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