‘Strongest Evidence Yet’ Links Popular Anticholinergic Drugs, Dementia

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‘Strongest Evidence Yet’ Links Anticholinergic Drugs, Dementia

A new study provides the strongest evidence that anticholinergic drugs may increase the risk for dementia in older adults.

The drugs implicated are commonly used, estimated to be taken by about 20% of the older adult population for many conditions. They include popular antihistamines sold over the counter as sleep aids, such as diphenhydramine (Benadryl, McNeil-PPC Inc), or for allergy relief, such as chlorpheniramine; oxybutynin and tolterodine for overactive bladder; and the tricyclic antidepressants, such as doxepin or amitriptyline, even when used at low doses for migraine prevention or neuropathic pain.

The study, published online in JAMA Internal Medicine on January 26, was conducted by a team led by Shelly Gray, PharmD, University of Washington, Seattle.

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