac problems
ticlid	Has been shown to be no better than aspirin in preventing clotting and may be considerably more toxic. Safer, more effective alternatives exist.
ticlopidine	Has been shown to be no better than aspirin in preventing clotting and may be considerably more toxic. Safer, more effective alternatives exist.
tigan	One of the least effective antiemetic drugs, yet it can cause extrapyramidal adverse effects.
toradol	Immediate and long-term use should be avoided in older persons, since a significant number have asymptomatic (GI: gastrointestinal) pathologic conditions.
triavil	Because of its strong anticholinergic and sedation properties, amitriptyline is rarely the antidepressant of choice for elderly patients.
trimethobenzamide	One of the least effective antiemetic drugs, yet it can cause extrapyramidal adverse effects.
tripelennamine	All nonprescription and many prescription antihistamines may have potent anticholinergic properties. Nonanticholinergic antihistamines are preferred in elderly patients when treating allergic reactions.
virilon	Potential for prostatic hypertrophy and cardiac problems
vistaril	All nonprescription and many prescription antihistamines may have potent anticholinergic properties. Nonanticholinergic antihistamines are preferred in elderly patients when treating allergic reactions.