Have You Ever Wondered
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- Georgiana Walters
- 5 years ago
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1 Have You Ever Wondered A few facts about medication use and related falls The Number of Medications You Take & The Connection to Falls CONCERN: As you increase the number of medications that you take, your risk of medication-related falls may increase. WHAT YOU CAN DO ABOUT THIS: Ask your health-care provider to review your medication list for medications which you may no longer need or may put you at increase risk for medication-related falls. Certain medications are associated with falls CONCERN: Some medications used for the following conditions may have side effects which may increase your risk for medication related falls: o Mental Health Related: Anxiety, restlessness or movement disorders, etc. -(E.g.: Help falling asleep) Depression -(E.g.: Low mood) Thought disorders -(E.g.: psychosis or dementia [trouble remembering things]) o Pain... o Heart Related: Heart and blood pressure problems o Stomach / Bladder/ Regularity Related: Urinary control or over-active bladder o Colds and Allergies
2 Report side effects of medications (Such as falls) to your health-care provider. Use the Medication and Fall Risk Chart for a listing of medications and some potential side effects which may increase your risk of falls. USE FOR EXAMPLES OF MENTAL HEALTH RELATED Anxiety Restlessness Seizures Movement disorders Sleep/sedation Alprazolam (Xanax ) Chlordiazepoxide (Librium ) Clonazepam (Klonopin ) Diazepam (Valium ) Eszopiclone (Lunesta ) Lorazepam (Ativan ) Zolpidem (Ambien ) Zaleplon (Sonata ) Depression or low mood Anxiety Pain Sleep/sedation Amitriptyline Citalopram (Celexa ) Duloxetine (Cymbalta ) Dexvenlafaxine (Prestiq ) Escitalopram (Lexapro ) Fluoxetine (Prozac ) Imipramine Nortriptyline Mirtazepine (Remeron ) Paroxetine (Paxil ) Sertraline (Zoloft ) Trazodone (Desyrel ) Venlafaxine (Effexor ) -(Called orthostatic hypotension) (E.g.: Blacking out, stumbling, or staggering) Problems with concentration or memory
3 EXAMPLES OF EXAMPLES OF MENTAL HEALTH RELATED Thought disorders Manicdepression Behavioral problems with dementia Aripiprazole (Abilify ) Haloperidol (Haldol ) Olanzapine (Zyprexa ) Quetiapine (Seroquel ) Risperidone (Risperdal ) Ziprasidone (Geodon ) Gait/movement disturbance Shakiness Gait disturbance -(E.g.: Stumbling, staggering or tripping) Unusual muscle movements PAIN Pain Celecoxib (Celebrex ) Hydrocodone (Lortab, Vicodin ) Hydromorphone (Dilaudid ) Ibuprofen (Advil, Motrin ) Morphine Oxycodone (Oxycontin ) Naproxen (Aleve ) Nabumetone (Relafen ) Piroxicam (Feldene ) Fluid/body salt imbalance Decrease in urine volume
4 EXAMPLES OF HEART RELATED High blood pressure Heart disease Fluid balance Kidney problems EXAMPLES OF Diuretics Furosemide (Lasix ) Hydrochlorothiazide Spironolactone Beta Blockers (BB) Atenolol (Tenormin ) Carvedilol (Coreg ) Metoprolol (Toprol ) Propranolol (Inderal ) Calcium Channel Blockers (CCB) Amlodipine (Norvasc ) Diltiazem (Cardizem, Dilacor ) Felodipine (Plendil ) Nifedipine (Procardia ) Verapamil Ace-inhibitors (ACE-Is) Benazepril (Lotensin ) Captopril (Capoten ) Enalapril (Vasotec ) Fosinopril (Monopril ) Lisinopril (Prinivil, Zestril ) Ramipril (Altace ) Quinapril (Accupril ) Angiotensin Receptor Blockers (ARBs) Ibesartan (Avapro ) Losartan (Cozaar ) Valsartan (Diovan ) Fluid/body salt imbalance Dehydration Heart rate too low Lightheadedness especially after standing up Skin not as elastic Dark urine Decrease in urine volume
5 EXAMPLES OF HEART RELATED High blood pressure Heart disease Fluid balance Kidney problems EXAMPLES OF Nitrates Isosorbide (Imdur, Ismo ) Nitrostat Digoxin (Lanoxin ) Fluid/body salt imbalance Dehydration Heart rate too low such as blacking out, stumbling, or staggering Skin not as elastic Dark urine Decrease in urine volume STOMACH / BLADDER / REGULARITY RELATED Urinary incontinence -(E.g.: overactive bladder) Motion sickness Nausea or vomiting Muscle tension Stomach pain, heart burn, or acid stomach Motion Sickness/Nausea Meclizine (Antivert ) Prochlorperazine (Compazine ) Promethazine (Phenergan ) Scopolamine (TransDermScop ) Stomach Cimetidine (Tagamet ) Dicyclomine (Bentyl ) Promethazine (Phenergan ) Urinary Agents Darifenacin (Enablex ) Oxybutynin (Ditropan ) Solifenacin (Vesicare ) Tolterodine (Detrol ) Trospium (Sanctura ) Muscle relaxants Cyclobenzaprine (Flexeril ) Blurred vision Racing heart Agitation/disordered thinking Problems with concentration or memory Changes in vision
6 EXAMPLES OF COLD AND ALLERGIES Runny nose -(E.g.: cold or allergy symptoms) EXAMPLES OF Antihistamines Diphenhydramine (Benadryl ) Chlorpheniramine Cyproheptadine (Periactin ) Hydroxyzine (Vistaril, Atarax ) Blurred vision Racing heart Agitation/disordered thinking Problems with concentration or memory Changes in vision
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