Drugs with Anticholinergic Activity
|
|
- Robyn Hensley
- 7 years ago
- Views:
Transcription
1 PL Detail-Document # This PL Detail-Document gives subscribers additional insight related to the Recommendations published in PHARMACIST S LETTER / PRESCRIBER S LETTER December 2011 Drugs with Anticholinergic Activity Use of drugs with anticholinergic activity can increase the risk of adverse effects (e.g., cognitive dysfunction, delirium) in the elderly. 1 Anticholinergics also interact with other drugs to reduce their effectiveness (e.g., cholinesterase inhibitors like donepezil [Aricept], etc) or increase the risk of adverse effects (e.g., increased GI irritation with oral potassium tabs or caps). 2 Drugs with low anticholinergic activity may be good alternatives to drugs with more anticholinergic activity. For example, SSRIs with lower anticholinergic activity are preferred over tricyclics for treatment of depression in the elderly. However, it s not just the use of single drugs with significant anticholinergic activity that can cause trouble. Individuals who take multiple meds with low anticholinergic activity may also have increased risk of adverse effects. In fact, even small increases in so-called anticholinergic burden or load increase the risk of morbidity and mortality in older individuals. 1,3,4 The chart below lists anticholinergic drugs,* grouping them by degree of anticholinergic activity. To help you optimize drug use in the elderly, and for therapeutic alternatives for problematic drugs, see our PL Charts, STARTing and STOPPing Medications in the Elderly, Potentially Harmful Drugs in the Elderly: Beers List and More, and Drugs to Avoid in Patients with Dementia. Antibiotics None Ampicillin Cefoxitin Clindamycin Cycloserine (Seromycin)-U.S. only Gentamicin Piperacillin Vancomycin Antidepressants Amitriptyline Amoxapine-U.S. only Clomipramine (Anafranil) Desipramine (Norpramin) Doxepin (Silenor) Imipramine (Tofranil-U.S., Impril-Canada) Nortriptyline (Pamelor-U.S., Aventyl-Canada) Paroxetine (Paxil) Protriptyline (Vivactil)-U.S. only Trimipramine (Surmontil) Bupropion (Wellbutrin, etc) Fluoxetine Fluvoxamine (Luvox) Mirtazapine (Remeron) Sertraline Trazodone
2 (PL Detail-Document #271206: Page 2 of 6) Antihistamines Brompheniramine Carbinoxamine-U.S. only Chlorpheniramine Clemastine Cyproheptadine Dimenhydrinate Diphenhydramine Hydroxyzine Meclizine-U.S. only Pyrilamine Triprolidine None Antimuscarinics (Overactive Bladder Agents) Anti-Parkinson Agents Darifenacin (Enablex) Flavoxate Oxybutynin (Ditropan) Tolterodine (Detrol) Amantadine Benztropine (Cogentin) Trihexyphenidyl None (Even though other agents not listed on the anticholinergic risk scales used to prepare this chart, all overactive bladder agents have some degree of anticholinergic side effects. These side effects may be reduced with use of long-acting or topical formulations. See our PL Charts, Antimuscarinic Medications for Overactive Bladder (U.S. subscribers) (Canadian subscribers), for a comparison of side effects and incidence.) Bromocriptine (Parlodel) Carbidopa/Levodopa Entacapone (Comtan) Pramipexole (Mirapex) Phenelzine (Nardil) Selegiline (Eldepryl)
3 (PL Detail-Document #271206: Page 3 of 6) Antipsychotics Clomipramine (Anafranil) Chlorpromazine Haloperidol Risperidone (Risperdal) Clozapine (Clozaril) Ziprasidone (Geodon-U.S., Zeldox-Canada) Fluphenazine Loxapine Olanzapine (Zyprexa) Perphenazine Pimozide (Orap) Quetiapine (Seroquel) Thioridazine-U.S. only Thiothixene (Navane) Trifluoperazine Antiseizure Drugs Carbamazepine (Tegretol) Oxcarbazepine (Trileptal) Valproic Acid Benzodiazepines None Alprazolam (Xanax) Chlordiazepoxide (Librium) Clonazepam (Klonopin-U.S., Clonapam-Canada) Clorazepate (Tranxene) Diazepam (Valium) Estazolam-U.S. only Flurazepam (Dalmane) Lorazepam Midazolam (Versed) Oxazepam Temazepam (Restoril) Triazolam (Halcion)
4 (PL Detail-Document #271206: Page 4 of 6) Cardiovascular Agents Disopyramide (Norpace-U.S., Rythmodan- Canada) Atenolol Captopril Chlorthalidone Digoxin Diltiazem Furosemide Hydralazine Isosorbide Metoprolol Nifedipine Quinidine Triamterene Gastrointestinal Agents Atropine Belladonna Cimetidine Dicyclomine Hyoscyamine-U.S. only Loperamide Prochlorperazine Promethazine Propantheline-U.S. only Ranitidine Famotidine Metoclopramide Nizatidine Immunosuppressants None Azathioprine (Imuran) Cyclosporine
5 (PL Detail-Document #271206: Page 5 of 6) Muscle Relaxants Baclofen None Carisoprodol (Soma)-U.S. only Cyclobenzaprine (Flexeril) Methocarbamol (Robaxin) Orphenadrine (Norflex) Tizanidine (Zanaflex) Opioids Meperidine Codeine Fentanyl Morphine Oxycodone Tramadol (Ultram) Respiratory Meds None Fluticasone/Salmeterol (Advair) Theophylline Other None Colchicine (Colcrys-U.S.) Dipyridamole (Persantine) Ketotifen Ophthalmic (Zaditor) Pancuronium Scopolamine Warfarin * This chart may not include all drugs with anticholinergic activity. A number of lists have been created to express the degree of anticholinergic activity of different drugs. The Anticholinergic Cognitive Burden List ranks drugs as a 1 (possible), 2 (definite), or 3 (definite) and is based on expert opinion and literature review. Drugs ranked as at least a 2 on this scale increase the risk of cognitive impairment by almost 50% over a period of six years. 4 The Anticholinergic Risk Scale ranks drugs on a scale of 0 (no or low risk), 1 (moderate), 2 (strong), or 3 (very strong) based on expert opinion and literature review of central and peripheral effects of drugs. 1 The Anticholinergic Drug Scale ranks drugs on a scale of 0 (no anticholinergic activity), 1 (potentially anticholinergic), 2 (anticholinergic adverse events sometimes noted) or 3 (marked anticholinergic activity) based on serum anticholinergic activity. 3 a. Drugs in this column are considered at least a 2 in one or more of the following: the Anticholinergic Cognitive Burden List, the Anticholinergic Risk Scale, or the Anticholinergic Drug Scale. b. Drugs in this column are considered a 1 in at least one of the following: the Anticholinergic Cognitive Burden List, the Anticholinergic Risk Scale, or the Anticholinergic Drug Scale.
6 (PL Detail-Document #271206: Page 6 of 6) Users of this PL Detail-Document are cautioned to use their own professional judgment and consult any other necessary or appropriate sources prior to making clinical judgments based on the content of this document. Our editors have researched the information with input from experts, government agencies, and national organizations. Information and internet links in this article were current as of the date of publication. Project Leader in preparation of this PL Detail- Document: Stacy A. Hester, R.Ph., BCPS, Assistant Editor 2. Zarowitz BJ. Oral solid potassium chloride and anticholinergic medications: a new drug interaction for an old drug? Geriatr Nurs 2006;27: Carnahan RM, Lund BC, Perry PJ, et al. The Anticholinergic Drug Scale as a measure of drugrelated anticholinergic burden: associations with serum anticholinergic activity. J Clin Pharmacol 2006;46: Indianapolis Discovery Network for Dementia. Anticholinergic Burden List (ACB). %20Scoring%20List_2011%20NC.pdf. (Accessed November 8, 2011). References 1. Rudolph JL, Salow MJ, Angelini MC, McGlinchey RE. The anticholinergic risk scale and anticholinergic adverse effects in older persons. Arch Intern Med 2008;168: Cite this document as follows: PL Detail-Document, Drugs with Anticholinergic Activity. Pharmacist s Letter/Prescriber s Letter. December Evidence and Recommendations You Can Trust 3120 West March Lane, P.O. Box 8190, Stockton, CA ~ TEL (209) ~ FAX (209) Subscribers to the Letter can get PL Detail-Documents, like this one, on any topic covered in any issue by going to or
Pharmacological Management of Dementia
Pharmacological Management of Dementia Christopher Sullivan Lead Clinical Pharmacist South and West Devon Devon Partnership Trust Overview Management of cognitive symptoms Management of non-cognitive symptoms
More informationPsychiatric Medications: Pearls and Pitfalls. The majority of medications used in patients with psychiatric diagnoses have more than one use.
Psychiatric Medications: Pearls and Pitfalls Rule #1 The majority of medications used in patients with psychiatric diagnoses have more than one use. Without access to the patient s medical record, to review
More informationEarly Morning Waking Excessively Orderly or Perfectionistic
COLLEGE OF MEDICINE Jacksonville 580 W 8 th St T-2 6 th Fl Ste 6005 6266 Dupont Station Ct Department of Psychiatry Jacksonville, FL 32209 Jacksonville, Fl 32217 Division of Adult Psychiatry Phone 904-383-1038
More informationPSYCHOSOMATIC INSTITUTE OF SAN ANTONIO New Patient Information
PSYCHOSOMATIC INSTITUTE OF SAN ANTONIO New Patient Information Name: Last: First: MI: Birth Date: Sex: M F Marital Status: Single Married Divorced Separated Widowed Partnered Other Preferred name: Emergency
More informationA BRIEF OVERVIEW OF PSYCHOTROPIC MEDICATION USE FOR PERSONS WITH INTELLECTUAL DISABILITIES
INTRODUCTION A BRIEF OVERVIEW OF PSYCHOTROPIC MEDICATION USE FOR PERSONS WITH INTELLECTUAL DISABILITIES Individuals with intellectual disabilities are not uncommonly prescribed psychotropic medications.
More informationMVP s Medicare Stars Ratings: High Risk Medications
MVP s Medicare Stars Ratings: High Risk Medications The Center for Medicare and Medicaid Services (CMS) uses the Star Rating System to evaluate Medicare Advantage health plans as well as their networks
More informationOral Fluid Drug Testing March 23 rd, 2015
Oral Fluid Drug Testing March 23 rd, 2015 Drug Testing Options Breath Blood Meconium Vitreous Hair Sweat Urine Oral Drug Testing Options Oral Fluid and Blood and Breath Actual levels (immediate use, up
More informationRelationship between Potentially Inappropriate Anticholinergic Drugs (PIADs) and Adverse Outcomes among Elderly Patients in Taiwan
930, Pages 930-937 doi:10.6227/jfda.2012200423 Relationship between Potentially Inappropriate Anticholinergic Drugs (PIADs) and Adverse Outcomes among Elderly Patients in Taiwan KUANG-HUA HUANG 1, YI-FANG
More informationPalliative Care Drug Plan (Plan P) Formulary List of drugs PharmaCare covers
Palliative Care Drug Plan (Plan P) Formulary List of drugs PharmaCare covers Important Notes: Last Updated: May 11, 2015 Pharmacists must submit a claim on PharmaNet at the time of purchase to enable coverage.
More informationPSYCHOPHARMACOLOGY AND WORKING WITH PSYCHIATRY PROVIDERS. Juanaelena Garcia, MD Psychiatry Director Institute for Family Health
PSYCHOPHARMACOLOGY AND WORKING WITH PSYCHIATRY PROVIDERS Juanaelena Garcia, MD Psychiatry Director Institute for Family Health Learning Objectives Learn basics about the various types of medications that
More informationHandout 2 List of medications used to treat mental illness
Navigating Boundaries: Setting Sail With A Mentally Ill Client Handout 2 List of medications used to treat mental illness Information synthesized from www.drugs.com. Additional Information: CR following
More information12629 LIBRIUM CHLORDIAZEPOXIDE HCL 12637 LIBRIUM CHLORDIAZEPOXIDE HCL 12645 LIBRIUM CHLORDIAZEPOXIDE HCL 13110 VALIUM DIAZEPAM 13277 VALIUM DIAZEPAM 24406 LITHANE LITHIUM CARBONATE 25836 SURMONTIL TRIMIPRAMINE
More informationYOUR MEDICATIONS WHAT YOU SHOULD KNOW
YOUR MEDICATIONS WHAT YOU SHOULD KNOW A Handbook For People With Developmental Disabilities Developmental Disabilities Area Board 10 Developmental Disabilities Area Board 10 411 N. Central Avenue Suite
More informationAntipsychotics and the Nursing Home
Antipsychotics and the Nursing Home Lisa M. O Hara, PharmD, CGP Corporate Director of Clinical Services The State Operations Manual Part 1: F329 Unnecessary Drugs Medication Management Defined Helps promote
More informationMental Health Medications
Mental Health Medications National Institute of Mental Health U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Contents Mental Health Medications..............................................................1
More informationArizona Department of Health Services/ Division of Behavioral Health Services Behavioral Health Drug List Effective 1/1/2014
Arizona Department of Health Services/ Division of Behavioral Health Services Behavioral Health Drug List Effective 1/1/2014 The Arizona Department of Health Services, Division of Behavioral Health Services,
More informationPSYCHIATRIC MEDICATION USE DURING PREGNANCY AND BREASTFEEDING
E-Resource May 2014 PSYCHIATRIC MEDICATION USE DURING PREGNANCY AND BREASTFEEDING Psychotropic medication use during pregnancy may have adverse effects, however, there is a growing body of evidence that
More informationMedications A detailed booklet that describes mental disorders and the medications for treating them includes a comprehensive list of medications.
A detailed booklet that describes mental disorders and the medications for treating them includes a comprehensive list of medications. 2014 Contents Introduction: Mental Health Medications...1 What are
More informationWhy is medication recommended as part of the treatment for mental illness?
Medications for Psychiatric Disorders Introduction This article discusses medications for psychiatric disorders. Information is provided about the effects of medications, including their advantages and
More informationAn Overview of Mayo Clinic Tests Designed for Detecting Drug Abuse
Drug Testing An Overview of Mayo Clinic Tests Designed for Detecting Drug Abuse Printed on August 18, 2016 1:59 pm CST 2016 Mayo Foundation for Medical Education and Research (MFMER). All rights reserved.
More informationMedication Management Improvement System
Medication Management Improvement System Protocol #3: Falls and Dizziness Related to the Use of Central Nervous System-Active Medications Problem: Goal: Use of medications that increase risk of falls and
More informationLamictal, lamotrigine Lithium, lithobid, eskalith Depakote, valproate Trileptal, oxcarbazepine Tegretol, equetro, carbamazepine Atypicals (aripiprazole, abilify, olanzapine, zyprexa, invega, risperdal,
More informationPSYCHIATRIC MEDICATIONS AND HIV ANTIRETROVIRALS ADULT MANAGEMENT Winter 2013 ADRUGINTERACTIONGUIDEFORCLINICIANS
PSYCHIATRIC MEDICATIONS AND HIV ANTIRETROVIRALS ADULT MANAGEMENT Winter 2013 ADRUGINTERACTIONGUIDEFORCLINICIANS Psychiatric Medications and HIV Antiretrovirals: A Drug Interaction Guide for Clinicians
More informationMedication Glossary Drug Classes and Medications
Understanding Lewy Body Dementia Lewy body dementia (LBD) is a brain disorder that impairs thinking, movement, sleep and behavior. It also affects autonomic body functions, such as blood pressure control,
More informationDRUG DRIVING OFFENCES
DRUG DRIVING OFFENCES Taking drug can affect body and mind coordination that can significantly impair the ability to drive a motor vehicle. Road Traffic Ordinance (Cap 374) was amended in 2011 in order
More informationMedications Used in the Management of Disruptive Behavior Disorders
The following medication chart is provided as a brief guide to some of the medications used in the management of various behavior disorders, along with their potential benefits and possible side effects.
More informationTests Impacted by 2015 CPT Changes
Toxicology Changes for 2015 HPV Examples of Toxicology Panels Molecular Pathology, FISH and Anatomic Pathology 1 Toxicology Changes for 2015 80100 Test Code Dos Test Name 2015 2015 Medicare 5229 Drug Screen,
More informationDisclosures Christer Allgulander
How Patients With Generalized Anxiety Disorder (GAD) Are Treated in Specialized Care: A Pharmacoepidemiological Case Register Study in Sweden Christer Allgulander MD, Karolinska Institutet, Sweden Jan
More informationMedications for Huntington s Disease Vicki Wheelock, M.D.
Medications for Huntington s Disease Vicki Wheelock, M.D. Director, HDSA Center of Excellence at UC Davis June 4, 2013 Outline Introduction and disclaimers Medications for cognitive symptoms Medications
More informationObjectives. Depression and Anxiety: Latest in treatment recommendations. At the conclusion of this presentation the attendee will be able to:
Depression and Anxiety: Latest in treatment recommendations Margaret A. Fitzgerald, DNP, FNP-BC, NP-C, FAANP, CSP, FAAN, DCC President, Fitzgerald Health Education Associates, Inc., North Andover, MA Family
More information$10.00 PRESCRIPTION PROGRAM DETAILS
$10.00 PRESCRIPTION PROGRAM DETAILS 1. The $10.00 program applies only to certain generic drugs at commonly prescribed 90 day usage dosages. (See list). 2. The Program may change without notification and
More information$4, 30-day $10, 90-day
$4 Prescriptions - Choose from hundreds of generic drugs and over the counter medications. Free Home Delivery Mailed right to your home Free shipping Prescription Program includes up to a 30-day supply
More informationMeasuring Generic Efficiency in Part D
Measuring in Part D Rates among Medicare Part D Generic efficiency rate is a measurement of the total number of prescrip=ons filled as a generic for products with a direct generic subs=tute within a therapeu=c
More informationToxicology CPT Code Changes for 2016
Beginning January 1, 2016, CMS deleted all 2015 drug testing G codes and will continue to not recognize the AMA CPT codes for drug testing. CMS created three G codes for presumptive testing and four G
More informationPharmacotherapy of BPSD. Pharmacological interventions. Anti-dementia drugs. Abhilash K. Desai MD Medical Director Alzheimer s Center of Excellence
Pharmacotherapy of BPSD Abhilash K. Desai MD Medical Director Alzheimer s Center of Excellence Pharmacological interventions Reducing medication errors. Reducing potentially inappropriate medication prescription.
More informationATYPICALS ANTIPSYCHOTIC MEDICATIONS
The atypical antipsychotics are a class of drugs that are used to treat a number of behavioral health disorders, including schizophrenia, other psychotic disorders, mood disorders, and behavioral agitation
More informationUpdated MAR 26, 2013 Myelography Seizures:
Updated MAR 26, 2013 Myelography Medications to be evaluated prior to myelography. This list is to assist the radiologist, pharmacist, and radiology technologist in evaluating medication risk associated
More informationThe Road to Rehabilitation, Part 6: Mapping the Way: Drug Therapy & Brain Injury Written by Gregory O Shanick, MD
The Road to Rehabilitation, Part 6: Mapping the Way: Drug Therapy & Brain Injury Written by Gregory O Shanick, MD Introduction The basic unit of the nervous system is the neuron or nerve cell. Billions
More informationCCHCS Care Guide: Cognitive Impairment/Dementia
GOALS DIAGNOSTIC CRITERIA/EVALUATION Early identification of affected patients Prevention of victimization Reduce symptom severity Improve quality of life ALERTS Victimized patients Increase in rules violation
More informationFormulary and OTC Alternative(s) 1-16* Recommendation 1 Antihypertensive Guanabenz Guanfacine Methyldopa Reserpine (>0.1mg/day)
High Risk Medications in Older Adults: Drug Alternative(s) Drug Class Drug Names Concern / Risk 1 Beers Formulary and OTC Alternative(s) 1-16* Recommendation 1 Antihypertensive Guanabenz Guanfacine Methyldopa
More informationPOPULAR DEPRESSION MEDICATIONS
Popular Depression Medications A Helpful Guide to Antidepressant Drugs POPULAR DEPRESSION MEDICATIONS A Helpful Guide to Antidepressant Drugs Popular Depression Medications A Helpful Guide to Antidepressant
More informationLook-Alike Drug Names with Recommended Tall Man Letters
FDA and ISMP Lists of Look-Alike Drug Names with Recommended Tall Man Letters Since 2008, ISMP has maintained a list of drug name pairs and trios with recommended, bolded tall man (uppercase) letters to
More informationThe CPT code for Human papillomavirus (HPV) has changed from 87621 to 87624. This code (87624) covers testing for HPV High Risk genotypes.
January 2015 2015 CPT Code Updates Dear Client: The American Medical Association (AMA) publishes the Current Procedural Terminology (CPT) Coding Manual on an annual basis. For 2015, the AMA made several
More informationPsychiatric Evaluation Intake Form
Psychiatric Evaluation Intake Form 1. Patient Contact Information Patient Name Preferred Name Last First MI Address_ Best contact phone number: Email address: Primary Care Physician Tel Fax Pharmacy Phone
More informationThe Pharmacist s Role in Recognition and Management of Alzheimer s
10:15am - 11:15am: Breakout 2 - Mental Health Option B: The Pharmacist s Role in Recognition and Management of Alzheimer s ACPE UAN 0107-0000-10-013-L01-P 0.1 CEU/1.0 Hr. Activity Type: Application-Based
More informationTRENDS IN ALCOHOL AND DRUG RELATED AMBULANCE ATTENDANCES IN MELBOURNE 2009 10
AMBO PROJECT: ALCOHOL AND DRUG RELATED AMBULANCE ATTENDANCES TRENDS IN ALCOHOL AND DRUG RELATED AMBULANCE ATTENDANCES IN MELBOURNE 2009 10 Belinda Lloyd ambo project: Alcohol and Drug Related Ambulance
More informationConcurrent substance use and mental health disorders An information guide
Concurrent substance use and mental health disorders An information guide W.J. Wayne Skinner, MSW, RSW; Caroline P. O Grady, RN, MN, PhD Christina Bartha, MSW, CSW; Carol Parker, MSW, CSW i Concurrent
More informationDirectory of Generic Medications Eligible for Rx Savings Program Flat Fees
Directory of Generic Medications Eligible for Rx Savings Program Flat Fees CONNECTICUT VERSION If you re already enrolled in the FREE* Rx Savings Program, use this guide to find your best choices. And,
More informationDepression. Medicines To Help You
Medicines To Help You Depression Use this guide to help you talk to your doctor, pharmacist, or nurse about your medicines for depression. The guide lists all of the FDA-approved products now available
More informationBRAIN INJURY MEDICATIONS by Daniel Gardner, M.D. (copyright 9/94, 8/98)
BRAIN INJURY MEDICATIONS by Daniel Gardner, M.D. (copyright 9/94, 8/98) (This article may be reprinted and distributed freely provided the text is unchanged and full attribution is given to the author.)
More informationThe Road to Rehabilitation
The Road to Rehabilitation Part 6 Mapping the Way: Drug Therapy & Brain Injury Written by Gregory O Shanick, MD Brain Injury Association of America Brain Injury Association of America Creating a better
More informationPsychiatric medications
helping families & friends find better ways Psychiatric medications Introduction The experience of mental illness can have a profound impact upon people s work, family and social lives, as well as on confidence
More informationMEDICATION ABUSE IN OLDER ADULTS
MEDICATION ABUSE IN OLDER ADULTS Clifford Milo Singer, MD Adjunct Professor, University of Maine, Orono ME Chief, Division of Geriatric Mental Health and Neuropsychiatry The Acadia Hospital and Eastern
More informationPREFERRED GENERIC DRUG LIST
These discount programs are NOT health insurance policies and are not intended as a substitute for insurance. The programs do not qualify as a minimum creditable coverage under Massachusetts law or where
More informationDUI in Southern Ohio MATT 2006
DUI in Southern Ohio MATT 2006 Laureen J. Marinetti, M.S., Ph.D. Chief Toxicologist Montgomery County Coroner s s Office & Miami Valley Regional Crime Lab (MVRCL) Dayton, Ohio Region The MVRCL is a regional
More informationSerenity Psychiatry, LLC Mimi Armellino, DO Of Coastal Counseling Associates. Patient History Form
Serenity Psychiatry, LLC Mimi Armellino, DO Of Coastal Counseling Associates Patient History Form Name Date Age DOB SSN Address City State ZIP Patient s Telephone (H) (W) (Cell) Email Job Title or School
More information4 DRUGS USED TO RELIEVE BEHAVIOURAL AND PSYCHOLOGICAL SYMPTOMS OF DEMENTIA
DEMENTIA Q&A 4 DRUGS USED TO RELIEVE BEHAVIOURAL AND PSYCHOLOGICAL SYMPTOMS OF DEMENTIA People with dementia may at some point in their illness develop behavioural or psychological symptoms. While it is
More information612 Program Midtown Express Pharmacy
ALENDRONATE SOD TAB 35MG (max 1 per week) $37.00 $70.00 ALENDRONATE SOD TAB 70MG (max 1 per week) $37.00 $70.00 ALLOPURINOL TAB 100MG $20.00 $38.00 ALLOPURINOL TAB 300MG $20.00 $38.00 AMITRIPTYLINE TAB
More informationDrug Classifications. Cholinergic (parasympathetic) drugs Ex. Acetylcholine, bethanecol, neostigmine, guanidine
Drug Classifications I. Autonomic nervous system drugs Cholinergic (parasympathetic) drugs Ex. Acetylcholine, bethanecol, neostigmine, guanidine Cholinergic blocking drugs Ex. Atropine, scopolamine Adrenergic
More informationMrs. C, age 51, experiences exacerbated
Drug interactions with tobacco smoke: Implications for patient care Martha P. Fankhauser, MS Pharm, FASHP, BCPP Vicki L. Ellingrod, PharmD, BCPP, FCCP Series Editor Mrs. C, age 51, experiences exacerbated
More informationPSYCHIATRY. Patient Name: Date: / / Date of Birth: / / Age: Pharmacy Name: Pharmacy Phone #:
Patient Name: Date: / / Date of Birth: / / Age: Pharmacy Name: Pharmacy Phone #: Primary Care Physician: Current Therapist/Counselor: How did you hear about us? Internet Insurance Other Providers (specialty):
More informationDisclosure Statement. Nursing Facility Regulations and Psychotropic Medication Use. Learning Objectives (Cont) Learning Objectives
Nursing Facility Regulations and Psychotropic Medication Use Jeffrey C. Reist PharmD, BCPS College of Pharmacy The University of Iowa December 2010 Disclosure Statement I, Jeffrey Reist, PharmD, BCPS do
More informationEMORY CLINIC, INC. Brain Health Center 12 Executive Park Dr. Atlanta, GA 30329 404-728-6302
New Patient Packet 03/10/2015 EMORY CLINIC, INC. Brain Health Center 12 Executive Park Dr. Atlanta, GA 30329 404-728-6302 Thank you for allowing us to assist in your care. We look forward to meeting you.
More informationHarmful Interactions: Mixing Alcohol with Medicines
Harmful Interactions: Mixing Alcohol with Medicines May cause DROWSINESS. ALCOHOL may intensify this effect. USE CARE when operating a car or dangerous machinery. May cause DROWSINESS. ALCOHOL may intensify
More informationHome Delivery Prescription Program Drug List
Home Delivery Prescription Program Drug List Low-cost prescriptions, right in your mailbox. Now you can have your generic prescriptions mailed right to your home, no matter where you live. Because we think
More informationState of Louisiana. Department of Health and Hospitals Bureau of Health Services Financing
Bobby Jindal GOVERNOR State of Louisiana Department of Health and Hospitals Bureau of Health Services Financing Kathy H. Kliebert SECRETARY The purpose of this memo is to advise you that effective September
More informationBenzodiazepines. Understanding psychiatric medications. Information for consumers, families and friends. Titles in the
Titles in the Understanding psychiatric medications series include: Antidepressants Antipsychotics Benzodiazepines Mood Stabilizers Understanding psychiatric medications Benzodiazepines For more information
More informationOverview of Mental Health Medication Trends
America s State of Mind Report is a Medco Health Solutions, Inc. analysis examining trends in the utilization of mental health related medications among the insured population. The research reviewed prescription
More informationWhat are the best treatments?
What are the best treatments? Description of Condition Depression is a common medical condition with a lifetime prevalence in the United States of 15% among adults. Symptoms include feelings of sadness,
More informationDrugs & driving: the place of medication reviews in improving safety for older road users. Dr Jenny Gowan
Drugs & driving: the place of medication reviews in improving safety for older road users Dr Jenny Gowan Consultant pharmacist, Northern & North East Valley Divisions of General Practice, Melbourne, Victoria,
More informationHarmful Interactions: Mixing Alcohol with Medicines
Harmful Interactions: Mixing Alcohol with Medicines. ct. ESS effe SIN this ar ROW nsify a c se D ay inte perating m cau o May OHOL when hinery. ALC CARE us mac USE angero or d U.S. Department of Health
More informationOpiates Heroin/Prescription Steve Hanson Opiates Dates to 4,000 BC Mimics endorphin activity Natural - Opium, morphine, codeine Semi-synthetic- Heroin, Dilaudid Synthetics - Darvon, Demerol, Fentanyl Modern
More informationMedication Side Effects:
Medication Side Effects: Staying Healthy While on Psychotropic Medications Megan Maroney PharmD, BCPP Clinical Assistant Professor Ernest Mario School of Pharmacy Rutgers the State University of New Jersey
More informationPharmacy Savings Program
Pharmacy Savings Program SELECT GENERICS DRUG LIST The Pharmacy Savings Program provides you with savings on select generic medications included on this list. The prices for these select generic medications
More informationPREFERRED GENERIC DRUG LIST
ALLERGIES & COLD AND FLU Preferred generic drugs MARCH 2013 supply* for $5 supply* for $10 and $15 * The day supply is based upon the average dispensing patterns for the specific drug and strength. 90-
More informationNew Treatments. For Bipolar Disorder. Po W. Wang, MD Clinical Associate Professor Bipolar Disorders Clinic Stanford University School of Medicine
New Treatments For Bipolar Disorder Po W. Wang, MD Clinical Associate Professor Bipolar Disorders Clinic Stanford University School of Medicine Abbott Laboratories AstraZeneca Bristol-Myers Squibb Corcept
More informationMaking sense of coming off psychiatric drugs. coming off psychiatric drugs
Making sense of coming off psychiatric drugs coming off psychiatric drugs Making sense of coming off psychiatric drugs Many people would like to stop their psychiatric medication, but coming off can be
More informationSafe Medication Use in the Older Adult
Safe Medication Use in the Older Adult Holly Divine, PharmD, CGP, CDE Clinical Associate Professor University of Kentucky College of Pharmacy Department of Pharmacy Practice & Science Objectives Know the
More informationRetail Prescription Program Drug List
Retail Prescription Program Drug List Price Matters New Men s Health Category Convenience Free Home Delivery Our 4 prescriptions have saved our customers over 3 billion The program is available to everyone,
More informationA few general principles regarding medications are important to consider before initiating therapy in individuals diagnosed with a dementia
MEDICATIONS USED FOR THE MANAGEMENT OF DEMENTIA AND RELATED BEHAVIORIAL COMPLICATIONS* R.Ron Finley, B.S Pharm, R.Ph,CGP, Aimee Loucks, Pharm. D., Gil D. Rabinovici, M.D The following is intended to be
More information59 Congresso SIGG. Bologna, 26-29 Novembre 2014. SIMPOSIO Le perdite di coscienza nell anziano con demenza: un territorio da esplorare
59 Congresso SIGG Bologna, 26-29 Novembre 2014 SIMPOSIO Le perdite di coscienza nell anziano con demenza: un territorio da esplorare Farmaci per la demenza e rischio di cadute e sincope Abete P, MD, PhD
More informationPhone (Home) Phone (Work or other) Primary Care Physician: PCP Address: Phone: Referring Physician (if different than PCP):
Addressograph or Patient Name and Medical Record Number Clinics Pain Mngmt New Patient Health Questionnaire Patient Name: Last First Middle Maiden Address: Street City State Zip Phone (Home) Phone (Work
More informationDementa Formulary Guidance [v1.0]
Dementa Formulary Guidance [v1.0] 1. Introduction These Guidelines are intended for routine use. However there will be instances where they are not suitable for the patient you are managing, where more
More information5/21/2012. JCAHO National Patient Safety Goal: Maintain and communicate accurate patient medication information.
Is 3 rd leading cause of patient harm Medical errors - 8 th leading cause of death in the US Each year in the US, est. 450,000000 preventable med-related adverse events occur 20% of patients have complications
More informationMEDICATIONS AND PARKINSON'S DISEASE Cathi A.Thomas R.N., M.S.
MEDICATIONS AND PARKINSON'S DISEASE Cathi A.Thomas R.N., M.S. Medications to relieve or decrease symptoms of Parkinson s disease are an important and necessary part of care. For some people this may be
More informationQuality Measures for Pharmacies
PL Detail-Document #320101 This PL Detail-Document gives subscribers additional insight related to the Recommendations published in PHARMACIST S LETTER / PRESCRIBER S LETTER January 2016 Quality for Pharmacies
More informationRecognition and Treatment of Depression in Parkinson s Disease
Recognition and Treatment of Depression in Parkinson s Disease Web Ross VA Pacific Islands Health Care System What is depression? Depression is a serious medical condition that affects a person s feelings,
More informationfor Extended Stability Parenteral Drugs Third Edition Caryn M. Bing, R.Ph., M.S., FASHP Editor
Extended Stability for Parenteral Drugs Third Edition Editor Caryn M. Bing, R.Ph., M.S., FASHP 1 American Society of Health-System Pharmacists Bethesda, Maryland Contents Preface Acknowledgments x/ Dedication
More informationPARTNERSHIP HEALTHPLAN OF CALIFORNIA MEDI-CAL PROVIDER MANUAL CLAIMS DEPARTMENT
PARTNERSHIP HEALTHPLAN OF CALIFORNIA MEDI-CAL PROVIDER MANUAL CLAIMS DEPARTMENT X.J. Mental Health Services 1. For claims with dates of service on or before January 1, 2014: Mental Health Services are
More informationChapter 4: Central nervous system
Page 1 of 15 Menu Pharmacy Home Page Chapter 4: Central nervous system POPAM The GHT Formulary applies to the treatment of adults only Policies & Forms To search the chapter click 'Ctrl' + 'F' and type
More informationNeuropharmacology II Antidepressants and Sedatives
Harvard-MIT Division of Health Sciences and Technology HST.151: Principles of Pharmocology Instructor: Dr. David Standaert Standaert 1 Neuropharmacology II Antidepressants and Sedatives Depression A frequent
More informationWhat Does the Drug Test Tell Us
What Does the Drug Test Tell Us QUALITATIVE TOXICOLOGY TESTING for CLINICAL MANAGEMENT of the PATIENT Background The qualitative drug test is often referred to as the drug screen - a misnomer Testing performed
More informationFrequently Asked Questions: HB 341 Mandatory OARRS Registration and Requests
Frequently Asked Questions: HB 341 Mandatory OARRS Registration and Requests Q1) What is OARRS? Updated 12-18-2014 OARRS stands for the Ohio Automated Rx Reporting System. Established in 2006, OARRS is
More informationUnitedHealthcare Group Medicare Advantage (PPO)
Your Plan Explained UnitedHealthcare Group Medicare Advantage (PPO) UHEX11MP3230855_001 Y0066_100616_09113 Your Medicare. This brochure explains your Medicare Advantage plan, a type of health plan also
More informationClinical Guideline / Formulary Document Pharmacy Department Medicines Management Services
Clinical Guideline / Formulary Document Pharmacy Department Medicines Management Services DEPRESSION Pharmacological Treatment of Depression NICE guidelines suggest the following stepped care model also
More informationUrine drug screens. Screening Methods
Screening Methods Urine drug screens Urine drug screens are generally performed using either immunoassays or gas chromatography-mass spectrometry (GC-MS). 2 Immunoassay UDS contain specific antibodies
More informationGeneric Pharmacy Discount
Generic Pharmacy Discount 83 Park Place Blvd Suite 101 Clearwater, FL 33759 Fourth Quarter 2014 727.461.6044 800.314.0088 Pharmacies Generic Discount Program Information Enclosed information provided
More informationNeurotransmitters Made Easy: The Mood Teeter-Totter
Neurotransmitters Made Easy: The Mood Brad Lander PhD, LICDC Clinical Director / Psychologist Talbot Hall - Addiction Medicine at The Ohio State University Wexner Medical Center Key Point #1 Thinking and
More informationTime to onset, remarks, outcome - tinnitus one day after start, outcome unknown. Adverse drug reaction
SSRIs and Introduction Selective serotonin re-uptake inhibitors (SSRIs) are antidepressants which have been approved for the Dutch market mainly for the treatment of depressive episodes. The group of SSRIs
More information