Table 2 Medications recommended avoiding for people at risk of delirium [39,40,41,42]
Medications | Recommendation |
|---|---|
Tricyclic antidepressants | Should be avoided |
Antipsychotic medications | High-dose antipsychotic medications should be avoided; if necessary, haloperidol, risperidone or quetiapine can be used |
Histamine antagonists | Hydroxyzine and alimemazine are not recommended |
Corticosteroids | Use caution with high-dose corticosteroids |
Anticholinergic and beta-3 adrenergic agonist | Oksybutynin/tolterodine/solifenacin/ Darifenacin/fesoterodine/Mirabegron are not recommended |
Benzodiazepines | Should be avoided, but do not quit abruptly after prolonged use |
Opioid analgesics | Not recommended, but can/must sometimes be used |
Metoclopramide | Not recommended but can/must sometimes be used |
Clomethiazole | Could be used to induce sleep at night |
Others | Caution with Digoxin and Lithium; monitor S-concentration |