Wednesday, April 1, 2020

Anticholinergics

I hope this is WRONG. This is NO joke.

"Their continued use increases risk of short-term memory loss, poor reasoning, confusion, and irreversible dementia. Many over-the-counter drugs have anticholinergic properties. Drugs with anticholinergic properties block the action of the neurotransmitter chemical, acetylcholine. Acetylcholine helps send signals to other cells affecting muscle contraction, learning, and memory. Those over 65+ already have diminishing numbers of neurons or receptors in the brain so blocking the acetylcholine adds insult to injury. Plus, medications stay in an older person’s system longer. The kidneys and liver clear drugs slower in an aging body. Drug levels in the blood remain higher for longer. The result is a build-up of anticholinergic properties blocking acetylcholine. Anticholinergics also decrease how much you sweat. It’s easy for older adults to become dehydrated and for their core body temperature to rise. They’re at risk for stroke, blurred vision, dizziness, drowsiness, dry mouth, urine retention, constipation, delirium, and hallucinations."

This list is courtesy of The People's Pharmacy and were included in Dr. Shelly Gray's study at the University of Washington.
999 Cold Remedy Granular
AccuHist LA
Accuretic
Actifed
Adalat
Adapin
Advil Allergy and Congestion Relie
Advil Allergy Sinus
Advil Children's Allergy Sinus
Advil Multi-Symptom Cold & Flu
Advil PM
Alavert
Aleve PM
Alka-Seltzer Plus Cold & Cough Formula Effervescent Tablets
Alka-Seltzer Plus Cold Formula Cherry Burst Effervescent Tablets
Alka-Seltzer Plus Cold Formula Orange Zest Effervescent Tablets
Alka-Seltzer Plus Cold Formula Sparkling Original Effervescent Tablets
Alka-Seltzer Plus Flu Formula (old formulation)
Aller-Chlor
Allergy & Congestion Relief
Allergy DN II
Allergy Relief
AlleRx DF
AlleRx Dose Pack
Allfen A
Alprazolam
Alumadrine
Amantadine
Amilon
Amitriptyline
Amrix
Ana-Kit
Anafranil
Anaspaz
Antivert
Apo-Hydro
Aprodine
Aquazide
Aquazide H
Atacand HCT
Atacand Plus
Atarax
Atrohist Pediatric
Atrohist Plus
Atropine
Atuss HD
Avalide
Baclofen
Bayer PM
Bellahist-D LA
Benadryl
Bentyl
Benztropine
Bonine
BPZide
Brisdelle
Broncopectol
Bronkotuss
CapCof
Capozide
Carbaphen 12
Carbaphen CH
Cardec DM
Carisoprodol
Ceron
Cetirizine
Chemdal HD
Cheracol Plus
Chlor-Trimeton
Chlor-Trimeton
ChlorDex GP
Chlorphen
Chlorpheniramine
Chlorpromazine
Cimetidine
Claritin
Clomipramine
Clorazepate
Clozapine
Clozaril
Co-Diovan
Co-Rasilez
Co-Renitec
CoAprovel
Codeine
Codeprex
Codeprex
Codral Cold and Flu + Cough Day and Night
Cogentin
Colchicine
Cold Multi-Symptom (Nighttime)
Coldcough PD
Coldcough Syrup
Colrex
Colrex Compound
Comhist
Compazine
Comtrex Allergy Sinus
Comtrex Cold and Flu Maximum Strength
Comtrex Cold and Flu Maximum Strength Tablet
Comtrex Maximum Strength Cold Relief
Comtrex Nighttime Flu Therapy
Comtrex Sinus and Nasal
Condrin
Congestant
Contac Severe Cold and Flu Maximum Stength
Cordron-HC
Cordron-HC NR
Coricidin D
Coricidin HBP Cold & Flu
Coricidin HBP Cough & Cold
Coricidin HBP Day & Night Multi-Symptom Cold
Coricidin HBP Maximum Strength Flu
Cotabflu
Cough Formula M Multi-Symptom
Covangesic
Creomulsion Cough/Cold/Allergy
Cyclobenzaprine
Cyndal HD
Cyproheptadine
Deconamine
Deconamine SR
Deconhist LA
Dehistine
Demi-Cof
Desipramine
Detrol
Detuss
Dexchlorpheniramine
Dexodryl
Dichlotride
Dicyclomine
Digoxin
Dihistine DH
DiHydro-PE
Dimetapp Children's Multi-Symptom Cold & Flu (old formulation)
Diovan HCT
Diphenhydramine
Diphenoxylate
Ditropan
Donatussin Pediatric
Doxepin
DryMax
DryMax AF
Duadacin
Dura-Vent/A
DuraHist
Duralex
Duravent
Dutoprol
Dyazide
Dyazide
Ed A-Hist
Ed A-Hist DM
Ed-TLC
Effective Strength Cough Syrup
Efidac-24 Chlorpheniramine
Elavil
Endagen-HD
Endal CD
Esidrex
Esidrix
Excedrin PM
Extendryl DM
Fesoterodine
Fexmid
Flexeril
Fluphenazine
Furosemide
Gelpirin-CCF
Hista-Vadrin
Histacol LA
Histade CR
Histalet Forte
Hycomine Compound
Hydro-Tussin DHC
Hydrochlorot
Hydrochlorothiazide
Hydrocodone GF
Hydrocot
Hydrodiuril
HydroDIURIL
HydroSaluric
Hydroxyzine
Hyoscyamine
Hypothiazid
Hyzaar
Imipramine
Imodium
Lanoxicaps
Lanoxin
Lasix
Lemohist Plus
Levbid
Levsin
Levsinex
Lexuss 210
Lodoz
Lomotil
Loperamide
Lopressor HCT
Loratadine
Lotensin HCT
M-End DM
Maprotiline
Maxzide
Maxzide Triamterene
Meclizine
Mellaril
Microzide
Monopril HCT
Nalda-Relief Pediatric
Naldecon
Nalex-A
Nalphen
Navane
Nebilet HCT
Nebilet Plus
Neotuss D
Nifedipine
NoHist-A
Nolamine
Norel SR
Norflex
Norpramin
Nortriptyline
Notuss-AC
Novahistine
Novahistine DH
Novasus
NuLev
Nytol
Olanzapine
Oretic
Orphenadrine
Oxybutynin
Oxytrol
P Chlor GG
Pamelor
Pancof
Pancof-PD
Paroxetine
Paxil
PCM
Pediacof
Pedituss
Periactin
Perphenazine
Phenagil CH
Phenergan
Phenylhistine DH
Prinzide
Procardia
Prochlorperazine
Prolixin
Promethazine
Protriptyline
Protuss Tablet
Pseudoephedrine HCl/Triprolidine HCl
QC Cough/Cold
Quad-Tuss
Quadratuss
Qual-Tussin
Qual-Tussin Pediatric
Quartuss
Quelidrine
Ranitidine
RelCof CPM
RelCof DN PSE
RelCof PE
Respa-AR
Rhinacon A
Rhinogesic
Rhinolar
Rhinosyn-DM
Robitussin Cough & Allergy
Rolatuss
Rolatuss-SR
Rondec-DM
Ru-Tuss
Rynatuss
Rynatuss Pediatric
S-T Forte 2
Scopolamine
Silenor
Simply Sleep
Sinapils
Sinarest
Sinequan
Sinucon
Sinulin
Soma
Sominex
Stahist
Stelazine
Sudafed PE Sinus & Allergy
Surmontil
Symmetrel
SymPak
SymPak DM
SymPak II
T- Koff
Tagamet
Tanamine
Tannate-12
Tannic-12
Tannic-12 S
Tanoral
Tekturna HCT
Teldrin
Teveten Plus
Theraflu Flu & Cough
Thioridazine
Thiothixene
Thorazine
Tizanidine
Tofranil
Tolterodine
Toviaz
Transderm Scop
Tranxene
Triaminic
Triaminic Multi-Symptom Fever
Tricode AR
Tricodene Forte
Tricodene NN
Tricof
Trifluoperazine
Trilafon
Trimipramine
Triphenicol
Trital SR
Tritan
Tussi-12
Tussi-12S
Tussionex Pennkinetic
Tustan 12S
Tylenol Children’s Cold + Cough + Runny Nose
Tylenol Cold
Tylenol Cold and Flu Severe Day & Night
Tylenol Cold Multi-Symptom Nighttime
Tylenol PM
Unisom
Vanex Forte
Vicks 44M Pediatric
Vicks Children’s NyQuil Cold & Cough
Vicks NyQuil Cold & Flu Nighttime Relief (Alcohol Free)
Vistaril
Vivactil
Xanax
Xiral SR
XiraTuss
Z-Tuss 2
Z-Tuss AC
Zanaflex
Zantac
Zestoretic
Ziac
Zide
Zodryl DAC
Zyprexa
Zyrtec