Skip to Main Content Skip to Site Map Skip to Accessibility Statement

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:
Newsletter February 2020Deprescribing anticholinergics in UI section Download
Anticholinergic Supplement - July 18Background ; 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 16Anticholinergic Drugs in Older People Download
Anticholinergic Burden Medication Review LeafletPatient Information Leaflet on review of anticholinergic medicines Download

See also

PrescQIPP Bulletin 253 – Anticholinergic drugs