Here is a list of the most commonly-prescribed high-risk medications and possible alternatives (if clinically appropriate)
- Sleepiness
- Weakness
- Dizziness when getting up
Non-Medication:
Better sleep habits
Medication:
Melatonin Trazodone
Carisoprodol
CyclobenzaprineMetaxalone
Methocarbamol
- Sleepiness
- Increased risk of falls and fractures
Baclofen
Tizanidine
Digoxin (daily doses greater than 0.125mg)
- Dizziness
- Confusion
- Vision changes
Adjust other heart failure
medications
Estrogen containing products
- Increased risk of breast or endometrial cancers
Hot Flashes:
Sertraline Venlafaxine
Dryness:
Premarin® cream
Bone Health:
Alendronate
Glyburide
- Low blood sugar
Glimepiride
Glipizide
Nitrofurantoin
- Lung damage
- Kidney injury
Sulfamethoxazole/Trimethoprim
CiprofloxacinCephalexin
Zolpidem
- Sleepiness
- Confusion
Non-Medication:
Better sleep habits
Zaleplon
Eszopiclone (Greater than 90 day supply total in 1 year)
- Increased risk of falls and fractures
Medication:
MelatoninTrazodone