PO PSYCHOTHERAPEUTIC AGENTS
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| Benztropine mesylate (Cogentin) | Anticholinergic; PD; drug induced symptoms
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| Benztropine mesylate (Cogentin) | Nausea, lightheadedness, dizziness, ab. pain, insomnia, confusion, dry mouth
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| Benztropine mesylate (Cogentin) | hypersensitivity, narrow-angle glaucoma, myasthenia gravis, urinary retention, hx of peptic ulcer disease, megacolon, prostate hypertrophy and children less than 3
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| Lorezepam (Ativan) MOA | Antianxiety benzodiazepine; Depress activity in the brainstem and limbic system by increases GABA action that inhibits nerve transmission to the CNS
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| Lorezepam (Ativan) uses | Anxiolytic; Preop sedation;Treatment against chemo-related n,v; acute alcohol withdrawl
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| Lorezepam (Ativan) SE | Drowsiness, sedation loss of coordination, dizziness, blurred vision, HA, insomnia, increased excitability, hallucinations; n, v, constipation, dry mouth, ab. cramps, pruritis, skin rash
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| Lorezepam (Ativan) CI | KDA, narrow angle glaucoma, pregnancy
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| Lithium (Lithobid) | Alter sodium ion transport to nerve cells resulting in shifted catecholamine metabolism
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| Lithium (Lithobid) | Acute mania; maintenance of BPD (bipolor disorder)
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| Lithium (Lithobid) | Depend on serum levels: 2-2.5 mEq/L produce moderate to severe toxicity; most serious is cardiac dysrhythmias; drowsiness, slurred speech, seizures, choreoathetotic mvmts (involuntary wavelike), hypotension
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| Lithium (Lithobid) | No absolute contraindications; concurrent use of thiazides, ACE inhibitors, and CCBs can increase toxicity.
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| Carbamazepine (Tegretol) | Antiepileptic
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| Carbamazepine (Tegretol) MOA | Alters the movement of sodium, potassium, calcium and magnesium ions, resulting in stabilized and less responsive cell membranes.
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| Carbamazepine (Tegretol) use | Seizures; trigeminal glossopharyngeal neuralgia
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| Carbamazepine (Tegretol) SE | exfoliative dermatitis, bone marrow suppression, dysrhythmias, HF, thrombophlembitis, vision/hearing disturbances, acute urinary retention, dyspnea, pneumonia
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| Carbamazepine (Tegretol) CI | hypersensitive
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| Patient Teaching Tips for Tegretol: | Gather hx of resp, liver, renal and CNS disorders
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| Patient Teaching Tips for Tegretol: | Take AEDs at the same time of day with meals.
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| Patient Teaching Tips for Tegretol: | Capsules should not be crushed, opened, or chewed.
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| Patient Teaching Tips for Tegretol: | Patient should report any omissions or problems with dosing immediately!
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