Cognitive Impairment Drugs Medication Review Algorithm

Are you evaluating a patient who has an unexplained cognitive impairment?

Yes

Is the patient being treated with?

• aminophylline?

Yes

• amiodarone?

Yes

• antibiotics?

Yes

• anticholinergic agents?

Yes

• antihistamines?

Yes

• antineoplastic agents?

Yes

• barbiturates?

Yes

• benzodiazepines or other sedative-hypnotic agents?

Yes

• bromides?

Yes

• bromocriptine?

Yes

• cimetidine?

Yes

• clonidine?

Yes

• corticosteroids?

Yes

• cytokine immunotherapy?

Yes

• digoxin?

Yes

• disulfiram?

Yes

• diuretics?

Yes

• ergot?

Yes

• ethosuximide?

Yes

• glutethimide?

Yes

• L-dopa?

Yes

• lidocaine?

Yes

• lithium?

Yes

• meprobamate?

Yes

• methyldopa?

Yes

• metoclopramide?

Yes

• narcotic analgesics (opioids)?

Yes

• neuroleptics?

Yes

• nonnucleoside reverse transcriptase inhibitors?

Yes

• nonsteroidal anti-inflammatory agents (NSAIDS)?

Yes

• oral contraceptives?

Yes

• pergolide?

Yes

• phenytoin or other anticonvulsants?

Yes

• procainamide?

Yes

• propranolol?

Yes

• quinidine?

Yes

• selective-seritonin reuptake inhibitors?

Yes

• statins?

Yes

• stimulants?

Yes

• tricyclic antidepressants?

Yes

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Patient Concerns

Specialty

Objective

ICD-10

Drugs Which Can Cause Cognitive Impairment

Purpose: To identify medications that could explain cognitive impairment in a patient.