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drugs with anticholinergic activity
Classification:
1) drugs with anticholinergic activity includes
a) parasympatholytic agents
b) histamine H-2 receptor antagonists
c) antidepressants
1] tricyclic antidepressants (in vitro activity [2])
2] atypical antidepressants
3] SSRI
4] Lithium carbonate
d) antipsychotics
e) antiarrhythmic agents
2) low potency anticholinergics
- cimetidine
- citalopram
- escitalopram
- fluoxetine
- haloperidol
- lithium carbonate
- mirtazapine
- quetiapine
- ranitidine
- temazepam
3) medium potency anticholinergics
- chlorpromazine
- darifenacin
- desipramine
- diphenhydramine
- disopyramide
- fesoterodine
- hydroxyzine
- nortriptyline
- olanzapine
- oxybutynin
- paroxetine
- solifenacin
- tolterodine
- trospium
- venlafaxine (no anticholinergic activity [2])
4) high potency anticholinergics
- amitriptyline
- benztropine
- clozapine
- cyclobenzaprine
- dicyclomine
- doxepin
- hyocyamine
- thioridazine
- trihexyphenidyl
Clinical significance:
- may be associated with delirium in the elderly (see drugs commonly producing delirium)
Related
drugs commonly producing delirium
parasympatholytic (anticholinergic, antimuscarinic agent)
References
- Geriatrics at Your Fingertips, Reuben et al (eds)
American Geriatrics Society, Excerpta Medica, Belle Mead,
NJ, 2001
- Ehrt U, Broich K, Larsen JP, et al.
Use of drugs with anticholinergic effect and impact on
cognition in Parkinson's disease: a cohort study.
J Neurol Neurosurg Psychiatry 2010; 81(2):160-165
PMID: 19770163