Table 2

Drug examples based on STOPPCog criteria.

CriteriaDrug Names/ClassesMechanism
A1amitriptyline, nortriptyline, doxepin, clomipramine, imipramine, desipramine, amoxapine, protriptyline, trimipramine
Paroxetine
Phenelzine
Anticholinergic effects
A2trospium chloride, tolterodine, fesoterodine, oxybutynin, solifenacin, darifenacinAnticholinergic effects
A3dicyclomine hydrochloride, hyoscine hydrobromideAnticholinergic effects
A4diphenhydramine, promethazine, dimenhydrinate, chlorpheniramineAnticholinergic effects
A5First generation: chlorpromazine, flupenthixol, fluphenazine, haloperidol, loxapine, pimozide, sulpiride, trifluoperazine, zuclopenthixol, levomepromazine
Second generation: olanzapine, quetiapine, clozapine, aripiprazole, risperidone
Anticholinergic effects & sedative effects
A6See https://www.acbcalc.com/
See ACBCalc® scorecard below
Anticholinergic effects
B1triazolam, lormetazepam, lorprazolam, nitrazepam, temazepam, flurazepamSedative effects
B2alprazolam, chlordiazepoxide, diazepam, oxazepam, clonazepam, clobazamSedative effects
B3zopiclone, zolpidem, zaleplonSedative effects
C1benztropine, trihexyphenidyl, procyclidine, biperidinAnticholinergic effects
C2amantadineRisk of psychosis
C3pramipexole, ropinirole, apomorphine hydrochloride, rotigotineRisk of psychosis
C4rasagiline, selegiline, safinamideRisk of psychosis
C5entacapone, tolcapone, opicaponeRisk of psychosis
D1oxycodone, morphine, codeine, fentanyl, tramadol, pethidineSedative effects
D2pregabalin, gabapentinSedative effects
D3topiramate, carbamazepine, clonazepam, gabapentin, lacosamide, lamotrigine, levetiracetam, oxcarbazepine, phenytoin, pregabalin, valproateSedative effects
D4baclofen, tizanidine, pridinol, dantroleneSedative effects
E1Eugeroics: modafinil
ADHD drugs: methylphenidate, lisdexamphetamine, dexamphetamine
Nootropic supplements: B vitamins, fish oil supplements, herbal supplements including ginkgo biloba
Nootropic racetams: piracetam, aniracetam, etc.
No proven efficacy
F1donepezil, rivastigmine, galantamineNo proven efficacy in severe dementia
F2memantineNo proven efficacy in severe dementia
F3lecanemab, aducanumab, donanemabNo proven efficacy in severe dementia
F4statins, antiplatelet agents, anticoagulants, antihypertensives, bisphosphonatesNo proven efficacy in severe dementia
CriteriaDrug Names/ClassesMechanism
A1amitriptyline, nortriptyline, doxepin, clomipramine, imipramine, desipramine, amoxapine, protriptyline, trimipramine
Paroxetine
Phenelzine
Anticholinergic effects
A2trospium chloride, tolterodine, fesoterodine, oxybutynin, solifenacin, darifenacinAnticholinergic effects
A3dicyclomine hydrochloride, hyoscine hydrobromideAnticholinergic effects
A4diphenhydramine, promethazine, dimenhydrinate, chlorpheniramineAnticholinergic effects
A5First generation: chlorpromazine, flupenthixol, fluphenazine, haloperidol, loxapine, pimozide, sulpiride, trifluoperazine, zuclopenthixol, levomepromazine
Second generation: olanzapine, quetiapine, clozapine, aripiprazole, risperidone
Anticholinergic effects & sedative effects
A6See https://www.acbcalc.com/
See ACBCalc® scorecard below
Anticholinergic effects
B1triazolam, lormetazepam, lorprazolam, nitrazepam, temazepam, flurazepamSedative effects
B2alprazolam, chlordiazepoxide, diazepam, oxazepam, clonazepam, clobazamSedative effects
B3zopiclone, zolpidem, zaleplonSedative effects
C1benztropine, trihexyphenidyl, procyclidine, biperidinAnticholinergic effects
C2amantadineRisk of psychosis
C3pramipexole, ropinirole, apomorphine hydrochloride, rotigotineRisk of psychosis
C4rasagiline, selegiline, safinamideRisk of psychosis
C5entacapone, tolcapone, opicaponeRisk of psychosis
D1oxycodone, morphine, codeine, fentanyl, tramadol, pethidineSedative effects
D2pregabalin, gabapentinSedative effects
D3topiramate, carbamazepine, clonazepam, gabapentin, lacosamide, lamotrigine, levetiracetam, oxcarbazepine, phenytoin, pregabalin, valproateSedative effects
D4baclofen, tizanidine, pridinol, dantroleneSedative effects
E1Eugeroics: modafinil
ADHD drugs: methylphenidate, lisdexamphetamine, dexamphetamine
Nootropic supplements: B vitamins, fish oil supplements, herbal supplements including ginkgo biloba
Nootropic racetams: piracetam, aniracetam, etc.
No proven efficacy
F1donepezil, rivastigmine, galantamineNo proven efficacy in severe dementia
F2memantineNo proven efficacy in severe dementia
F3lecanemab, aducanumab, donanemabNo proven efficacy in severe dementia
F4statins, antiplatelet agents, anticoagulants, antihypertensives, bisphosphonatesNo proven efficacy in severe dementia
Table 2

Drug examples based on STOPPCog criteria.

CriteriaDrug Names/ClassesMechanism
A1amitriptyline, nortriptyline, doxepin, clomipramine, imipramine, desipramine, amoxapine, protriptyline, trimipramine
Paroxetine
Phenelzine
Anticholinergic effects
A2trospium chloride, tolterodine, fesoterodine, oxybutynin, solifenacin, darifenacinAnticholinergic effects
A3dicyclomine hydrochloride, hyoscine hydrobromideAnticholinergic effects
A4diphenhydramine, promethazine, dimenhydrinate, chlorpheniramineAnticholinergic effects
A5First generation: chlorpromazine, flupenthixol, fluphenazine, haloperidol, loxapine, pimozide, sulpiride, trifluoperazine, zuclopenthixol, levomepromazine
Second generation: olanzapine, quetiapine, clozapine, aripiprazole, risperidone
Anticholinergic effects & sedative effects
A6See https://www.acbcalc.com/
See ACBCalc® scorecard below
Anticholinergic effects
B1triazolam, lormetazepam, lorprazolam, nitrazepam, temazepam, flurazepamSedative effects
B2alprazolam, chlordiazepoxide, diazepam, oxazepam, clonazepam, clobazamSedative effects
B3zopiclone, zolpidem, zaleplonSedative effects
C1benztropine, trihexyphenidyl, procyclidine, biperidinAnticholinergic effects
C2amantadineRisk of psychosis
C3pramipexole, ropinirole, apomorphine hydrochloride, rotigotineRisk of psychosis
C4rasagiline, selegiline, safinamideRisk of psychosis
C5entacapone, tolcapone, opicaponeRisk of psychosis
D1oxycodone, morphine, codeine, fentanyl, tramadol, pethidineSedative effects
D2pregabalin, gabapentinSedative effects
D3topiramate, carbamazepine, clonazepam, gabapentin, lacosamide, lamotrigine, levetiracetam, oxcarbazepine, phenytoin, pregabalin, valproateSedative effects
D4baclofen, tizanidine, pridinol, dantroleneSedative effects
E1Eugeroics: modafinil
ADHD drugs: methylphenidate, lisdexamphetamine, dexamphetamine
Nootropic supplements: B vitamins, fish oil supplements, herbal supplements including ginkgo biloba
Nootropic racetams: piracetam, aniracetam, etc.
No proven efficacy
F1donepezil, rivastigmine, galantamineNo proven efficacy in severe dementia
F2memantineNo proven efficacy in severe dementia
F3lecanemab, aducanumab, donanemabNo proven efficacy in severe dementia
F4statins, antiplatelet agents, anticoagulants, antihypertensives, bisphosphonatesNo proven efficacy in severe dementia
CriteriaDrug Names/ClassesMechanism
A1amitriptyline, nortriptyline, doxepin, clomipramine, imipramine, desipramine, amoxapine, protriptyline, trimipramine
Paroxetine
Phenelzine
Anticholinergic effects
A2trospium chloride, tolterodine, fesoterodine, oxybutynin, solifenacin, darifenacinAnticholinergic effects
A3dicyclomine hydrochloride, hyoscine hydrobromideAnticholinergic effects
A4diphenhydramine, promethazine, dimenhydrinate, chlorpheniramineAnticholinergic effects
A5First generation: chlorpromazine, flupenthixol, fluphenazine, haloperidol, loxapine, pimozide, sulpiride, trifluoperazine, zuclopenthixol, levomepromazine
Second generation: olanzapine, quetiapine, clozapine, aripiprazole, risperidone
Anticholinergic effects & sedative effects
A6See https://www.acbcalc.com/
See ACBCalc® scorecard below
Anticholinergic effects
B1triazolam, lormetazepam, lorprazolam, nitrazepam, temazepam, flurazepamSedative effects
B2alprazolam, chlordiazepoxide, diazepam, oxazepam, clonazepam, clobazamSedative effects
B3zopiclone, zolpidem, zaleplonSedative effects
C1benztropine, trihexyphenidyl, procyclidine, biperidinAnticholinergic effects
C2amantadineRisk of psychosis
C3pramipexole, ropinirole, apomorphine hydrochloride, rotigotineRisk of psychosis
C4rasagiline, selegiline, safinamideRisk of psychosis
C5entacapone, tolcapone, opicaponeRisk of psychosis
D1oxycodone, morphine, codeine, fentanyl, tramadol, pethidineSedative effects
D2pregabalin, gabapentinSedative effects
D3topiramate, carbamazepine, clonazepam, gabapentin, lacosamide, lamotrigine, levetiracetam, oxcarbazepine, phenytoin, pregabalin, valproateSedative effects
D4baclofen, tizanidine, pridinol, dantroleneSedative effects
E1Eugeroics: modafinil
ADHD drugs: methylphenidate, lisdexamphetamine, dexamphetamine
Nootropic supplements: B vitamins, fish oil supplements, herbal supplements including ginkgo biloba
Nootropic racetams: piracetam, aniracetam, etc.
No proven efficacy
F1donepezil, rivastigmine, galantamineNo proven efficacy in severe dementia
F2memantineNo proven efficacy in severe dementia
F3lecanemab, aducanumab, donanemabNo proven efficacy in severe dementia
F4statins, antiplatelet agents, anticoagulants, antihypertensives, bisphosphonatesNo proven efficacy in severe dementia
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