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Table 3 Appropriateness of medications as defined by PEACE consensus panel

From: Systems to identify potentially inappropriate prescribing in people with advanced dementia: a systematic review

Always appropriate

 Antidiarrheals

Antiepileptic drugs

Expectorants

 Laxatives

Anxiolytics

Lubricating eye drops

 Antiemetics

Narcotic analgesics

Pressure ulcer products

 Inhaled bronchodilators

Nonnarcotic analgesics

Lidoderm

Sometimes appropriate

 Proton pump inhibitors

Antidepressants

Insulin

 Histamine-2 receptor blockers

Tricyclic antidepressants

Antihistamines

 Beta-blockers

Antibacterials

Decongestants

 Calcium channel blockers

Antivirals

Electrolytes

 Diuretics

Antiparasitic agents

Nutritional supplements

 Angiotensin-converting enzyme inhibitors and angiotensin receptor blockers

Antifungal creams

Antiglaucoma drops

 Nitroglycerin

Oral hypoglycaemics

Anti-inflammatory eye drops

 Mucolytics

Thyroid hormones

Capsaicin

 Inhaled corticosteroids

Antithyroid medications

Allopurinol

 Antipsychotics

Corticosteroids

Colchicine

Rarely appropriate

 Alpha blockers

Antiandrogens

Appetite stimulants

 Digoxin

Bisphosphonates

Bladder relaxants

 Clonidine

Mineralocorticoids

Tamsulosin

 Antiarrhythmics

Heparin and low molecular-weight heparins

Antispasmodics

 Hydralazine

Warfarin

 

Never appropriate

 Lipid-lowering medications

Memantine

Cytotoxic chemotherapy

 Antiplatelet agents, excluding aspirin

Antiestrogens

Hormone antagonists

 Leukotriene receptor antagonists

Sex hormones

Immunomodulators

 Acetylcholinesterase inhibitors

  

No consensus

 Aspirin

Meclizine

Bladder stimulants

 Sedatives and hypnotics

Vitamins

Iron

 Central nervous system stimulants

Mineral supplements

Finasteride

 Muscle relaxants

Calcitonin

Red blood cell colony stimulating factors

  1. Sourced from Holmes et al. (2008) [16]