Many factors are associated with falls in the elderly, including frailty, disease, vision, polypharmacy, and certain medications. Below is a list of drugs associated with falls. Assess geriatric patients on these medications for fall risk and implement fall reduction strategies

• ACE Inhibitors
• benazepril (Lotensin)
• captopril
• enalapril (Vasotec)
• fosinopril
• lisinopril (Prinivil) (Zestril)
• moexipril
• perindopril
• quinapril (Accupril)
• ramipril (Altace)
• trandolapril

• Angiotensin II Receptor Antagonists
• azilsartan (Edarbi)
• candesartan (Atacand)
• eprosartan
• irbesartan (Avapro)
• losartan (Cozaar)
• olmesartan (Benicar)
• telmisartan (Micardis)
• valsartan (Diovan)

• Antiarrhythmics
• digoxin (Lanoxin)
• disopyramide (Norpace)

• Anticonvulsants
• carbamazepine (Carbatrol) (Epitol) (Equetro) (Tegretol)
• ethosuximide (Zarontin)
• felbamate (Felbatol)
• gabapentin (Gralise) (Neurontin)
• lamotrigine (Lamictal)
• levetiracetam (Keppra) (Spritam)
• methsuximide (Celontin)
• phenobarbital
• phenytoin (Dilantin) (Phenytek)
• pregabalin (Lyrica)
• primidone (Mysoline)
• tiagabine (Gabatril)
• topiramate (Qudexy XR) (Topamax) (Trokendi XR)
• valproate (Depakote)
• zonisamide (Zonegran)

• Antidepressants
• amitriptyline
• amoxapine
• bupropion (Aplenzin) (Forfivo XL) (Wellbutrin XL)
• citalopram (Celexa)
• clomipramine (Anafranil)
• desipramine (Norpramin)
• doxepin (Silenor)
• duloxetine (Cymbalta) (Drizalma Sprinkle)
• escitalopram (Lexapro)
• fluoxetine (Prozac)
• fluvoxamine
• imipramine (Tofranil)
• isocarboxazid (Marplan)
• maprotiline
• mirtazapine (Remeron)
• nefazodone
• paroxetine (Paxil) (Pexeva)
• phenelzine (Nardil)
• protriptyline (Vivactil)
• sertraline (Zoloft)
• tranylcypromine (Parnate)
• trazodone
• trimipramine
• venlafaxine (Effexor XR)

• Antihistamines/Antinauseants
• dimenhydrinate (Dramamine)
• diphenhydramine (Benadryl)
• hydroxyzine (Vistaril)
• meclizine (Bonine)
• metoclopramide (Reglan)
• prochlorperazine (Compro)
• promethazine
• scopolamine patch (Transderm Scop)

• Antiparkinsonian Agents
• amantadine (Gocovri) (Osmolex ER)
• bromocriptine (Parlodel)
• entacapone (Comtan)
• levodopa/carbidopa (Duopa) (Rytary) (Sinemet) (Sinemet CR)
• pramipexole (Mirapex) (Mirapex ER)
• selegiline (Zelapar)

• Antipsychotics (Atypical)
• aripiprazole (Abilify) (Abilify Maintena) (Aristada) (Aristada Initio)
• clozapine (Clozaril) (Versacloz)
• olanzapine (Zyprexa) (Zyprexa Relprevv) (Zyprexa Zydis)
• paliperidone (Invega) (Invega Sustenna) (Invega Trinza)
• quetiapine (Seroquel) (Seroquel XR)
• risperidone (Perseris) (Risperdal) (Risperdal Consta)
• ziprasidone (Geodon)

• Antipsychotics (Typical)
• chlorpromazine
• fluphenazine
• haloperidol (Haldol)
• loxapine (Adasuve)
• perphenazine
• pimozide
• thioridazine
• thiothixine
• trifluoperazine

• Anxiolytics
• buspirone
• meprobamate

• Benzodiazepines (Long-Acting)
• chlordiazepoxide (Librium)
• clonazepam (Klonopin)
• clorazepate (Tranxene)
• diazepam (Valium)
• flurazepam

• Benzodiazepines (Intermediate-Acting)
• alprazolam (Xanax) (Xanax XR)
• estazolam
• lorazepam (Ativan)
• oxazepam
• temazepam (Restoril)

• Benzodiazepines (Short-Acting)
• triazolam (Halcion)

• Beta Blockers
• acebutolol
• atenolol (Tenormin)
• bisoprolol
• carvedilol (Coreg) (Coreg CR)
• labetalol (Trandate)
• metoprolol (Kaspargo Sprinkle) (Lopressor) (Toprol XL)
• propranolol (Inderal LA) (InnoPran XL)
• timolol

• Calcium Channel Blockers
• amlodipine (Katerzia) (Norvasc)
• diltiazem (Cardizem) (Cardizem CD) (Cardizem LA) (Cartia XT) (Taztia XT) (Tiazac)
• felodipine
• isradipine
• nicardipine (Cardene)
• nifedipine (Adalat CC) (Procardia XL)
• nisoldipine (Sular)
• verapamil (Calan SR) (Verelan) (Verelan PM)

• Diuretics
• amiloride/hydrochlorothiazide
• bumetanide (Bumex)
• furosemide (Lasix)
• hydrochlorothiazide (Microzide)
• triamterene/hydrochlorothiazide (Dyazide) ( Maxzide)

• Opioid Analgesics
• codeine
• fentanyl (Abstral) (Actiq) (Duragesic) (Fentora) (Ionsys) (Lazanda) (Sublimaze) (Subsys)
• hydrocodone (Hysingla ER) (Zohydro ER)
• hydromorphone (Dilaudid)
• levorphanol
• meperidine (Demerol)
• methadone (Dolophine) (Methadose)
• morphine (Duramorph) (Infumorph) (Kadian) (Mitigo) (Morphabond ER) (MS Contin)
• oxycodone (Oxaydo) (OxyContin) (Roxicodone) (Xtampza ER)
• oxymorphone (Opana)

• Skeletal Muscle Relaxants
• baclofen (Gablofen) (Lioresal) (Ozobax)

• Vasodilators
• doxazosin (Cardura) (Cardura XL)
• hydralazine
• isosorbide dinitrate/mononitrate (Dilatrate SR) (Isordil) (Monoket)
• nitroglycerin (GoNitro) (Minitran) (Nitro-Dur) (Nitrolingual) (Nitromist) (Nitrostat)
• prazosin (Minipress)
• terazosin

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American Geriatrics Society, British Geriatrics Society, and American Academy of Orthopedic Surgeons Panel on Falls Prevention. Guideline for the prevention of falls in older persons. J Am Geriatr Soc. 49:664-672, 2001.

Keys PA. Preventing falls in the elderly: the role of the pharmacist. J Pharm Pract. 17(2):149-152, 2004.

Cooper JW, Burfield AH. Medication interventions for fall prevention in the older adult. J Am Pharm Assoc. 49:e70-84, 2009.