• Sleepiness
• Weakness
• Dizziness when getting up

Non-Medication:
Better sleep habits

Medication:
Melatonin Trazodone

Carisoprodol
Cyclobenzaprine
Metaxalone
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
Ciprofloxacin
Cephalexin

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:
Melatonin
Trazodone