Anticholinergic Medications

An anticholinergic agent is a substance that blocks the  neurotransmitter acetylcholine in the central and the peripheral nervous system. It reduces spasms of  smooth muscles (for example, muscles in the bladder). Side effects of  anticholinergic medications include dry mouth and related dental problems, blurred vision, tendency toward overheating (hyperpyrexia), and in some cases, dementia-like symptoms. These medicines are known to cause confusion, memory loss, worsening of mental function, and other cognitive effects in the elderly.

Please discuss your medications concerns with your doctor.

Do not start or  stop taking any medications without consulting your doctor.

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Antihistamines, Allergy, Cough & Cold Medicines

GENERIC NAME COMMON BRAND NAME(S)
Azelastine nasel spray Astepro™
Brompheniramine Dimetane Extentab™, Cophene B™, Dimetapp Allergy™, Bromax
Carbinoxamine Palgic™, Carboxine™, Arbinoxa™, Karbinal ER
Chlorpheniramine Chlor-Trimeton™, Chlor-Trimeton Allergy SR™, Allergy Relief™, Chlorphen
Clemastine  Tavist Tavist-1™, Dayhist-1™, Leader Allerhist
Cyproheptadine Periactin Periactin™
Dexbrompheniramine  Ala-Hist IR
Dexchlorpheniramine Polaramine™ 
Diphenhydramine Benadryl™, Sominex™, Diphenhist™, Wal-Dryl™, Banophen™, Hydramine™, Dicopanol™
Hydroxyzine Vistaril™, Atarax™
Mepyramine Medivet™, Kenya™; Anergol Nasal™ 
Olopatadine Pataday™, Patanol™, Patanase™
Phenyltoloxamine Dologesic™, Relagesic™
Promethazine Phenadoz™, Phenergan™, Promethegan™
Triprolidine Zymine™

 

Anxiety

GENERIC NAME COMMON BRAND NAME(S)
Hydroxyzine Vistaril™, Atarax™

 

Bladder Antispasmodics

GENERIC NAME COMMON BRAND NAME(S)
Darifenacin Enablex™
Flavoxate  Urispas™
Oxybutynin Gelnique™, Ditropan™, Oxytrol™
Propantheline Pro-Banthine™
Solifenacin VESIcare™
Tolterodine Detrol™
Trospium Sanctura™

 

Motion Sickness, Dizziness & Nausea

GENERIC NAME COMMON BRAND NAME(S)
Dimenhydrinate Dramamine™, Dymenate™, Triptone™, Calm-X™
Meclizine Antivert™, Verticalm™, Bonine™
Prochlorrperazine Compro™
Promethazine Phenadoz™, Phenergan™, Promethegan™
Scopolamine Transderm-Scop™, Scopace™, Maldemar
Trimethobenzamide Tigan™

 

Movement Disorders

GENERIC NAME COMMON BRAND NAME(S)
Amantadine Symmetrel™
Benztropine Cogentin™
Procyclidine Kemadrin
Trihexyphenidyl Artane™, Trihexy™, Trihexane
Orphenadrine Norflex™

 

Muscle Spasms & Pain-Muscle Relaxants

GENERIC NAME COMMON BRAND NAME(S)
Cyclobenzaprine Amrix™, Fexmid™, Flexeril™
Meperidine Demerol™
Orphenadrine Norflex™
Phenyltoloxamine Cafgesic Forte™, Combiflex ES™, Durabac Forte

 

Stomach & GI Tract – Ulcer & Reflux

GENERIC NAME COMMON BRAND NAME(S)
Cimetidine Tagamet™, Tagamet HB™, Equaline Acid Reducer
Glycopyrrolate Robinul™, Cuvposa™
Ranitidine Zantac™, Deprizine™

 

Stomach & GI Tract GI Antispasmodics

GENERIC NAME COMMON BRAND NAME(S)
Atropine Belladonna™
Alkaloids
Clidinnium Librax™, Clindex™, Chlordinium™
Dicyclomine Bentyl™
Hyoscyamine Anaspaz™, Cystospaz™, Donnamar™, Levsin™
Methscopolamine Pamine™
Propantheline Pro-Banthine

Seizures & Mood Disorders

GENERIC NAME COMMON BRAND NAME(S)
Carbamazepine  Tegretol™, Carbatrol™, Epitol™, Tegretol XR

 Insomnia & Sleep

GENERIC NAME COMMON BRAND NAME(S)
Diphenhydramine Benadryl™, Sominex™, Diphenhist™, Wal-Dryl™, Banophen™, Hydramine™, Dicopanol™
Doxylamine Sleep Aid Tablets™, Unisom SleepTabs™, Equate Sleep Aid™, Nytol Maximum Strength

Antipsychotics

GENERIC NAME COMMON BRAND NAME(S)
Chlorpromazine  Thorazine™, Ormazine™
Clozapine Clozaril™, FazaClo™
Loxapine Loxitane™
Molindone Moban™
Olanzapine Zyprexa™
Pimozide Orap™
Perphenazine Trilafon™
Promethazine Phenadoz™, Phenergan™, Promethegan™
Quetiapine Seroquel™
Thioridazine  Mellaril™, Mellaril-S
Trifluoperazine Stelazine™

 

Asthma & COPD

GENERIC NAME COMMON BRAND NAME(S)
Glycopyrrolate Robinul™, Cuvposa™
Ipratropium* Atrovent™
Tiotropium* Spiriva™
* Unknown whether central nervous system effects are important  

 

Tricyclic Antidepressants

GENERIC NAME COMMON BRAND NAME(S)
Amitriptyline Vanatrip™, Elavil™, Endep™
Clomipramine  Anafranil
Desipramine Norpramin™
Doxepin Silenor™, Zonalon™, Prudoxin™
Imipramine Tofranil, Tofranil-pm
Nortriptyline Pamelor™
Protriptyline Vivactil™
Trimipramine Surmontil™
DISCLAIMERS This information is intended to start a dialog of the effects of medications for those with dementia.

There is more information on medications on our Helpful Links page.

However, it is not a complete list of side effects, or interactions. This is intended to be used independently with the directions of a physician who knows the person well.

Elder Consult cannot be responsible for any outcomes of these medications that have not been evaluated by myself or one of my clinicians.

We present this summary to give practitioners and the public some information about medications that have been important in the care of our patients. In this challenging area of medical care, we hope that it is of use.

IMPORTANT! This information is meant to be used only for general information, in accordance with current medical information and the practice experience of this geriatrician and should never be used alone, outside of the medical advice of one’s personal physician.