High Risk Medications List - 2017 (Page 6 of 7) in pdf

High risk medications

pdated May 2017

Alternatives When Diagnosis is NOT KNOWN

Classification

Drug name

Risk

If diagnosis is known - refer to FER Alternatives document

CONJUGATED ESTROGEN COMBINATIONS

PREMARIN VAGINAL CREAM

DUAVEE, PREMPHASE, PREMPRO

VAGIFEM

Yuvafem

ESTERIFIED ESTROGEN

For vasomotor symptoms:

MENEST

SSRI's

citalopram (generic for Celexa)

ESTERIFIED ESTROGEN & METHYLTESTOSTERONE

COVARYX, COVARYX H.S., EEMT, EEMT HS, ESSIAN,

fluoxetine (generic for Prozac)

ESSIAN HS, ESTRATEST, ESTRATEST HS, SYNTEST

paroxetine (generic for Paxil)

DS, SYNTEST HS

SNRI's

ESTRADIOL

ALORA, CLIMARA, DELESTROGEN, DEPGYNOGEN,

Desvenlafaxine ER

DEPO-ESTRADIOL, DEPOGEN, DIVIGEL, ELESTRIN,

PRISTIQ

ESCLIM, ESTRACE, ESTRADERM, ESTRASORB,

venlafaxine (generic for Effexor)

ESTRING, ESTROGEL, EVAMIST, FEMPATCH,

venlafaxine ER (generic for Effexor XR)

FEMRING, GYNODIOL, GYNOGEN LA, MENOSTAR,

MINIVELLE VALERGEN VIVELLE VIVELLE DOT

ESTRADIOL COMBINATIONS

ACTIVELLA, COMBIPATCH, LOPREEZA, MIMVEY,

MIMVEY LO

megestrol (MEGACE, MEGACE ES)

Megestrol has minimal effect on weight and increases risk of

None recommended by The American Geriatrics Society.

thrombotic events, and possibly death, in older adults.

Sulfonylureas,

chlorpropamide (DIABINESE)

Chlorpropamide has a prolonged half-life in older adults that

glimepiride (generic for Amaryl)

long-duration

can cause prolonged hypoglycemia.

glipizide (generic for Glucotrol)

Causes syndrome of inappropriate antidiuretic hormone

glipizide ER (generic for Glucotrol XL)

secretion.

glyburide (DIABETA, GLYNASE, MICRONASE)

Glyburide has a higher risk of severe prolonged hypoglycemia

glimepiride (generic for Amaryl)

in older adults.

glipizide (generic for Glucotrol)

glipizide ER (generic for Glucotrol XL)

Gastrointestinal

trimethobenzamide (TIGAN)

One of the least effective antiemetic drugs; can cause

None recommended by The American Geriatrics Society;

extrapyramidal adverse effects (agitation, abnormal or

however, may consider the following:

involuntary movement, and pseudoparkinsonism)

prochlorperazine

morphine sulfate immediate-release

Pain medications

meperidine (DEMEROL)

Not effective as a pain reliever in commonly used doses.

Meperidine may have a higher risk of neurotoxicity, including

morphine sulfate extended-release 12-hour capsule

delirium, compared to other opioids.

morphine sulfate extended-release tablet

* Alternatives are recommended by The American Geriatrics Society, unless otherwise noted. Alternatives are not diagnosis-specific.

¹ OTC (over-the-counter) drugs are not covered by Medicare Part D

High Risk Medications List - 2017 Page 6

Related Articles

Related forms

Related Categories