TITLE 77: PUBLIC HEALTH
CHAPTER X: DEPARTMENT OF HUMAN SERVICES SUBCHAPTER e: CONTROLLED SUBSTANCES ACTIVITIES PART 2081 ELECTRONIC PRESCRIPTION MONITORING PROGRAM - LONG TERM CARE SECTION 2081.APPENDIX A NAME OF MEDICATIONS FOR PRESCRIPTION MONITORING PROGRAM - LONG TERM CARE REPORTING
Section 2081.APPENDIX A Name of Medications for Prescription Monitoring Program − Long Term Care Reporting
BEHAVIORAL HEALTH MEDICATIONS
Antipsychotics as listed but not limited to: Aripiprazole Asenapine Chlorpromazine Clozapine Droperidol Fluphenazine Haloperidol Iloperidone Loxapine Lurasidone Mesoridazine Molindone Olanzapine Paliperidone Perphenazine Prochlorperazine Quetiapine Risperidone Thioridazine Thiothixene Trifluoperazine Ziprasidone
Antidepressants as listed but not limited to:
Selective Serotonin Reuptake Inhibitors (SSRIs) Citalopram Escitalopram Paroxetine Fluoxetine Fluvoxamine Sertraline
Serotonin-Norepinepherine Reuptake Inhibitors (SNRIs) Desvenlafaxine Duloxetine Venlafaxine
Serotonin Antagonist and Reuptake Inhibitors (SARIs) Nefazodone Trazodone
Tricyclic Antidepressants (TCAs) Amitriptyline Clomipramine Desipramine Doxepin Imipramine Nortriptyline Protriptyline Trimipramine
Tetracyclic Antidepressants (TeCAs) Amoxapine Maprotiline Mirtazapine
Monoamine Oxidase Inhibitors (MAOIs) Isocarboxazid Phenelzine Selegiline Tranylcypramine Pirlindole
Miscellaneous Agents Divalproex
Norepinepherine – Dopamine Inhibitor Bupropion
5-HT1A Receptor Agonists Buspirone Aripiprazole
5-HT2A Receptor Agonists Aripiprazole
5-HT2 Receptor Antagonists Nefazodone
Mood Stabilizers Carbamazepine Divalproex Gabapentin Lamotrigine Lithium Oxcarbazepine Topiramate Valproic Acid
Anti-anxiety Medications as listed but not limited to: Alprazolam Buspirone Chlordiazepoxide Clonazepam Clorazepate Diazepam Hydroxyzine Lorazepam Oxazepam
ADHD Medications as listed but not limited to: Amphetamine Amphetamine (ER) Atomoxetine Dexmethylphenidate Dexmethylphenidate (ER) Dextroamphetamine Guanfacine Lisdexamfetamine Dimesylate Methamphetamine Methylphenidate Methylphenidate (ER) Methylphenidate (LA) Methylphenidate patch Modafinil Phentermine Sibutramine
Antihistamine Medications as listed but not limited to:
First Generation Antihistamines: Brompheniramine Carbinoxamine Chlorpheniramine Clemastine Cyproheptadine Diphenhydramine Doxylamine Succinate Promethazine Triprolidine
Second Generation Antihistamines: Acrivastine Cetirizine Desloratadine Fexofenadine Levocetirizine Loratadine
Other Antihistamines: Azelastine Cimetidine Dimenhydrinate Emedastine Famotidine Hydroxyzine Ketotifen Meclizine Nizatidine Olopatadine Ranitidine
ENZYME INDUCERS/INHIBITORS
Amiodarone Amlodipine Amobarbital Armodafinil Bortezomib Bosentan Carbamazepine Celecoxib Chloroquine Chlorpromazine Cimetidine Cinacalcet Ciprofloxacin Clomipramine Clotrimazole Clozapine Cyclosporine Darifenacin Delavirdine Desipramine Dexamethasone Dexlansoprazole Dexmedetomidine Diclofenac Diltiazem Hydrochloride Diphenhydramine Disulfiram Doxorubicin Doxycycline Duloxetine Efavirenz Erythromycin Esomeprazole Felodipine Fluconazole Fluoxetine Flurbiprofen Fluvastatin Fluvoxamine Fosamprenavir (as amprenavir) Fosaprepitant Fosphenytoin (as phenytoin) Fospropofol Gemifibrozil Haloperidol Ibuprofen Imatinib Imipramine Indinavir Indomethacin Irbesartan Isoniazid Itraconazole Ketoconazole Lansoprazole Letrozole Lidocaine Loratadine Losartan Mefenamic acid Methadone Methimazole Methoxsalen Metronidazole Mexiletine Miconazole Modafinil Nafcillin Nefazodone Nelfinavir Nevirapine Nicardipine Nifedipine Norfloxacin Ofloxacin Omeprazole Oxcarbazepine Paroxetine Pentobarbital Phenobarbital Phenytoin Pioglitazone Piroxican Posaconazole Primaquine Primidone Propofol Pyrimethamine Quinidine Quinine Raberprazole Ranolazine Rifampin Rifapentine Ritonavir Rosiglitazone Saquinavir Secobarbital Sertraline Sitaxsentan Sorafenib Sulfadiazine Sulfamethoxazole Sulfisoxazole Tamoxifen Telithromycin Terbinafine Tetracycline Thiabendazole Thioridazine Thiotepa Ticlopidine Tolbutamide Tranylcypromine Trazodone Trimethoprim Verapamil Voriconazole Warfarin Zafirlukast Zileuton
MEDICATIONS WITH ANTICHOLINERGIC EFFECTS
Level # 1: Potential ACH activity by receptor binding activity:
Drug Class / Generic Name
Antipsychotics: Fluphenazine Olanzapine Perphenazine Prochlorperazine Trifluoperazine
Anxiolytic: Alprazolam Chlordiazepoxide Clonazepam Clorazepate Diazepam Flurazepam Lorazepam Oxazepam Temazepam Triazolam
Antidepressant: Fluoxetine Paroxetine Sertraline Fluvoxamine Phenelzine
Antibiotics/Antivirals: Amantadine Ampicillin Clindamycin Gentamicin Vancomycin
Analgesics: Codeine Fentanyl Morphine Oxycodone Tramadol
Cardiovascular: Captopril Chlorthalidone Digoxin Diltiazem Hydrochloride Dipyridamole Furosemide Hydralazine Isosorbide Nifedipine Triamterene Warfarin
Corticosteroids: Dexamethasone Methylprednisolone Prednisone Triamcinolone
H2 Antagonist: Famotidine Nizatidine
Anticonvulsants: Divalproex Valproic Acid
Level # 2: ACH adverse events, dose related:
Antipsychotics: Chlorpromazine Loxapine Molindone Pimozide
Antihistamine: Cyproheptadine
Cardiovascular: Disopyramide
Muscle Relaxants: Cyclobenzaprine
H2 Antagonist: Cimetidine Ranitidine
Anticonvulsants: Carbamazepine Oxcarbazepine
Level # 3: Markedly Anticholinergic:
Antipsychotics: Clozapine Mesoridazine Thioridazine
Antidepressants: Amitriptyline Desipramine Doxepin Imipramine Nortriptyline Protriptyline Trimipramine
Antihistamines: Bropheniramine Carbinoxamine Chlorpheniramine Clemastine Diphenhydramine Hydroxazine Promethazine
Muscle Relaxants: Orphenidrine
Vertigo Agents: Dimenhydrinate Meclizine Scopolamine
GI Antispasmodics: Dicyclomine Hyoscyamine Propantheline
Parkinson Disease: Procyclidine Benztropine Trihexphenidyl
Urinary Antispasmodics: Oxybutynin Tolterodine Flavoxate |