Medication and Falls

Original Editors - Scott Buxton

Top Contributors -Scott Buxton, Lucinda hampton, Sai Kripa, Kim Jackson, WikiSysop, Evan Thomas and Chelsea Mclene  

Medications Associated with Increased Risk of Falls

Psychotropic Drugs and Falls Risk

Medication Group	Overall Risk Category	Commonly Used Medications	Effects on Risk
Sedatives	HIGH RISK Can cause falls alone	Lorazepam, Temazepam, Nitrazepam similar -epamsuffix	Drowsiness, slows reactions, impaired balance.
Sedating Antidepressants	HIGH RISK Can cause falls alone	Amitriptyline, Nortriptyline	Orthostatic hypotension, drowsiness, slow reactions. DOUBLE THE RATE OF FALLS
Monoamine Oxidase Inhibitors	HIGH RISK Can cause falls alone	Phenelzine, Moclobemide	Severe orthostatic hypotension
For Psychosis Agitation	HIGH RISK Can cause falls alone	Haloperidol, Chlorpromazine, Olanzapine	Orthostatic hypotension, slow reflexes, loss of balance
Selective Serotonin Reuptake Inhibitors (SSRI) and Serotonin and Noradrenaline Reuptake Inhibitor )SNRI)	MODERATE RISK Can cause falls in combination	Fluoxetine, Sertaline, Paroxetine, Venlafaxine, Duloetine	Increased risk of falls with fractures, orthostatic hypotension, bradycardia, impaired sleep quality
Opiate Analegsics	HIGH RISK Can cause falls alone	Codeine, Morphine, Tramadol	Sedates, slows reactions, impairs balance, delirium
Anti Epileptics	HIGH RISK	Phenytoin, Carbamazepine, Phenobarbitone	Cerebellar damage, ataxia, slowed reactions
	MODERATE RISK	Sodium Valporate, Gabapentin	Some association with falls risk
Parkinson's Disease - Dopamine Agonists	HIGH RISK	Roprinerole, Pramipexole	Delirium, orthostatic hypotension
Parkinson's Disease - MAOI-B Inhibitors	HIGH RISK	Selegiline	Orthostatic hypotension (Difficult to assess due to high falls risk in PD as the disease process)
Muscle Relaxant	MODERATE RISK	Baclofen	Reduced muscle tone, sedative
Vestibular Sedative	POSSIBLE CAUSES	Prochlorperazine, Cinnarazine, Betahistine	Prochlor... - Dopamine agonist which may cause movement disorder in long term, sedating
Anticholinergics acting on Bladder	POSSIBLE CAUSES	Oxybutinin, Solifenacin, Tolterodine, Solifenacin	Known CNS effects.

 

 

 

 

 

 

 

 

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