The Four Types of Medication to Avoid for Better Brain Health

TLDRGeriatrician Dr. Leslie Kernisan discusses the four types of brain slowing medication to avoid for better brain health in older adults. These include benzodiazepines, non-benzodiazepine sedatives, anticholinergics, and certain antidepressants. These medications can impair thinking, memory, and balance, making them problematic for older adults. Dr. Kernisan recommends alternative treatments and emphasizes the importance of discussing medication options with a healthcare provider.

Key insights

🧠Benzodiazepines slow down the brain and can lead to memory problems and addiction in older adults.

💤Non-benzodiazepine sedatives, like Zolpidem, commonly prescribed for sleep problems, can impair thinking and balance the next day.

💊Anticholinergics, such as sedating antihistamines and medications for overactive bladder, can block the neurotransmitter acetylcholine, leading to cognitive decline.

😢Certain antidepressants, specifically tricyclics and anticholinergic ones, can have negative effects on memory and cognition.

👴🏼It is important to discuss medication options with a healthcare provider and consider alternative treatments to preserve brain health in older adults.

Q&A

What are the risks of benzodiazepines?

Benzodiazepines can cause memory problems, addiction, increased falls, and worsened balance in older adults. They are also associated with an increased risk of developing dementia.

Are non-benzodiazepine sedatives safe for older adults?

Non-benzodiazepine sedatives, like Zolpidem, can impair thinking and balance the next day, especially in older adults. They should be used with caution.

What are anticholinergics?

Anticholinergics are a group of medications that block the neurotransmitter acetylcholine. They can have negative effects on memory and cognition.

Which antidepressants can negatively impact brain health?

Certain antidepressants, specifically tricyclics and anticholinergic ones, can have negative effects on memory and cognition.

What should I do if I have concerns about my medication?

If you have concerns about your medication, it is important to discuss them with a healthcare provider. They can provide guidance on alternative treatment options.

Timestamped Summary

01:47Benzodiazepines, such as lorazepam and diazepam, should be avoided as they can cause memory problems and addiction in older adults.

06:20Non-benzodiazepine sedatives, like Zolpidem (Ambien), can impair thinking and balance the next day, especially in older adults.

12:18Anticholinergics, a group of medications that block the neurotransmitter acetylcholine, can have negative effects on memory and cognition.

16:30Certain antidepressants, particularly tricyclics and anticholinergic ones, can negatively impact memory and cognition.

18:50It is important to discuss concerns about medications with a healthcare provider and consider alternative treatments to preserve brain health in older adults.