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 NAMECOMMON BRAND NAME(S)
Azelastine nasel sprayAstepro™
BrompheniramineDimetane Extentab™, Cophene B™, Dimetapp Allergy™, Bromax
CarbinoxaminePalgic™, Carboxine™, Arbinoxa™, Karbinal ER
ChlorpheniramineChlor-Trimeton™, Chlor-Trimeton Allergy SR™, Allergy Relief™, Chlorphen
Clemastine  TavistTavist-1™, Dayhist-1™, Leader Allerhist
Cyproheptadine PeriactinPeriactin™
Dexbrompheniramine Ala-Hist IR
DexchlorpheniraminePolaramine™ 
DiphenhydramineBenadryl™, Sominex™, Diphenhist™, Wal-Dryl™, Banophen™, Hydramine™, Dicopanol™
HydroxyzineVistaril™, Atarax™
MepyramineMedivet™, Kenya™; Anergol Nasal™ 
OlopatadinePataday™, Patanol™, Patanase™
PhenyltoloxamineDologesic™, Relagesic™
PromethazinePhenadoz™, Phenergan™, Promethegan™
TriprolidineZymine™

 

Anxiety

GENERIC NAMECOMMON BRAND NAME(S)
HydroxyzineVistaril™, Atarax™

 

Bladder Antispasmodics

GENERIC NAMECOMMON BRAND NAME(S)
DarifenacinEnablex™
Flavoxate Urispas™
OxybutyninGelnique™, Ditropan™, Oxytrol™
PropanthelinePro-Banthine™
SolifenacinVESIcare™
TolterodineDetrol™
TrospiumSanctura™

 

Motion Sickness, Dizziness & Nausea

GENERIC NAMECOMMON BRAND NAME(S)
DimenhydrinateDramamine™, Dymenate™, Triptone™, Calm-X™
MeclizineAntivert™, Verticalm™, Bonine™
ProchlorrperazineCompro™
PromethazinePhenadoz™, Phenergan™, Promethegan™
ScopolamineTransderm-Scop™, Scopace™, Maldemar
TrimethobenzamideTigan™

 

Movement Disorders

GENERIC NAMECOMMON BRAND NAME(S)
AmantadineSymmetrel™
BenztropineCogentin™
ProcyclidineKemadrin
TrihexyphenidylArtane™, Trihexy™, Trihexane
OrphenadrineNorflex™

 

Muscle Spasms & Pain-Muscle Relaxants

GENERIC NAMECOMMON BRAND NAME(S)
CyclobenzaprineAmrix™, Fexmid™, Flexeril™
MeperidineDemerol™
OrphenadrineNorflex™
PhenyltoloxamineCafgesic Forte™, Combiflex ES™, Durabac Forte

 

Stomach & GI Tract – Ulcer & Reflux

GENERIC NAMECOMMON BRAND NAME(S)
CimetidineTagamet™, Tagamet HB™, Equaline Acid Reducer
GlycopyrrolateRobinul™, Cuvposa™
RanitidineZantac™, Deprizine™

 

Stomach & GI Tract GI Antispasmodics

GENERIC NAMECOMMON BRAND NAME(S)
AtropineBelladonna™
Alkaloids
ClidinniumLibrax™, Clindex™, Chlordinium™
DicyclomineBentyl™
HyoscyamineAnaspaz™, Cystospaz™, Donnamar™, Levsin™
MethscopolaminePamine™
PropanthelinePro-Banthine

Seizures & Mood Disorders

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

 Insomnia & Sleep

GENERIC NAMECOMMON BRAND NAME(S)
DiphenhydramineBenadryl™, Sominex™, Diphenhist™, Wal-Dryl™, Banophen™, Hydramine™, Dicopanol™
DoxylamineSleep Aid Tablets™, Unisom SleepTabs™, Equate Sleep Aid™, Nytol Maximum Strength

Antipsychotics

GENERIC NAMECOMMON BRAND NAME(S)
Chlorpromazine Thorazine™, Ormazine™
ClozapineClozaril™, FazaClo™
LoxapineLoxitane™
MolindoneMoban™
OlanzapineZyprexa™
PimozideOrap™
PerphenazineTrilafon™
PromethazinePhenadoz™, Phenergan™, Promethegan™
QuetiapineSeroquel™
Thioridazine Mellaril™, Mellaril-S
TrifluoperazineStelazine™

 

Asthma & COPD

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

 

Tricyclic Antidepressants

GENERIC NAMECOMMON BRAND NAME(S)
AmitriptylineVanatrip™, Elavil™, Endep™
Clomipramine Anafranil
DesipramineNorpramin™
DoxepinSilenor™, Zonalon™, Prudoxin™
ImipramineTofranil, Tofranil-pm
NortriptylinePamelor™
ProtriptylineVivactil™
TrimipramineSurmontil™
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.