Which common psychotropic medication is known to potentially lead to falls in the elderly?

Antidepressants are known to potentially lead to falls in the elderly due to their side effects, which can include sedation, dizziness, and orthostatic hypotension. These effects can impair balance and coordination, increase the risk of falls, particularly among older adults who may already have compromised mobility or underlying health issues. The risk is especially pronounced when certain classes of antidepressants, such as selective serotonin reuptake inhibitors (SSRIs) or tricyclic antidepressants (TCAs), are used, as these can significantly impact the central nervous system and overall alertness.

While other classes of medications like antipsychotics and anticonvulsants can also contribute to falls through similar mechanisms, the direct association of antidepressants with falls, combined with their common use in elderly populations experiencing depression or anxiety, underscores their notable impact. Beta-blockers, while they may have side effects like dizziness, do not carry the same level of risk for falls as these other psychotropic medications.