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Anticholinergic Burden

Patient review is important to minimise the number of anticholinergic drugs where possible. Some patients may be suitable for a ‘drug holiday’.
 
Anticholinergic drugs are prescribed for a wide range of conditions, including Parkinson’s disease,
overactive bladder, COPD, nausea and vomiting, depression and psychosis. Combining treatments with anticholinergic activity might have cumulative harmful effects when given to a person with more than one clinical condition. This potential for harm increases with frailty and age.
 
Some useful resources are included below:
 
TitleDescriptionDownload
Newsletter February 2020 Deprescribing anticholinergics in UI section Download
Anticholinergic Supplement - July 18 Background ; Medication Review ; NICE Dementia Guideline 2018; Examples of drugs with severe anticholinergic effects ; Recommendations to optimise prescribing and improve patient safety ; Antimuscarinics for OAB/UI-Improving Patients Safety Download
Anticholinergic Supplement - Feb 16 Anticholinergic Drugs in Older People Download

See also

PrescQIPP Bulletin 253 – Anticholinergic drugs