RESTRICTED MEDICATION LIST

*Note: Antidepressants are acceptable*

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• Benzodiazepines e.g. Valium, Ativan, Rivotril, Serax, etc.

• Sedatives or Sleeping medications e.g. Chloral Hydrate, Ethchlorvynol, Glutethimide, Methyprylone, Imovane.

• Barbiturates e.g. Phenobarbital, Seconal.

• Barbiturate-like medications e.g. Meprobamate

• Amphetamines e.g. Ritalin, Dexedrine, Benzedrine

• Diet pills

• Antihistamines

• Decongestants

• Anti-cough medications

• Gravol

• Narcotics e.g. pain killers with codeine, such as Tylenol #1, 2 &3

• Muscle relaxants

• Laxatives, stool softeners, and other bowel care products.

• Medications containing alcohol

• Mouthwash containing alcohol

 

Please contact Alcove if you have questions, or if there is a change to your medications in the 10 days prior to starting treatment.