Tab-separated file of Beers criteria alerts
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Revision as of 01:30, 20 February 2007 by Adamwright (Talk | contribs)
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.