II. Background

  1. Medications are responsible for 23% of persistent Dizziness in elderly patients
    1. Maarsingh (2010) Ann Fam Med 8(3): 196-205 [PubMed]
  2. Polypharmacy with more than 5 medications increases the Dizziness risk
    1. Tinetti (2000) Ann Intern Med 132(5): 337-44 [PubMed]

III. Causes: Cardiovascular Agents

  1. Class Ia Antiarrhythmics (Quinidine, Imipramine, Amiodarone, Disopyramide)
  2. Antihypertensives (esp. Beta Blockers)
  3. Diuretics (e.g. Lasix)
  4. Digoxin
  5. Nitroglycerin

IV. Causes: Endocrine Agents

V. Causes: Hematologic Agents

VI. Causes: Infectious Disease Agents

VII. Causes: Neurologic Agents

  1. Antidementia agents (e.g. Namenda)
  2. Antiparkinsonism Medications (e.g. Sinemet, Mirapex, Cogentin, Amantadine)
  3. Anticonvulsants (typically at toxic levels)
    1. Dilantin
    2. Phenobarbital
    3. Primidone

VIII. Causes: Psychiatric agents

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