nuanced, personalized plan.
How to Lower Your “Anticholinergic Burden” Today
Make a full list of everything you take—including OTC sleep aids, allergy pills, motion sickness tablets, and “PM” combos. Bring it to your clinician or pharmacist.
Identify high-load agents (e.g., diphenhydramine, amitriptyline, oxybutynin). Ask whether safer alternatives can replace them.
Consolidate duplicates. Avoid multiple meds from the same class (e.g., two different anticholinergics).
Use the lowest effective dose for the shortest necessary time. Reassess at every visit.
Prioritize non-drug therapies first when appropriate (sleep hygiene, CBT-I, pelvic floor
Scientists Warn Common Medications May Be Linked to Dementia