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Preventing Falls
Home Safety Check | Personal Checkup | Review Medications | Activity & Exercise | Feet & Shoes | Vision & Hearing | Get up Slowly | Canes & Walkers

(View all these tips on one page.)

Ask your wife's health care provider or pharmacist about the medications she is taking.

Are any known to make people at risk of injury? Discuss whether the benefit from the medicine is worth the risk of falling.

Check new medications, too. Find out if there could be side effects such as dizziness or blurred vision. Either could upset balance.

Here are some medicines that experts agree have a very high risk of injury with very limited chance of benefit for older people:

Trade Name   Generic Name   Usual Use
Darvocet   Propoxyphene   Analgesic
Demerol   Meperidine   Analgesic
Indocin   Indomethacin   Analgesic
Butazolidin   Phenylbutazone   Analgesic
Talwin   Pentazocine   Analgesic
Elavil   Amitriptyline   Antidepressant
Sinequan   Doxepin   Antidepressant
Librium   Chlordiazepoxide   Sleep/anxiety/bipolar
Valium   Diazepam   Sleep/anxiety
Miltown   Meprobamate   Sleep/anxiety

All barbituates unless used to treat seizure disorder or epileptic fits.

Benedryl only for allergies on a physician's advice.

Chart adapted from:
Beers, M. (1997). "Explicit criteria for determining potentially inappropriate medication use by the elderly: An update." Archives of Internal Medicine, 157(14), 1531-1536.

See also: Personal Tips -- Doctor Visits

Links to other sites with information on this topic:

"Inappropriate Psychotropic Agents for the Elderly," by Rajender R. Aparasu, Ph.D., Jane R. Mort, Pharm.D., and Anuradha Aparasu, M.D. Geriatric Times, March/April 2001 Vol. II Issue 2.


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Last updated November 18, 2003.

The links below take you into OHSU's main website.