Table 1.
High-risk medicines and medicine combinations included in this study
| High-risk category | Medicine details |
|---|---|
| NSAID plus | Angiotensin conversing enzyme inhibitor/angiotensin II receptor antagonist and diuretic |
| eGFR below 60 mL/min | |
| Heart failure | |
| Warfarin | |
| Age over 75 years and no PPI protection | |
| Warfarin plus | Antiplatelet |
| NSAID | |
| Macrolide | |
| Quinolone | |
| Metronidazole | |
| Azole antifungal | |
| Heart failure plus | Glitazone |
| NSAID | |
| Tricyclic antidepressant | |
| Aged over 60 years and taking | Benzodiazepines/hypnotics |
| Tricyclic antidepressants | |
| Antipsychotics (including prochlorperazine for nausea/vertigo) | |
| Sedating antihistamines | |
| Anticholinergics (see list below) | |
| Antihypertensive plus diuretic | |
| Digoxin | |
| Anticholinergics with a clinically significant effect | Amitriptyline |
| Amoxapine | |
| Atropine | |
| Benztropine | |
| Chlorpheniramine | |
| Chlorpromazine | |
| Clemastine | |
| Clomipramine | |
| Clozapine | |
| Darifenacin | |
| Desipramine | |
| Dicyclomine | |
| Diphenhydramine | |
| Doxepin | |
| Flavoxate | |
| Hydroxyzine | |
| Hyoscyamine | |
| Imipramine | |
| Meclizine | |
| Nortriptyline | |
| Orphenadrine | |
| Oxybutynin | |
| Paroxetine | |
| Perphenazine | |
| Procyclidine | |
| Promazine | |
| Promethazine | |
| Propentheline | |
| Pyrilamine | |
| Scopolamine | |
| Tolterodine | |
| Trifluoperazine | |
| Trihexyphenidyl | |
| Trimipramine |
eGFR estimated glomerular filtration rate, NSAID non-steroidal anti-inflammatory drug, PPI proton pump inhibitor