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