|STOPP: TriCyclic Antidepressants (TCAs) with dementia. NOTE: Abrupt withdrawal of a TCA is not recommended.
||Potentially responsible for worsening of dementia. Slow withdrawal of TCA initiated
|STOPP: TriCyclic Antidepressants (TCAs) with cardiac conduction abnormalities
||Potential to worsen Atrial Fibrillation. Slow withdrawal of TCA initiated
|STOPP: Tricyclic antidepressants with constipation
||Slow withdrawal of TCA initiated
|STOPP: Long-term (i.e. > 1 month) neuroleptics as long-term hypnotics.
||Olanzapine started 2 years previous for agitation during hospital stay, intended for short term use only. Never removed although agitation subsided. Contributory to confusion, falls and extra-pyramidal side effects.
|STOPP: Anticholinergics/antimuscarinics in patients with delirium or dementia (risk of exacerbation of cognitive impairment).
||Procyclidine initiated previously to treat extra-pyramidal side effects caused by olanzapine. Removal of olanzapine should reduce side effects, scope to stop procyclidine.
|STOPP: Aspirin in combination with vitamin K antagonist, direct thrombin inhibitor or factor Xa inhibitors in patients with chronic atrial fibrillation.