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PSYCH MEDSS

QuestionAnswer
Thorazine (chlorpromazine) action antipsychotic. dopamine receptor antagonists
Thorazine (chlorpromazine) SE antipsychotic. high EPS, moderate anticholinergic
Thorazine (cholrpromazine) NS IMP assses I/O, urinary rention, especially elders. vitals. wt. adm meds as needed for EPS, AIMS scale, EKG=cardiotoxicity
Thorazine (cholrpromazine) teaching antipsychotic. drinke 2-3L fluids qd, sugarless gum for dry mouth, high fiber dieat, good oral hygiene, sunscreen, rise slowly, no alcohol, caution driving
Prolizine (fluphenazine) action antipsychotic. dopamine receptor antagonists
Prolizine (fluphenazine) SE antipsychotic. high EPS, moderate anticholinergic
Prolizine (fluphenazine) NS IMP assses I/O, urinary rention, especially elders. vitals. wt. adm meds as needed for EPS, AIMS scale, EKG=cardiotoxicity
Prolizine (fluphenazine) teaching antipsychotic. drinke 2-3L fluids qd, sugarless gum for dry mouth, high fiber dieat, good oral hygiene, sunscreen, rise slowly, no alcohol, caution driving
Trilafon (perphenazine) action antipsychotic. dopamine receptor antagonists
Trilafon (perphenazine) SE antipsychotic. high EPS, moderate anticholinergic
Trilafon (perphenazine) NS IMP assses I/O, urinary rention, especially elders. vitals. wt. adm meds as needed for EPS, AIMS scale, EKG=cardiotoxicity
Trilafon (perphenazine) teaching antipsychotic. drinke 2-3L fluids qd, sugarless gum for dry mouth, high fiber dieat, good oral hygiene, sunscreen, rise slowly, no alcohol, caution driving
Serentil (mesoridazine) action antipsychotic. dopamine receptor antagonists
Serentil (mesoridazine) SE antipsychotic. high EPS, moderate anticholinergic
Serentil (mesoridazine) NS IMP assses I/O, urinary rention, especially elders. vitals. wt. adm meds as needed for EPS, AIMS scale, EKG=cardiotoxicity
Serentil (mesoridazine) teaching antipsychotic. drinke 2-3L fluids qd, sugarless gum for dry mouth, high fiber dieat, good oral hygiene, sunscreen, rise slowly, no alcohol, caution driving
Stelazine (trifluoperazine) action antipsychotic. dopamine receptor antagonists
Stelazine (trifluoperazine) SE antipsychotic. high EPS, moderate anticholinergic
Stelazine (trifluoperazine) NS IMP assses I/O, urinary rention, especially elders. vitals. wt. adm meds as needed for EPS, AIMS scale, EKG=cardiotoxicity
Stelazine (trifluoperazine) teaching antipsychotic. drinke 2-3L fluids qd, sugarless gum for dry mouth, high fiber dieat, good oral hygiene, sunscreen, rise slowly, no alcohol, caution driving
Mellaril (thioridazine) action antipsychotic. dopamine receptor antagonists
Mellaril (thioridazine) SE antipsychotic. high EPS, moderate anticholinergic
Mellaril (thioridazine) NS IMP assses I/O, urinary rention, especially elders. vitals. wt. adm meds as needed for EPS, AIMS scale, EKG=cardiotoxicity
Mellaril (thioridazine) teaching antipsychotic. drinke 2-3L fluids qd, sugarless gum for dry mouth, high fiber dieat, good oral hygiene, sunscreen, rise slowly, no alcohol, caution driving
Haldol (haloperidol) action antipsychotic.
Haldol (holperidol) SE Antipsychotic. High EPS, low anticholinergic
Haldol (holperidol) NS IMP antipsychotic. CBC, liver function tests,
Haldol (holperidol) teaching antipsychotic. report EPS, any symptoms immediately
Navane (thiothixene) action antipsychotic.
Navane (thiothixene) SE antipsychotic. high EPS, low anticholinergic
Navane (thiothixene) NS IMP antipsychotic. ocular exams periodically
Navane (thiothixene) teaching antipsychotic. report EPS, any symptoms immediately
Long-acting Haldol decanoate. action antipsychotic. dopamine receptor antagonists
long-acting Haldol decanoate. SE antipsychotic.
long-acting Haldol decanoate. NS IMP antipsychotic. given IM every 3-4 weeks
long-acting Haldol decanoate. teaching antipsychotic
long-acting Prolixin action antipsychotic. dopamine receptor antagonists
long-acting Prolixin SE antipsychotic.
long-acting Prolixin NS IMP antipsychotic. given IM every 3-4 weeks
long-acting Prolixin teaching antipsychotic.
Risperdal Consta action Atypical anitpsychotic. maintenance of bipolar 1 or schizophrenia. Long-acting injection often as adjunctive therapy to lithium or valproate
Risperdal Consta SE atypical antipsychotic. NMS, TD, metabolic hyperglycemia, dyslipidemia, inc body wt, orthostatic hypotension, agranulocytosis, priapism
Risperdal Consta NS IMP Atypical antipsychotic. assess BP lying and standing
Risperdal Consta teaching atypical antipsychotic. educate about diet and exercise, rise slowly
Clozaril (clozapine) action atypical antipsychotic. serotonin-dopamine antagonists
Clozaril (clozapine) SE atypical antipsychotic. Agranulocytosis, neutropenia, low EPS, wt gain, high anticholinergic
Clozaril (clozapine) NS IMP atypical antipsychotic. assess biweekly WBC, hold if less than 3000mm, check FBS, controls negative and positive symptoms of schizophrenia, aspiration risk, BP lying/standing, wt,
Clozaril (clozapine) teaching atypical antipsychotic. report symptoms of sore throat, fever, compliance w lab draws, dont stop abruptly, no ETOH, no OTC, med alert card, diet/exercise, rise slowly
Seroquel (quetiapine) action atypical antipsychotic. serotonin-dopamine antagonist
Seroquel (quetiapine) SE atypical antipsychotic. exacerbated hypothyroidism, high sedation, lowers seizure threshold, inc salivation, orthostatic hypo, low EPS, wt gain, cateracts
Seroquel (quetiapine) NS IMP atypical antipsychotic. avoid extreme temps, wt gain, FBS for insulin resistance, BP lying/standing
Seroquel (quetiapine) teaching atypical antipsychotic. no ETOH, no OTC, eye exam q 6 mths, diet/exercise, rise slowly
Zyprexa (olanzapine) action atypical antipsychotic. serotonin-dopamine antagonists
Zyprexa (olanzapine) SE atypical antipsychotic. lowers seizure threshold, low EPS, sedation, insulin resistance
Zyprexa (olanzapine) NS IMP atypical antipsychotic. take w food, wt gain, FBS, dec seizure threshold, cardiotoxicity, check EKG, BP lying/standing
Zyprexa (olanzapine) teaching atypical antipsychotic. use sunscreen, diet/exercise, rise slowly
Latuda (lurasidone HCL) action atypical antipsychotic. serotonin-dopamine antagonists
Latuda (lurasidone HCL) SE atypical antipsychotic. angioedema, NMS, TD, inc blood gluecose, ortho hypo
Latuda (lurasidone HCL) NS IMP atypical antipsychotic. BP lying/standing
Latuda (lurasidone HCL) teaching atypical antipsychotic. diet/exercise, rise slowly
Geodon (ziprasidone) action atypical antipsychotic. serotonin-dopamine antagonists
Geodon (ziprasidone) SE atypical antipsychotic. ortho hypo, low EPS, anticholinergic
Geodon (ziprasidone) NS IMP atypical antipsychotic. BP lying/standing
Geoden (ziprasidone) teaching atypical antipsychotic. diet/exercise, rise slowly
Saphris (asenapine) action atypical antipsychotic. serotonin-dopamine antagonists
Saphris (asenapine) SE atypical antipsychotic. ortho hypo, low EPS, anticholinergic
Saphris (asenapine) NS IMP atypical antipsychotic. BP lying/standing
Saphris (asenapine) teaching atypical antipsychotic. diet/exercise, rise slowly
Abilify (aripiprazole) ACTION atypical antipsychotic. serotonin-dopamine modulator\
Abilify (aripiprazole) SE atypical antipsychotic. ortho hypo, low EPS, wt gain, inc FBS, anticholinergic
Abilify (aripiprazole) NS IMP atypical antipsychotic. BP standing/lying
Abilify (aripiprazole) teaching atypical antipsychotic. diet/exercise, rise slowly
Med for EPS=Cogentin (benztropine) action anticholinergic. restores balance of depamine and acetylcholine in CNS
Med for EPS: Cogentin (benztropine) SE anticholinergic. anticholinergic effects, ortho hypo
Med for EPS: Cogentin (benztropine) NS IMP anticholinergic. assess for symptoms, BP standing/lying
Med for EPS: Cogentin (benztropine) teaching anticholinergic. inc fluids and fiber, rise slowly, report symptoms
Med for EPS: Artane (trihexyphenidyl) action anticholinergic. restores balance of depamine and acetylcholine in CNS
Meds for EPS: Artane (trihexyphenidyl) SE anticholinergic. anticholinergic effects, ortho hypo
Meds for EPS: Artane (trihexyphenidyl) NS IMP anticholinergic. assess for symptoms, BP standing/lying
Meds for EPS: Artane (trihexyphenidyl) teaching anticholinergic. inc fluids and fiber, rise slowly, report symptoms
Med for EPS: Benadryl (diphenhydramine) action antihistamine.
Med for EPS: Benadryl (diphenhydramine) SE antihistamine. inc psychosis
Med for EPS: Benadryl (diphenhydramine) NS IMP antihistamine. assess inc psychosis
Med for EPS: Benadryl (diphenhydramine) teaching antihistamine. no OTC or preps w antihistamines (antagonizes psychotropics)
Med for EPS: Symmetrel (amantadine) action antiparkinsonism med: inc dopamine releases
Med for EPS: Symmetrel (amantadine) SE antiparkinsonism med: dizzy, confusion, ortho hypo
Med for EPS: Symmetrel (amantadine) NS IMP antiparkinsonism med: taper dose, BP lying/standing
Med for EPS: Symmetrel (amantadine) teaching antiparkinsonism med: caution driving rise slowly
Med for EPS: Parlodel (bromocriptine) action antiparkinsonism med: inc dopamine releases
Med for EPS: Parlodel (bromocriptine) SE antiparkinsonism med: dizzy, confusion, ortho hypo
Med for EPS: Parlodel (bromocriptine) NS IMP antiparkinsonism med: taper dose, BP lying/standing
Med for EPS: Parlodel (bromocriptine) teaching antiparkinsonism med: caution driving rise slowly
Mood stabilizing drugs: Lithium carbonate (Eskalith, Lithane, Lithobid, canalith, Lithonate, Lithotabs) action Enhance reuptake of norepinephrine and serotonin
Mood stabilizing drugs: Lithium carbonate (Eskalith, Lithane, Lithobid, canalith, Lithonate, Lithotabs) SE dec thyroid func, drowsy, dizzy, HA, dry mouth, thirst, metallic taste, wt gain, hypotension, fine hand tremor, arrhythmias.
Mood stabilizing drugs: Lithium carbonate (Eskalith, Lithane, Lithobid, canalith, Lithonate, Lithotabs) Toxicity excessive sweating, polyuria, polydipsia, N/V, progressing to oliguria, slurred speech, coma progressing to death
Mood stabilizing drugs: Lithium carbonate (Eskalith, Lithane, Lithobid, canalith, Lithonate, Lithotabs) NS IMP theraputic level is 0.6-1.2mEq/l, acute=1.0-1.5mEq/l, toxicity=1.5mEq/l => STOP MED!!
Mood stabilizing drugs: Lithium carbonate (Eskalith, Lithane, Lithobid, canalith, Lithonate, Lithotabs) teaching drq serum levels 12 hours after last dose, takes 1-2 wks to stabilize mood, do not restrict sodium, maintain 2-3 L of fluid daily
Mood stabilizing drug: Depakote, Depakene, Trileptal (valproic acid) action anticonvulsants. anticonvulsants used to stabilize mood.
Mood stabilizing drug: Depakote, Depakene, Trileptal (valproic acid) SE anticonvulsants. blood dycrasias, prolong bleeding time, elevated liver enzymes, jaundice, rash
Mood stabilizing drug: Depakote, Depakene, Trileptal (valproic acid) NS IMP anticonvulsant. assess signs of bleeding, bruising, bleeding gums, sore throat, serum blood levels, sedation, life threatening pancreatitis.
Mood stabilizing drug: Depakote, Depakene, Trileptal (valproic acid) teaching anticonvulsants. serum blood levels, do not stop abruptly, med alert card, no ETOH, caution driving
Mood stabilizing drug: Neurontin Mood stabilizing drug: Neurontin (gabapentin)(gabapentin) action anticonvulsants. anticonvulsants used to stabilize mood.
Mood stabilizing drug: Neurontin (gabapentin) SE anticonvulsants. blood dycrasias, prolong bleeding time, elevated liver enzymes, jaundice, rash
Mood stabilizing drug: Neurontin (gabapentin) NS IMP anticonvulsant. assess signs of bleeding, bruising, bleeding gums, sore throat, serum blood levels, sedation, life threatening pancreatitis.
Mood stabilizing drug: Neurontin (gabapentin) teaching anticonvulsants. serum blood levels, do not stop abruptly, med alert card, no ETOH, caution driving
Mood stabilizing drug: Lamictal (lamotrigine) action anticonvulsants. anticonvulsants used to stabilize mood.
Mood stabilizing drug: Lamictal (lamotrigine) SE anticonvulsants. blood dycrasias, prolong bleeding time, elevated liver enzymes, jaundice, rash
Mood stabilizing drug: Lamictal (lamotrigine) NS IMP anticonvulsant. assess signs of bleeding, bruising, bleeding gums, sore throat, serum blood levels, sedation, life threatening pancreatitis.
Mood stabilizing drug: Lamictal (lamotrigine) teaching anticonvulsants. serum blood levels, do not stop abruptly, med alert card, no ETOH, caution driving
Mood stabilizing drug: tegretol (carbamazepine) action anticonvulsants. anticonvulsants used to stabilize mood.
Mood stabilizing drug: tegretol (carbamazepine) SE anticonvulsants. blood dycrasias, prolong bleeding time, elevated liver enzymes, jaundice, rash
Mood stabilizing drug: tegretol (carbamazepine) NS IMP anticonvulsant. assess signs of bleeding, bruising, bleeding gums, sore throat, serum blood levels, sedation, life threatening pancreatitis.
Mood stabilizing drug: tegretol (carbamazepine) teaching anticonvulsants. serum blood levels, do not stop abruptly, med alert card, no ETOH, caution driving
Mood stabilizing drug: Topamax (topiramate) action anticonvulsants. anticonvulsants used to stabilize mood.
Mood stabilizing drug: Topamax (topiramate) SE anticonvulsants. blood dycrasias, prolong bleeding time, elevated liver enzymes, jaundice, rash
Mood stabilizing drug: Topamax (topiramate) NS IMP anticonvulsant. assess signs of bleeding, bruising, bleeding gums, sore throat, serum blood levels, sedation, life threatening pancreatitis.
Mood stabilizing drug: Topamax (topiramate) teaching anticonvulsants. serum blood levels, do not stop abruptly, med alert card, no ETOH, caution driving
Ritalin (methylphenidate) action Stimulant. CNS stimulant used for ADHD or narcolepsy
Ritalin (methylphenidate) SE Stimulant. anorexia, dec appetite, growth retardation in children, insomnia, restlessness, anxiety, GI upset, Leukopenia, anemia, dry mouth
Ritalin (methylphenidate) NS IMP Stimulant. 6-8 sm meals/day, periodic interruption of drug, monitor growth, give in am, dec dose, assess for dependency, CBC for liver enzymes, watch for abuse or selling of drug on street, DEA controlled CII-IV
Ritalin (methylphenidate) teaching Stimulant.report wt loss, side effects, watch for fatigue, yellowing of eyes
Cylert (pemoline) action Stimulant. CNS stimulant used for ADHD or narcolepsy
Cylert (pemoline) SE Stimulant. anorexia, dec appetite, growth retardation in children, insomnia, restlessness, anxiety, GI upset, Leukopenia, anemia, dry mouth
Cylert (pemoline) NS IMP Stimulant. 6-8 sm meals/day, periodic interruption of drug, monitor growth, give in am, dec dose, assess for dependency, CBC for liver enzymes, watch for abuse or selling of drug on street, DEA controlled CII-IV
Cylert (pemoline) teaching Stimulant.report wt loss, side effects, watch for fatigue, yellowing of eyes
Adderall (dextroamphetamine) action Stimulant. CNS stimulant used for ADHD or narcolepsy
Adderall (dextroamphetamine) SE Stimulant. anorexia, dec appetite, growth retardation in children, insomnia, restlessness, anxiety, GI upset, Leukopenia, anemia, dry mouth
Adderall (dextroamphetamine) NS IMP Stimulant. 6-8 sm meals/day, periodic interruption of drug, monitor growth, give in am, dec dose, assess for dependency, CBC for liver enzymes, watch for abuse or selling of drug on street, DEA controlled CII-IV
Adderall (dextroamphetamine) teaching Stimulant.report wt loss, side effects, watch for fatigue, yellowing of eyes
Desoxyn (methamphetamine) action Stimulant. CNS stimulant used for ADHD or narcolepsy
Desoxyn (methamphetamine) SE Stimulant. anorexia, dec appetite, growth retardation in children, insomnia, restlessness, anxiety, GI upset, Leukopenia, anemia, dry mouth
Desoxyn (methamphetamine) NS IMP Stimulant. 6-8 sm meals/day, periodic interruption of drug, monitor growth, give in am, dec dose, assess for dependency, CBC for liver enzymes, watch for abuse or selling of drug on street, DEA controlled CII-IV
Desoxyn (methamphetamine) teaching Stimulant.report wt loss, side effects, watch for fatigue, yellowing of eyes
Provigil (modafinil) action Stimulant. CNS stimulant used for ADHD or narcolepsy
Provigil (modafinil) SE Stimulant. anorexia, dec appetite, growth retardation in children, insomnia, restlessness, anxiety, GI upset, Leukopenia, anemia, dry mouth
Provigil (modafinil) NS IMP Stimulant. 6-8 sm meals/day, periodic interruption of drug, monitor growth, give in am, dec dose, assess for dependency, CBC for liver enzymes, watch for abuse or selling of drug on street, DEA controlled CII-IV
Provigil (modafinil) teaching Stimulant.report wt loss, side effects, watch for fatigue, yellowing of eyes
Concerta (methylphenidate) action Stimulant. CNS stimulant used for ADHD or narcolepsy
Concerta (methylphenidate) SE Stimulant. anorexia, dec appetite, growth retardation in children, insomnia, restlessness, anxiety, GI upset, Leukopenia, anemia, dry mouth
Concerta (methylphenidate) NS IMP Stimulant.6-8 sm meals/day, periodic interruption of drug, monitor growth, give in am, dec dose, assess for dependency, CBC for liver enzymes, watch for abuse or selling of drug on street, DEA controlled CII-IV
Concerta (methylphenidate) teaching Stimulant.report wt loss, side effects, watch for fatigue, yellowing of eyes
Vyvanse (lisdexamfamine) action Stimulant. CNS stimulant used for ADHD or narcolepsy
Vyvanse (lisdexamfamine) SE Stimulant. anorexia, dec appetite, growth retardation in children, insomnia, restlessness, anxiety, GI upset, Leukopenia, anemia, dry mouth
Vyvanse (lisdexamfamine) NS IMP Stimulant.6-8 sm meals/day, periodic interruption of drug, monitor growth, give in am, dec dose, assess for dependency, CBC for liver enzymes, watch for abuse or selling of drug on street, DEA controlled CII-IV
Vyvanse (lisdexamfamine) teaching Stimulant.report wt loss, side effects, watch for fatigue, yellowing of eyes
Strattera (atomaxetine) action Stimulant. SNRI, inc norepinephrine
Strattera (atomaxetine) SE Stimulant. anorexia, wt loss, insomnia, restlessness, GI upset, mood swings
Strattera (atomaxetine) NS IMP Stimulant. Restlessness, watch wt loss, suicidal ideation
Strattera (atomaxetine) teaching Stimulant. can take with food
Adipex-P (phentermine) action Anorexiant. suppresses appetite or influences metabolism
Adipex-P (phentermine) SE Anorexiant. coardiac symptoms such as SOB, arrhythmias, angina, seizures, may inc BP
Adipex-P (phentermine) NS IMP Anorexiant. baseline EKG, monitor vitals, BP, HR, siezure precautions, insomnia, anxiety
Adipex-P (phentermine) teaching Anorexiant. Monitor BP, discontinue if adverse effects
Meds for anti-anxiety: Xanax (alprazolam) action Benzodiazepine: potentiate GABA receptor sites, fast acting for acute short term anxiety
Meds for anti-anxiety: Xanax (alprazolam) SE Benzodiazepine: sedation, confusion, tolerance to drug, paradoxical excitement, ortho hypo, depression
Meds for anti-anxiety: Xanax (alprazolam) NS IMP Benzodiazepine: effects potentiated w elderly, narcotics, barbituates, alcohol, cimetidine, disulfiram; assess BP lying/standing, hold if pregnant/lactating, DEA controlled C-IV
Meds for anti-anxiety: Xanax (alprazolam) teaching Benzodiazepine: caution driving, rise slowly, withdrawal effects w long term use, nicotine/caffeine dec effects
Meds for anti-anxiety: Valium (diazepam) action Benzodiazepine: potentiate GABA receptor sites, fast acting for acute short term anxiety
Meds for anti-anxiety: Valium (diazepam) SE Benzodiazepine: sedation, confusion, tolerance to drug, paradoxical excitement, ortho hypo, depression
Meds for anti-anxiety: Valium (diazepam) NS IMP Benzodiazepine: effects potentiated w elderly, narcotics, barbituates, alcohol, cimetidine, disulfiram; assess BP lying/standing, hold if pregnant/lactating, DEA controlled C-IV
Meds for anti-anxiety: Valium (diazepam) teaching Benzodiazepine: caution driving, rise slowly, withdrawal effects w long term use, nicotine/caffeine dec effects
Meds for anti-anxiety: Ativan (lorazepam) action Benzodiazepine: potentiate GABA receptor sites, fast acting for acute short term anxiety
Meds for anti-anxiety: Ativan (lorazepam) SE Benzodiazepine: sedation, confusion, tolerance to drug, paradoxical excitement, ortho hypo, depression
Meds for anti-anxiety: Ativan (lorazepam) NS IMP Benzodiazepine: effects potentiated w elderly, narcotics, barbituates, alcohol, cimetidine, disulfiram; assess BP lying/standing, hold if pregnant/lactating, DEA controlled C-IV
Meds for anti-anxiety: Ativan (lorazepam) teaching Benzodiazepine: caution driving, rise slowly, withdrawal effects w long term use, nicotine/caffeine dec effects
Meds for anti-anxiety: Librium (chlordiazepoxide) action Benzodiazepine: potentiate GABA receptor sites, fast acting for acute short term anxiety
Meds for anti-anxiety: Librium (chlordiazepoxide) SE Benzodiazepine: sedation, confusion, tolerance to drug, paradoxical excitement, ortho hypo, depression
Meds for anti-anxiety: Librium (chlordiazepoxide) NS IMP Benzodiazepine: effects potentiated w elderly, narcotics, barbituates, alcohol, cimetidine, disulfiram; assess BP lying/standing, hold if pregnant/lactating, DEA controlled C-IV
Meds for anti-anxiety: Librium (chlordiazepoxide teaching Benzodiazepine: caution driving, rise slowly, withdrawal effects w long term use, nicotine/caffeine dec effects
Meds for anti-anxiety: Klonopin (clonazepam) action Benzodiazepine: potentiate GABA receptor sites, fast acting for acute short term anxiety
Meds for anti-anxiety: Klonopin (clonazepam) SE Benzodiazepine: sedation, confusion, tolerance to drug, paradoxical excitement, ortho hypo, depression
Meds for anti-anxiety: Klonopin (clonazepam) NS IMP Benzodiazepine: effects potentiated w elderly, narcotics, barbituates, alcohol, cimetidine, disulfiram; assess BP lying/standing, hold if pregnant/lactating, DEA controlled C-IV
Meds for anti-anxiety: Klonopin (clonazepam) teaching Benzodiazepine: caution driving, rise slowly, withdrawal effects w long term use, nicotine/caffeine dec effects
Meds for anti-anxiety: Tenormin (atenolol) action Beta-Blockers: treats somatic effects of anxiety by vasodilation
Meds for anti-anxiety: Tenormin (atenolol) SE Beta-Blocker: ortho hypo, bradycardia, WPW syndrome, N/V, paradozical HTN if given w clonidine, potentiates hypoglycemic drugs, dizziness, HA
Meds for anti-anxiety: Tenormin (atenolol) NS IMP Beta-Blocker: BP lying/standing, cardiac assessment d/t inc risk of CHF, caution w COPD, bronchiospasm, contraindicated w asthma
Meds for anti-anxiety: Tenormin (atenolol) teaching Beta-Blocker: rise slowly, report any cardiac symptoms promptly, take w meals, med card
Meds for anti-anxiety: Toprol (metoprolol) action Beta-Blockers: treats somatic effects of anxiety by vasodilation
Meds for anti-anxiety: Toprol (metoprolol) SE Beta-Blocker: ortho hypo, bradycardia, WPW syndrome, N/V, paradozical HTN if given w clonidine, potentiates hypoglycemic drugs, dizziness, HA
Meds for anti-anxiety: Toprol (metoprolol) NS IMP Beta-Blocker: BP lying/standing, cardiac assessment d/t inc risk of CHF, caution w COPD, bronchiospasm, contraindicated w asthma
Meds for anti-anxiety: Toprol (metoprolol) teaching Beta-Blocker: rise slowly, report any cardiac symptoms promptly, take w meals, med card
Meds for anti-anxiety: Corgard (nadolol) action Beta-Blockers: treats somatic effects of anxiety by vasodilation
Meds for anti-anxiety: Corgard (nadolol) SE Beta-Blocker: ortho hypo, bradycardia, WPW syndrome, N/V, paradozical HTN if given w clonidine, potentiates hypoglycemic drugs, dizziness, HA
Meds for anti-anxiety: Corgard (nadolol) NS IMP Beta-Blocker: BP lying/standing, cardiac assessment d/t inc risk of CHF, caution w COPD, bronchiospasm, contraindicated w asthma
Meds for anti-anxiety: Corgard (nadolol) teaching Beta-Blocker: rise slowly, report any cardiac symptoms promptly, take w meals, med card
Meds for anti-anxiety: Inderal (propranolol) action Beta-Blockers: treats somatic effects of anxiety by vasodilation
Meds for anti-anxiety: Inderal (propranolol) SE Beta-Blocker: ortho hypo, bradycardia, WPW syndrome, N/V, paradozical HTN if given w clonidine, potentiates hypoglycemic drugs, dizziness, HA
Meds for anti-anxiety: Inderal (propranolol) NS IMP Beta-Blocker: BP lying/standing, cardiac assessment d/t inc risk of CHF, caution w COPD, bronchiospasm, contraindicated w asthma
Meds for anti-anxiety: Inderal (propranolol) teaching Beta-Blocker: rise slowly, report any cardiac symptoms promptly, take w meals, med card
Meds for anti-anxiety: Atarax (hydrozyzine) action Antihistamine: dec histamine
Meds for anti-anxiety: Atarax (hydrozyzine) SE Antihistamine: hypertensive crisis w MAO
Meds for anti-anxiety: Atarax (hydrozyzine) NS IMP Antihistamine: effects ptentiated w CNS depression
Meds for anti-anxiety: Atarax (hydrozyzine) teaching caution driving
Meds for anti-anxiety: BuSpar (buspirone) action MISC: serotonin and dopamine antagonist
Meds for anti-anxiety: BuSpar (buspirone) SE MISC: anticholinergic, tremors, chest pain, tachycardia
Meds for anti-anxiety: BuSpar (buspirone) NS IMP MISC: hold if pregnant/lactating, N, monitor HR
Meds for anti-anxiety: Ambien (zolpidem) action Hypnotic: CNS depressant for SHORT TERM, sleep aid
Meds for anti-anxiety: Ambien (zolpidem) SE Hypnotic: Somnolence, confusion, C-IV controlled med, potential for dependence and OD, GI upset
Meds for anti-anxiety: Ambien (zolpidem) NS IMP Hypnotic: watch combo w other psychotropic meds, explore other sleep aids, suicide assessment
Meds for anti-anxiety: Ambien (zolpidem) teaching Hypnotic: caution driving, no ETOH, OTC or suicide contract
Meds for anti-anxiety: Restoril (temazepam) action Hypnotic: CNS depressant for SHORT TERM, sleep aid
Meds for anti-anxiety: Restoril (temazepam) SE Hypnotic: Somnolence, confusion, C-IV controlled med, potential for dependence and OD, GI upset
Meds for anti-anxiety: Restoril (temazepam) NS IMP Hypnotic: watch combo w other psychotropic meds, explore other sleep aids, suicide assessment
Meds for anti-anxiety: Restoril (temazepam) teaching Hypnotic: caution driving, no ETOH, OTC or suicide contract
Meds for anti-anxiety: ProSom (estazolam) action Hypnotic: CNS depressant for SHORT TERM, sleep aid
Meds for anti-anxiety: ProSom (estazolam) SE Hypnotic: Somnolence, confusion, C-IV controlled med, potential for dependence and OD, GI upset
Meds for anti-anxiety: ProSom (estazolam) NS IMP Hypnotic: watch combo w other psychotropic meds, explore other sleep aids, suicide assessment
Meds for anti-anxiety: ProSom (estazolam) teaching Hypnotic: caution driving, no ETOH, OTC or suicide contract
Meds for anti-anxiety: Halcion (triazolam) action Hypnotic: CNS depressant for SHORT TERM, sleep aid
Meds for anti-anxiety: Halcion (triazolam) SE Hypnotic: Somnolence, confusion, C-IV controlled med, potential for dependence and OD, GI upset
Meds for anti-anxiety: Halcion (triazolam) NS IMP Hypnotic: watch combo w other psychotropic meds, explore other sleep aids, suicide assessment
Meds for anti-anxiety: Halcion (triazolam) teaching Hypnotic: caution driving, no ETOH, OTC or suicide contract
Meds for anti-anxiety: Dalmane (flurazepam) action Hypnotic: CNS depressant for SHORT TERM, sleep aid
Meds for anti-anxiety: Dalmane (flurazepam) SE Hypnotic: Somnolence, confusion, C-IV controlled med, potential for dependence and OD, GI upset
Meds for anti-anxiety: Dalmane (flurazepam) NS IMP Hypnotic: watch combo w other psychotropic meds, explore other sleep aids, suicide assessment
Meds for anti-anxiety: Dalmane (flurazepam) teaching Hypnotic: caution driving, no ETOH, OTC or suicide contract
Meds for anti-anxiety: Doral (quazepam) action Hypnotic: CNS depressant for SHORT TERM, sleep aid
Meds for anti-anxiety: Doral (quazepam) SE Hypnotic: Somnolence, confusion, C-IV controlled med, potential for dependence and OD, GI upset
Meds for anti-anxiety: Doral (quazepam) NS IMP Hypnotic: watch combo w other psychotropic meds, explore other sleep aids, suicide assessment
Meds for anti-anxiety: Doral (quazepam) teaching Hypnotic: caution driving, no ETOH, OTC or suicide contract
Meds for anti-anxiety: Sonata (zaleplon) action Hypnotic: CNS depressant for SHORT TERM, sleep aid
Meds for anti-anxiety: Sonata (zaleplon) SE Hypnotic: Somnolence, confusion, C-IV controlled med, potential for dependence and OD, GI upset
Meds for anti-anxiety: Sonata (zaleplon) NS IMP Hypnotic: watch combo w other psychotropic meds, explore other sleep aids, suicide assessment
Meds for anti-anxiety: Sonata (zaleplon) teaching Hypnotic: caution driving, no ETOH, OTC or suicide contract
Anti-depressants: Elavil (amitriptyline) action tri-cyclics: inc serotonin & norepinephrine
Anti-depressants: Elavil (amitriptyline) SE tri-cyclics: anticholenergic effects, ortho hypo, cardiac arrythmias, wt gain, photosensitivity, inc suicide risk, sedation
Anti-depressants: Elavil (amitriptyline) NS IMP tri-cyclics: BP lying/standing, cardiac assessment, high OD potential-limit quantity available to pt
Anti-depressants: Elavil (amitriptyline) teaching tri-cyclics: inc fluids/fiber, take at HS, exercise, sensible eating, sunscreen, no suicide contract, no ETOH, caution driving
Anti-depressants: Anafranil (clomipramine) action tri-cyclic: inc serotonin & norepinephrine
Anti-depressants: Anafranil (clomipramine) SE tri-cyclics: anticholenergic effects, ortho hypo, cardiac arrythmias, wt gain, photosensitivity, inc suicide risk, sedation
Anti-depressants: Anafranil (clomipramine) NS IMP tri-cyclics: BP lying/standing, cardiac assessment, high OD potential-limit quantity available to pt
Anti-depressants: Anafranil (clomipramine) teaching tri-cyclics: inc fluids/fiber, take at HS, exercise, sensible eating, sunscreen, no suicide contract, no ETOH, caution driving
Anti-depressants: Norpramin (desipramine) action tri-cyclic: inc serotonin & norepinephrine
Anti-depressants: Norpramin (desipramine) SE tri-cyclics: anticholenergic effects, ortho hypo, cardiac arrythmias, wt gain, photosensitivity, inc suicide risk, sedation
Anti-depressants: Norpramin (desipramine) NS IMP tri-cyclics: BP lying/standing, cardiac assessment, high OD potential-limit quantity available to pt
Anti-depressants: Norpramin (desipramine) teaching tri-cyclics: inc fluids/fiber, take at HS, exercise, sensible eating, sunscreen, no suicide contract, no ETOH, caution driving
Anti-depressants: Sinequan (doxepin) action tri-cyclic: inc serotonin & norepinephrine
Anti-depressants: Sinequan (doxepin) SE tri-cyclics: anticholenergic effects, ortho hypo, cardiac arrythmias, wt gain, photosensitivity, inc suicide risk, sedation
Anti-depressants: Sinequan (doxepin) NS IMP tri-cyclics: BP lying/standing, cardiac assessment, high OD potential-limit quantity available to pt
Anti-depressants: Sinequan (doxepin) teaching tri-cyclics: inc fluids/fiber, take at HS, exercise, sensible eating, sunscreen, no suicide contract, no ETOH, caution driving
Anti-depressants: Tofranil (imipramine) action tri-cyclic: inc serotonin & norepinephrine
Anti-depressants: Tofranil (imipramine) SE tri-cyclics: anticholenergic effects, ortho hypo, cardiac arrythmias, wt gain, photosensitivity, inc suicide risk, sedation
Anti-depressants: Tofranil (imipramine) NS IMP tri-cyclics: BP lying/standing, cardiac assessment, high OD potential-limit quantity available to pt
Anti-depressants: Tofranil (imipramine) teaching tri-cyclics: inc fluids/fiber, take at HS, exercise, sensible eating, sunscreen, no suicide contract, no ETOH, caution driving
Anti-depressants: Ludiomil (maprotiline) action tri-cyclic: inc serotonin & norepinephrine
Anti-depressants: Ludiomil (maprotiline) SE tri-cyclics: anticholenergic effects, ortho hypo, cardiac arrythmias, wt gain, photosensitivity, inc suicide risk, sedation
Anti-depressants: Ludiomil (maprotiline) NS IMP
Anti-depressants: Ludiomil (maprotiline) teaching tri-cyclics: inc fluids/fiber, take at HS, exercise, sensible eating, sunscreen, no suicide contract, no ETOH, caution driving
Anti-depressants: Asendin (amaoxapine) action tri-cyclic: inc serotonin & norepinephrine
Anti-depressants: Asendin (amaoxapine) SE tri-cyclics: anticholenergic effects, ortho hypo, cardiac arrythmias, wt gain, photosensitivity, inc suicide risk, sedation
Anti-depressants: Asendin (amaoxapine) NS IMP tri-cyclics: BP lying/standing, cardiac assessment, high OD potential-limit quantity available to pt
Anti-depressants: Asendin (amaoxapine) teaching tri-cyclics: inc fluids/fiber, take at HS, exercise, sensible eating, sunscreen, no suicide contract, no ETOH, caution driving
Anti-depressants: Vivactil (protriptyline) action tri-cyclic: inc serotonin & norepinephrine
Anti-depressants: Vivactil (protriptyline) SE tri-cyclics: anticholenergic effects, ortho hypo, cardiac arrythmias, wt gain, photosensitivity, inc suicide risk, sedation
Anti-depressants: Vivactil (protriptyline) NS IMP tri-cyclics: BP lying/standing, cardiac assessment, high OD potential-limit quantity available to pt
Anti-depressants: Vivactil (protriptyline) teaching tri-cyclics: inc fluids/fiber, take at HS, exercise, sensible eating, sunscreen, no suicide contract, no ETOH, caution driving
Anti-depressants: Surmontil (trimipramine) action tri-cyclic: inc serotonin & norepinephrine
Anti-depressants: Surmontil (trimipramine) SE tri-cyclics: anticholenergic effects, ortho hypo, cardiac arrythmias, wt gain, photosensitivity, inc suicide risk, sedation
Anti-depressants: Surmontil (trimipramine) NS IMP tri-cyclics: BP lying/standing, cardiac assessment, high OD potential-limit quantity available to pt
Anti-depressants: Surmontil (trimipramine) teaching tri-cyclics: inc fluids/fiber, take at HS, exercise, sensible eating, sunscreen, no suicide contract, no ETOH, caution driving
Anti-depressants: Pamelor (nortriptyline, protriptyline) action tri-cyclic: inc serotonin & norepinephrine
Anti-depressants: Pamelor (nortriptyline, protriptyline) SE tri-cyclics: anticholenergic effects, ortho hypo, cardiac arrythmias, wt gain, photosensitivity, inc suicide risk, sedation
Anti-depressants: Pamelor (nortriptyline, protriptyline) NS IMP tri-cyclics: BP lying/standing, cardiac assessment, high OD potential-limit quantity available to pt
Anti-depressants: Pamelor (nortriptyline, protriptyline) teaching tri-cyclics: inc fluids/fiber, take at HS, exercise, sensible eating, sunscreen, no suicide contract, no ETOH, caution driving
Anti-depressants: Desyrel (traodone) action tetra-cyclic:
Anti-depressants: Desyrel (traodone) SE tetra-cyclic: inc suicide risk as depression lifts, takes 7-14 days for effect, sedating, anticholinergic effecgts, photosensitivity, cardiac arythmias, wt gain, ortho hypo
Anti-depressants: Desyrel (traodone) NS IMP tetra-cyclic: no suicide contract, sunscreen, cardiac assessment, BP lying/standing, seizure assessment
Anti-depressants: Desyrel (traodone) teaching tetra-cyclic: delayed onset to improve mood, caution driving, inc fiber/fluids, sunscreen
Anti-depressants: Remeron (mirtazapine) action tetra-cyclic:
Anti-depressants: Remeron (mirtazapine) SE tetra-cyclic: inc suicide risk as depression lifts, takes 7-14 days for effect, sedating, anticholinergic effecgts, photosensitivity, cardiac arythmias, wt gain, ortho hypo
Anti-depressants: Remeron (mirtazapine) NS IMP tera-cyclic: no suicide contract, sunscreen, cardiac assessment, BP lying/standing, seizure assessment
Anti-depressants: Remeron (mirtazapine) teaching tetra-cyclic: delayed onset to improve mood, caution driving, inc fiber/fluids, sunscreen
Anti-depressant: Effexor (venlafaxine) action SNRI: inc serotonin/norepinephrine
Anti-depressant: Effexor (venlafaxine) SE SNRI: HTN, anticholinergic effects
Anti-depressant: Effexor (venlafaxine) NS IMP SNRI: serotonin syndrome, inc bleeding risk w ASA, NSAIDS
Anti-depressant: Effexor (venlafaxine) teaching SNRI: no tryptophan or St. Johns Wort
Anti-depressant: Effexor (venlafaxine) action SNRI: inc serotonin/norepinephrine
Anti-depressant: Pristiq Q (desvenlafaxin) SE SNRI: HTN, anticholinergic effects
Anti-depressant: Pristiq Q (desvenlafaxin) NS IMP SNRI: serotonin syndrome, inc bleeding risk w ASA, NSAIDS
Anti-depressant: Pristiq Q (desvenlafaxin) teaching SNRI: no tryptophan or St. Johns Wort
Anti-depressant: Wellbutrin SR or XL (bupropion) action SNRI: inc norepinepherine/dopamine
Anti-depressant: Wellbutrin SR or XL (bupropion) SE SNRI: lowers seizure threshold, agitation, insomnia, restlessness
Anti-depressant: Wellbutrin SR or XL (bupropion) NS IMP SNRI: restlessness
Anti-depressant: Wellbutrin SR or XL (bupropion) teaching SNRI: rise slowly,dose 8 hr apart, no ETOH/drugs, lowering seizure risk
Anti-depressant: Prozac/Sarafem (fluoxetine) action SSRI: blocks reuptake of serotonin, increasing available serotonin at receptor site, anti anxiety, anti-depressant
Anti-depressant: Prozac/Sarafem (fluoxetine) SE inc suicide risk as depression lifts, inc blood levels of statins, potentates other meds that use same enzymes (except Celexa), insomnia, N, anorexia, HA, restlessness, dec libido, serotonin syndrome, BP, HR, fever, muscle rigidity, coma, death, MED EMERG
Anti-depressant: Prozac/Sarafem (fluoxetine) NS IMP SSRI: assess for serotonin syndrome, in low dose dec anxiety
Anti-depressant: Prozac/Sarafem (fluoxetine) teaching SSRI: blsck box warning, give w food for N, do not stop abruptly, prozac is approved by FDA for children
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Typical anti-phycotics Thorazine (chlorpromazine), Prolixin (fluphenazine), Trilafon (perphenazine), Serentil (mesoridazine), Stelazine (trifluoperazine), Mellaril (thioridazine)
Typical anti-phycotics: Thorazine (chlorpromazine), Prolixin (fluphenazine), Trilafon (perphenazine), Serentil (mesoridazine), Stelazine (trifluoperazine), Mellaril (thioridazine) action dopamine receptor antagonists
Typical anti-phycotics: Thorazine (chlorpromazine), Prolixin (fluphenazine), Trilafon (perphenazine), Serentil (mesoridazine), Stelazine (trifluoperazine), Mellaril (thioridazine) SE high EPS, moderate anticholinergic
Typical anti-phycotics: Thorazine (chlorpromazine), Prolixin (fluphenazine), Trilafon (perphenazine), Serentil (mesoridazine), Stelazine (trifluoperazine), Mellaril (thioridazine) NS IMP assses I/O, urinary rention, especially elders. vitals. wt. adm meds as needed for EPS, AIMS scale, EKG=cardiotoxicity
Typical anti-phycotics: Thorazine (chlorpromazine), Prolixin (fluphenazine), Trilafon (perphenazine), Serentil (mesoridazine), Stelazine (trifluoperazine), Mellaril (thioridazine) teaching drinke 2-3L fluids qd, sugarless gum for dry mouth, high fiber dieat, good oral hygiene, sunscreen, rise slowly, no alcohol, caution driving
Typical anti-phycotics: Haldol (haloperidol), Navane (thiothixene) action dopamine receptor antagonist
Typical anti-phycotics: Haldol (haloperidol), Navane (thiothixene) SE High EPS, low anticholinergic effects
Typical anti-phycotics: Haldol (haloperidol), Navane (thiothixene) NS IMP CBC, liver function tests (Haldol), ocular exams periodically (Navane)
Typical anti-phycotics: Haldol (haloperidol), Navane (thiothixene) teaching report EPS, any symptoms immediately
long-acting Haldol decanoate, long-acting Prolixin dopamine receptor antagonists, given IM every 3-4 weeks
ATYPICAL ANTIPSYCOTIC: Risperdal Consta action maintenance of bipolar 1 or schizophrenia. Long-acting injection often as adjunctive therapy to lithium or valproate
ATYPICAL ANTIPSYCOTIC: Risperdal Consta SE NMS, TD, metabolic hyperglycemia, dyslipidemia, inc body wt, orthostatic hypotension, agranulocytosis, priapism
ATYPICAL ANTIPSYCOTIC: Risperdal Consta NS IMP low EPS< may combine w Clozaril or Haldol, wt gain, insulin resistance
ATYPICAL ANTIPSYCOTIC: Risperdal Consta teaching report symptoms of sore throat, fever, compliance w lab draws, dont stop abruptly, no ETOH, no OTC, med alert card, diet/exercise, rise slowly
ATYPICAL ANTIPSYCOTIC: Clozaril (clozapine) action serotonin-dopamine antagonists
ATYPICAL ANTIPSYCOTIC: Clozaril (clozapine) SE Agranulocytosis, neutropenia, low EPS, wt gain, high anticholinergic
ATYPICAL ANTIPSYCOTIC: Clozaril (clozapine) NS IMP assess biweekly WBC, hold if less than 3000mm, check FBS, controls negative and positive symptoms of schizophrenia, aspiration risk, BP lying/standing, wt,
ATYPICAL ANTIPSYCOTIC: Clozaril (clozapine) teaching report symptoms of sore throat, fever, compliance w lab draws, dont stop abruptly, no ETOH, no OTC, med alert card, diet/exercise, rise slowly
ATYPICAL ANTIPSYCOTIC: Seroquel (quetiapine) action serotonin-dopamine antagonist
ATYPICAL ANTIPSYCOTIC: Seroquel (quetiapine) SE exacerbated hypothyroidism, high sedation, lowers seizure threshold, inc salivation, orthostatic hypo, low EPS, wt gain, cateracts
ATYPICAL ANTIPSYCOTIC: Seroquel (quetiapine) NS IMP avoid extreme temps, wt gain, FBS for insulin resistance, BP lying/standing
ATYPICAL ANTIPSYCOTIC: Seroquel (quetiapine) teaching use sunscreen, diet/exercise, rise slowly
ATYPICAL ANTIPSYCOTIC: Zyprexa (olanzapine) action serotonin-dopamine antagonists
ATYPICAL ANTIPSYCOTIC: Zyprexa (olanzapine) SE lowers seizure threshold, low EPS, sedation, insulin resistance
ATYPICAL ANTIPSYCOTIC: Zyprexa (olanzapine) NS IMP take w food, wt gain, FBS, dec seizure threshold, cardiotoxicity, check EKG, BP lying/standing
ATYPICAL ANTIPSYCOTIC: Zyprexa (olanzapine) teaching use sunscreen, diet/exercise, rise slowly
ATYPICAL ANTIPSYCOTIC: Risperdal (respirodone) action Serotonin-dopamine antagonist
ATYPICAL ANTIPSYCOTIC: Risperdal (respirodone) SE low EPS< may combine w Clozaril or Haldol, wt gain, insulin resistance
ATYPICAL ANTIPSYCOTIC: Risperdal (respirodone) NS IMP check EKG (cardiotoxicity), ortho hypo, asses BP lying/standing
ATYPICAL ANTIPSYCOTIC: Risperdal (respirodone) teaching takes 1-2wks to reach effectiveness, educate about diet and exercise, rise slowly
ATYPICAL ANTIPSYCOTIC: Latuda (lurasidone HCL) action serotonin-dopamine antagonists
ATYPICAL ANTIPSYCOTIC: Latuda (lurasidone HCL) SE angioedema, NMS, TD, inc blood gluecose, ortho hypo
ATYPICAL ANTIPSYCOTIC: Latuda (lurasidone HCL) NS IMP BP lying/standing
ATYPICAL ANTIPSYCOTIC: Latuda (lurasidone HCL) teaching diet/exercise, rise slowly
ATYPICAL ANTIPSYCOTIC: Geodon (ziprasidone), Saphris (asenapine) action serotonin-dopamine antagonists
ATYPICAL ANTIPSYCOTIC: Geodon (ziprasidone), Saphris (asenapine) SE ortho hypo, low EPS, anticholinergic
ATYPICAL ANTIPSYCOTIC: Geodon (ziprasidone), Saphris (asenapine) NS IMP BP lying/standing
ATYPICAL ANTIPSYCOTIC: Geodon (ziprasidone), Saphris (asenapine) teaching diet/exercise, rise slowly
ATYPICAL ANTIPSYCOTIC: Abilify (aripiprazole) ACTION serotonin-dopamine modulator
ATYPICAL ANTIPSYCOTIC: Abilify (aripiprazole) SE ortho hypo, low EPS, wt gain, inc FBS, anticholinergic
ATYPICAL ANTIPSYCOTIC: Abilify (aripiprazole) NS IMP BP standing/lying
ATYPICAL ANTIPSYCOTIC: Abilify (aripiprazole) teaching diet/exercise, rise slowly
MEDS FOR EPS> ANTICHOLINERGIC: Cognentin (benztropine), Artane (trihexyphenidyl) action restores balance of depamine and acetylcholine in CNS
MEDS FOR EPS> ANTICHOLINERGIC: Cognentin (benztropine), Artane (trihexyphenidyl) SE anticholinergic effects, ortho hypo
MEDS FOR EPS> ANTICHOLINERGIC: Cognentin (benztropine), Artane (trihexyphenidyl) NS IMP assess for symptoms, BP standing/lying
MEDS FOR EPS> ANTICHOLINERGIC: Cognentin (benztropine), Artane (trihexyphenidyl) teaching inc fluids and fiber, rise slowly, report symptoms
MEDS FOR EPS> ANTIHISTIMINE: Benadryl (diphenhydramine) action
MEDS FOR EPS> ANTIHISTIMINE: Benadryl (diphenhydramine) SE inc psychosis
MEDS FOR EPS> ANTIHISTIMINE: Benadryl (diphenhydramine) NS IMP assess inc psychosis
MEDS FOR EPS> ANTIHISTIMINE: Benadryl (diphenhydramine) teaching no OTC preps w antihistamines-antagonize psychotropics
MEDS FOR EPS> ANTIPARKINSONISM MEDS: Symmetrel (amantadine), Parlodel (bromocriptine) action inc dopamine releases
MEDS FOR EPS> ANTIPARKINSONISM MEDS: Symmetrel (amantadine), Parlodel (bromocriptine) SE dizzy, confusion, ortho hypo
MEDS FOR EPS> ANTIPARKINSONISM MEDS: Symmetrel (amantadine), Parlodel (bromocriptine) NS IMP taper dose, BP lying/standing
MEDS FOR EPS> ANTIPARKINSONISM MEDS: Symmetrel (amantadine), Parlodel (bromocriptine) teaching caution driving, rise slowly
MOOD STABILIZING DRUGS> Lithium carbonate (Eskalith, Lithane, Lithobid, canalith, Lithonate, Lithotabs) action Enhance reuptake of norepinephrine and serotonin
MOOD STABILIZING DRUGS> Lithium carbonate (Eskalith, Lithane, Lithobid, canalith, Lithonate, Lithotabs) SE dec thyroid func, drowsy, dizzy, HA, dry mouth, thirst, metallic taste, wt gain, hypotension, fine hand tremor, arrhythmias.
MOOD STABILIZING DRUGS> Lithium carbonate (Eskalith, Lithane, Lithobid, canalith, Lithonate, Lithotabs) NS IMP theraputic level is 0.6-1.2mEq/l, acute=1.0-1.5mEq/l, toxicity=1.5mEq/l => STOP MED!!
MOOD STABILIZING DRUGS> Lithium carbonate (Eskalith, Lithane, Lithobid, canalith, Lithonate, Lithotabs) TOXICITY excessive sweating, polyuria, polydipsia, N/V, progressing to oliguria, slurred speech, coma progressing to death
MOOD STABILIZING DRUGS> Lithium carbonate (Eskalith, Lithane, Lithobid, canalith, Lithonate, Lithotabs) teaching drq serum levels 12 hours after last dose, takes 1-2 wks to stabilize mood, do not restrict sodium, maintain 2-3 L of fluid daily
MOOD STABILIZING DRUGS> ANTICONVULSANT: Depakote, Depakene, Trileptal (valproic acid), Neurontin (gabapentin), Lamictal (lamotrigine), Tegretol (carbamazepine), Topamax (topiramate) action anticonvulsants used to stabilize mood.
MOOD STABILIZING DRUGS> ANTICONVULSANT: Depakote, Depakene, Trileptal (valproic acid), Neurontin (gabapentin), Lamictal (lamotrigine), Tegretol (carbamazepine), Topamax (topiramate) SE blood dycrasias, prolong bleeding time, elevated liver enzymes, jaundice, rash
MOOD STABILIZING DRUGS> ANTICONVULSANT: Depakote, Depakene, Trileptal (valproic acid), Neurontin (gabapentin), Lamictal (lamotrigine), Tegretol (carbamazepine), Topamax (topiramate) NS IMP assess signs of bleeding, bruising, bleeding gums, sore throat, serum blood levels, sedation, life threatening pancreatitis.
MOOD STABILIZING DRUGS> ANTICONVULSANT: Depakote, Depakene, Trileptal (valproic acid), Neurontin (gabapentin), Lamictal (lamotrigine), Tegretol (carbamazepine), Topamax (topiramate) teaching serum blood levels, do not stop abruptly, med alert card, no ETOH, caution driving
STIMULANTS> Ritalin (methylphenidate), Cylert (pemoline), Adderall (dextroamphetamine), Adderall (dextroamphetamine), Desoxyn (methamphetamine), Provigil (modafinil), Concerta (methylphenidate), Vyvanse (lisdexamfamine) action CNS stimulant used for ADHD or narcolepsy
STIMULANTS> Ritalin (methylphenidate), Cylert (pemoline), Adderall (dextroamphetamine), Adderall (dextroamphetamine), Desoxyn (methamphetamine), Provigil (modafinil), Concerta (methylphenidate), Vyvanse (lisdexamfamine) SE anorexia, dec appetite, growth retardation in children, insomnia, restlessness, anxiety, GI upset, Leukopenia, anemia, dry mouth
STIMULANTS> Ritalin (methylphenidate), Cylert (pemoline), Adderall (dextroamphetamine), Adderall (dextroamphetamine), Desoxyn (methamphetamine), Provigil (modafinil), Concerta (methylphenidate), Vyvanse (lisdexamfamine) NS IMP 6-8 sm meals/day, periodic interruption of drug, monitor growth, give in am, dec dose, assess for dependency, CBC for liver enzymes, watch for abuse or selling of drug on street, DEA controlled CII-IV
STIMULANTS> Ritalin (methylphenidate), Cylert (pemoline), Adderall (dextroamphetamine), Adderall (dextroamphetamine), Desoxyn (methamphetamine), Provigil (modafinil), Concerta (methylphenidate), Vyvanse (lisdexamfamine) teaching report wt loss, side effects, watch for fatigue, yellowing of eyes
STIMULANTS> Strattera (atomoxetine) action SNRI, inc norepinephrine
STIMULANTS> Strattera (atomoxetine) SE anorexia, wt loss, insomnia, restlessness, GI upset, mood swings
STIMULANTS> Strattera (atomoxetine) NS IMP Restlessness, watch wt loss, suicidal ideation
STIMULANTS> Strattera (atomoxetine) teaching can take w food
ANOREXIANTS> Adipex-P (phentermine) action suppresses appetite or influences metabolism
ANOREXIANTS> Adipex-P (phentermine) SE cardiac symptoms such as SOB, arrhythmias, angina, seizures, may inc BP
ANOREXIANTS> Adipex-P (phentermine) NS IMP baseline EKG, monitor vitals, BP, HR, siezure precautions, insomnia, anxiety
ANOREXIANTS> Adipex-P (phentermine) teaching Monitor BP, discontinue if adverse effects
ANTI-ANXIETY> BENZODIAZEPINES: Xanax (alprazolam), Valium (diazepam), Ativan (lorazepam), Librium (chlordiazepoxide), Klonopin (clonazepam) action potentiate GABA receptor sites, fast acting for acute short term anxiety
ANTI-ANXIETY> BENZODIAZEPINES: Xanax (alprazolam), Valium (diazepam), Ativan (lorazepam), Librium (chlordiazepoxide), Klonopin (clonazepam) SE sedation, confusion, tolerance to drug, paradoxical excitement, ortho hypo, depression
ANTI-ANXIETY> BENZODIAZEPINES: Xanax (alprazolam), Valium (diazepam), Ativan (lorazepam), Librium (chlordiazepoxide), Klonopin (clonazepam) NS IMP effects potentiated w elderly, narcotics, barbituates, alcohol, cimetidine, disulfiram; assess BP lying/standing, hold if pregnant/lactating, DEA controlled C-IV
ANTI-ANXIETY> BENZODIAZEPINES: Xanax (alprazolam), Valium (diazepam), Ativan (lorazepam), Librium (chlordiazepoxide), Klonopin (clonazepam) teaching caution driving, rise slowly, withdrawal effects w long term use, nicotine/caffeine dec effects
ANTI-ANXIETY> BETA-BLOCKERS: Tenormin (atenolol), Toprol (metoprolol), Corgard (nadolol), Inderal (propranolol) action treats somatic effects of anxiety by vasodilation
ANTI-ANXIETY> BETA-BLOCKERS: Tenormin (atenolol), Toprol (metoprolol), Corgard (nadolol), Inderal (propranolol) SE ortho hypo, bradycardia, WPW syndrome, N/V, paradozical HTN if given w clonidine, potentiates hypoglycemic drugs, dizziness, HA
ANTI-ANXIETY> BETA-BLOCKERS: Tenormin (atenolol), Toprol (metoprolol), Corgard (nadolol), Inderal (propranolol) NS IMP BP lying/standing, cardiac assessment d/t inc risk of CHF, caution w COPD, bronchiospasm, contraindicated w asthma
ANTI-ANXIETY> BETA-BLOCKERS: Tenormin (atenolol), Toprol (metoprolol), Corgard (nadolol), Inderal (propranolol) teaching rise slowly, report any cardiac symptoms promptly, take w meals, med card
ANTI-ANXIETY> ANTIHISTAMINE: Atarax (hydrozyzine), Vistaril action dec histamine
ANTI-ANXIETY> ANTIHISTAMINE: Atarax (hydrozyzine), Vistaril SE hypertensive crisis w MAO
ANTI-ANXIETY> ANTIHISTAMINE: Atarax (hydrozyzine), Vistaril NS IMP effects potentiated w CNS depression
ANTI-ANXIETY> ANTIHISTAMINE: Atarax (hydrozyzine), Vistaril teaching caution driving
ANTI-ANXIETY> MISC: BuSpar (buspirone) action serotonin and dopamine antagonist
ANTI-ANXIETY> MISC: BuSpar (buspirone) SE anticholinergic, tremors, chest pain, tachycardia
ANTI-ANXIETY> MISC: BuSpar (buspirone) NS IMP hold if pregnant/lactating, N, monitor HR
ANTI-ANXIETY> MISC: BuSpar (buspirone) teaching report any seizure activity
ANTI-ANXIETY> HYPNOTIC: Ambien (zolpidem), Restoril (temazepam), ProSom (estazolam), Halcion (triazolam), Dalmane (flurazepam), Doral (quazepam), Sonata (zaleplon) action CNS depressant for SHORT TERM, sleep aid
ANTI-ANXIETY> HYPNOTIC: Ambien (zolpidem), Restoril (temazepam), ProSom (estazolam), Halcion (triazolam), Dalmane (flurazepam), Doral (quazepam), Sonata (zaleplon) SE Somnolence, confusion, C-IV controlled IV med, potential for dependence and OD, GI upset
ANTI-ANXIETY> HYPNOTIC: Ambien (zolpidem), Restoril (temazepam), ProSom (estazolam), Halcion (triazolam), Dalmane (flurazepam), Doral (quazepam), Sonata (zaleplon) NS IMP watch combo w other psychotropic meds, explore other sleep aids, suicide assessment
ANTI-ANXIETY> HYPNOTIC: Ambien (zolpidem), Restoril (temazepam), ProSom (estazolam), Halcion (triazolam), Dalmane (flurazepam), Doral (quazepam), Sonata (zaleplon) teaching caution driving, no ETOH, OTC or suicide contract
ANTI-DEPRESSANTS>TRI-CYCLICS: Elavil (amitriptyline),Anafranil(clomipramine),Norpramin(desipramine),Sinequan(doxepin),Tofranil(imipramine,Ludiomil(maprotiline),Asendin(amaoxapine),Vivactil(protriptyline),Surmontil(trimipramine),Pamelor(nortriptyline,protr inc serotonin & norepinephrine
ANTI-DEPRESSANTS>TRI-CYCLICS: Elavil (amitriptyline),Anafranil(clomipramine),Norpramin(desipramine),Sinequan(doxepin),Tofranil(imipramine,Ludiomil(maprotiline),Asendin(amaoxapine),Vivactil(protriptyline),Surmontil(trimipramine),Pamelor(nortriptyline,protr anticholenergic effects, ortho hypo, cardiac arrythmias, wt gain, photosensitivity, inc suicide risk, sedation
ANTI-DEPRESSANTS>TRI-CYCLICS: Elavil (amitriptyline),Anafranil(clomipramine),Norpramin(desipramine),Sinequan(doxepin),Tofranil(imipramine,Ludiomil(maprotiline),Asendin(amaoxapine),Vivactil(protriptyline),Surmontil(trimipramine),Pamelor(nortriptyline,protr BP lying/standing, cardiac assessment, high OD potential-limit quantity available to pt
ANTI-DEPRESSANTS>TRI-CYCLICS: Elavil (amitriptyline),Anafranil(clomipramine),Norpramin(desipramine),Sinequan(doxepin),Tofranil(imipramine,Ludiomil(maprotiline),Asendin(amaoxapine),Vivactil(protriptyline),Surmontil(trimipramine),Pamelor(nortriptyline,protr inc fluids/fiber, take at HS, exercise, sensible eating, sunscreen, no suicide contract, no ETOH, caution driving
ANTI-DEPRESSANTS> TETRA-CYCLIC: Desyrel (traodone), Remeron (mirtazapine) action
ANTI-DEPRESSANTS> TETRA-CYCLIC: Desyrel (traodone), Remeron (mirtazapine) SE inc suicide risk as depression lifts, takes 7-14 days for effect, sedating, anticholinergic effecgts, photosensitivity, cardiac arythmias, wt gain, ortho hypo
ANTI-DEPRESSANTS> TETRA-CYCLIC: Desyrel (traodone), Remeron (mirtazapine) NS IMP no suicide contract, sunscreen, cardiac assessment, BP lying/standing, seizure assessment
ANTI-DEPRESSANTS> TETRA-CYCLIC: Desyrel (traodone), Remeron (mirtazapine) teaching delayed onset to improve mood, caution driving, inc fiber/fluids, sunscreen
ANTI-DEPRESSANTS> SNRI: Effexor (venlafaxine), Effexor (venlafaxine), Cymbalta (duloxetine) action inc serotonin/norepinephrine
ANTI-DEPRESSANTS> SNRI: Effexor (venlafaxine), Effexor (venlafaxine), Cymbalta (duloxetine) SE HTN, anticholinergic effects
ANTI-DEPRESSANTS> SNRI: Effexor (venlafaxine), Effexor (venlafaxine), Cymbalta (duloxetine) NS IMP serotonin syndrome, inc bleeding risk w ASA, NSAIDS
ANTI-DEPRESSANTS> SNRI: Effexor (venlafaxine), Effexor (venlafaxine), Cymbalta (duloxetine) teaching no tryptophan or St. Johns Wort
ANTI-DEPRESSANTS> SNRI: Wellbutrin SR or XL (bupropion) action inc norepinepherine/dopamine
ANTI-DEPRESSANTS> SNRI: Wellbutrin SR or XL (bupropion) SE lowers seizure threshold, agitation, insomnia, restlessness
ANTI-DEPRESSANTS> SNRI: Wellbutrin SR or XL (bupropion) NS IMP restlessness
ANTI-DEPRESSANTS> SNRI: Wellbutrin SR or XL (bupropion) teaching rise slowly,dose 8 hr apart, no ETOH/drugs, lowering seizure risk
ANTI-DEPRESSANTS> SSRI: Prozac/Sarafem (fluoxetine), Paxil (paroxetine), Zoloft (sertraline), Luvox (fluvoxamine), Celexa (citalopram), Lexapro (escitalopram), Symbyax (combo of Prozac and Zyprexa) action blocks reuptake of serotonin, increasing available serotonin at receptor site, anti anxiety, anti-depressant
ANTI-DEPRESSANTS> SSRI: Prozac/Sarafem (fluoxetine), Paxil (paroxetine), Zoloft (sertraline), Luvox (fluvoxamine), Celexa (citalopram), Lexapro (escitalopram), Symbyax (combo of Prozac and Zyprexa) SE inc suicide risk as depression lifts, Prozac inc blood levels of statins, potentates other meds that use same enzymes (except Celexa), insomnia, N, anorexia, HA, restlessness, dec libido, serotonin syndrome, BP, HR, fever, muscle rigidity, coma, death, ME
ANTI-DEPRESSANTS> SSRI: Prozac/Sarafem (fluoxetine), Paxil (paroxetine), Zoloft (sertraline), Luvox (fluvoxamine), Celexa (citalopram), Lexapro (escitalopram), Symbyax (combo of Prozac and Zyprexa) NS IMP assess for serotonin syndrome, in low dose dec anxiety
ANTI-DEPRESSANTS> SSRI: Prozac/Sarafem (fluoxetine), Paxil (paroxetine), Zoloft (sertraline), Luvox (fluvoxamine), Celexa (citalopram), Lexapro (escitalopram), Symbyax (combo of Prozac and Zyprexa) teaching blsck box warning, give w food for N, do not stop abruptly, prozac is approved by FDA for children
ANTI-DEPRESSANTS> MAO INHIBITORS: Nardil (phenelzine), Parnate (tranylcypromine), Marplan (isocarboxazid) action inhibits enzyme monoamine oxidase which inc norepinephrine, dopamine, serotonin
ANTI-DEPRESSANTS> MAO INHIBITORS: Nardil (phenelzine), Parnate (tranylcypromine), Marplan (isocarboxazid) SE HA, insomnia, wt gain, hypoglycemia, high BP, convulsions, coma
ANTI-DEPRESSANTS> MAO INHIBITORS: Nardil (phenelzine), Parnate (tranylcypromine), Marplan (isocarboxazid) NS IMP can not be taken w any other psychotropic drug, min "wash out" time is 2-5 wks, thyamine free diet, HTN crisis occurs w thyamine foods, narcotics, general anesthesia
ANTI-DEPRESSANTS> MAO INHIBITORS: Nardil (phenelzine), Parnate (tranylcypromine), Marplan (isocarboxazid) teaching compliance w thyamine free diet avoid aged cheese, smoked/processed meats, red wines, yeast, fava beans, bananas, avacado, OTC meds
ADDICTION/DEPENDENCE> Suboxone (buprenorphine) action opioid antagonist and partial agonist-antagonist
ADDICTION/DEPENDENCE> Suboxone (buprenorphine) SE inc IOP, CNS depression, acute abdomen
ADDICTION/DEPENDENCE> Suboxone (buprenorphine) NS IMP avoid w benzodiazepines or delirium tremens (DTs)
ADDICTION/DEPENDENCE> Suboxone (buprenorphine) teaching dissolve under tongue, do not swallow, start 4 hr after last opioid use
TYPICAL ANTI-PSYCHOTICS: Thorazine (chlorpromazine), Prolixin (fluphenazine), Trilafon (perphenazine), Serentil (mesoridazine), Stelazine (trifluoperazine), Mellaril (thioridazine)
TYPICAL ANTI-PSYCHOTICS: action dopamine receptor antagonist
Thorazine, Prolixin, Trilafon, Serentil, Stelazine, Mellaril SE High EPS, moderate anticholinergic
Thorazine, Prolixin, Trilafon, Serentil, Stelazine, Mellaril NS IMP assses I/O, urinary rention, especially elders. vitals. wt. adm meds as needed for EPS, AIMS scale, EKG=cardiotoxicity
Thorazine, Prolixin, Trilafon, Serentil, Stelazine, Mellaril teaching drinke 2-3L fluids qd, sugarless gum for dry mouth, high fiber dieat, good oral hygiene, sunscreen, rise slowly, no alcohol, caution driving
Haldol, Navane SE high EPS, low anticholinergic
Haldol, Navane NS IMP CBC, liver function tests (Haldol), ocular exams periodically (Navane)
Haldol, Navane teaching report EPS, any symptoms immediately
long acting Haldol and Proxlixin NS IMP: given IM q 3-4 wks
ATYPICAL PSYCHOTICS #####################################
Risperdal Cosnta action maintenance of bipolar 1 or schizophrenia, long acting inj often as adjunctive therapy to lithium or valproate
Risperdal Consta SE NMS, TD, metabolic hyperglycemia, dyslipidemia, inc body wt, orthostatic hypotension, agranulocytosis, priapism
Risperdal Consta NS IMP assess BP lying and standing
Risperdal Consta teaching diet/exercise, rise slowly
Clozaril (clozapine) action serotonin-dopamine antagonists
Clozaril SE agranulocytosis, neutropenia, low EPS, wt gain, high anticholinergic
Clozaril NS IMP assess biweekly WBC, hold if less than 3000mm, check FBS, controls negative and positive symptoms of schizophrenia, aspiration risk, assess BP lying/standing, monitor wt,
Clozaril teaching report symptoms of sore throat, fever, compliance w lab draws, do not stop abruptly, no ETOH/OTC meds, med alert card, diet/exercise, rise slowly
Seroquel (quetiapine) action serotonin-dopamine antagonist
Seroquel SE exacerbated hypothyroidism, high sedation, lowers seizure threshold, inc salivation, orthostatic hypo, low EPS, wt gain, cateracts
Seroquel NS IMP avoid extreme temps, wt gain, FBS for insulin resistance, BP lying/standing
Seroquel teaching No ETOH/OTC meds, eye exam q 6 months, diet/exercise, rise slowly
Zyprexa (olanzapine) action serotonin-dopamine antagonists
Zyprexa SE lowers seizure threshold, low EPS, sedation, insulin resistance
Zyprexa NS IMP take w food, wt gain, FBS, dec seizure threshold, cardiotoxicity, check EKG, BP lying/standing
Zyprexa teaching use sunscreen, diet/exercise, rise slowly
Risperdal (risperidone) action serotonin-dopamine antagonist
Risperdal SE low EPS< may combine w Clozaril or Haldol, wt gain, insulin resistance
Risperdal NS IMP check EKG (cardiotoxicity), ortho hypo, asses BP lying/standing
Risperdal teaching takes 1-2wks to reach effectiveness, educate about diet and exercise, rise slowly
Latuda (lurasidone HCL) action serotonin-dopamine antagonists
Latuda SE angioedema, NMS, TD, inc blood gluecose, ortho hypo
Latuda NS IMP BP lying/standing
Latuda teaching diet/exercise, rise slowly
Geodon (ziprasidone), Saphris (aripiprazole) action serotonin-dopamine antagonist
Geodon, Saphris SE ortho hypo, low EPS, anticholinergic
Geodon, Saphris NS IMP BP lying/standing
Geodon, Saphris teaching diet/exercise, rise slowly
Abilify (aripiprazole) action serotonin-dopamine modulator
Abilify SE ortho hypo, low EPS, wt gain, inc FBS, anticholinergic
Abilify NS IMP BP standing/lying
Abilify teaching diet/exercise, rise slowly
MEDICATIONS FOR EPS #####################################
ANTICHOINERGICS Cogentin (benztropine), Artane (trihexyphenidyl)
anticholinergis for EPS action restores balance of depamine and acetylcholine in CNS
Cogentin, Artane SE anticholinergic effects, ortho hypo
Cogentin, Artane NS IMP assess for symptoms, BP standing/lying
Cogentin, Artane teaching inc fluids and fiber, rise slowly, report symptoms
ANTIHISTAMINE FOR EPS Benadryl (diphenhydramine)
Benadryl SE inc psychosis
Benadryl NS IMP assess inc psychosis
Benadryl teaching no OTC preps w antihistamines-antagonize psychotropics
ANTIPARKINSSONISM MEDS FOR EPS Symmetrel (amantadine), Parlodel (bromocriptine)
ANTIPARKINSSONISM MEDS FOR EPS: action inc dopamine releases
Symmetrel, Parlodel SE dizzy, confusion, ortho hypo
Symmetrel, Parlodel NS IMPL taper dose, BP lying/standing
Symmetrel, Parlodel teaching caution driving, rise slowly
MOOD STABLIZING DRUGS #####################################
Lithium carbonate (Eskalith, Lithane, Lithobid, canalith, Lithonate, Lithotabs) action enhance reuptake of norepinephrine and serotonin
Lithium carbonate (Eskalith, Lithane, Lithobid, canalith, Lithonate, Lithotabs) SE dec thyroid func, drowsy, dizzy, HA, dry mouth, thirst, metallic taste, wt gain, hypotension, fine hand tremor, arrhythmias.
Lithium carbonate (Eskalith, Lithane, Lithobid, canalith, Lithonate, Lithotabs) NS IMP theraputic level is 0.6-1.2mEq/l, acute=1.0-1.5mEq/l, toxicity=1.5mEq/l => STOP MED!!
Lithium carbonate (Eskalith, Lithane, Lithobid, canalith, Lithonate, Lithotabs) TOXICITY excessive sweating, polyuria, polydipsia, N/V, progressing to oliguria, slurred speech, coma progressing to death
Lithium carbonate (Eskalith, Lithane, Lithobid, canalith, Lithonate, Lithotabs) teaching draw serum levels 12 hours after last dose, takes 1-2 wks to stabilize mood, do not restrict sodium, maintain 2-3 L of fluid daily
ANTICONVULSANTS USED TO STABILIZE MOOD Depakote, Depakene, Trileptal (valproic acid), Neurontin (gabapentin), Lamictal (lamotrigine), Tegretol (carbamazepine), Topamax (topiramate)
Depakote, Depakene, Trileptal, Neurontin, Lamictal, Tegretol, Topamax SE blood dycrasias, prolong bleeding time, elevated liver enzymes, jaundice, rash
Depakote, Depakene, Trileptal, Neurontin, Lamictal, Tegretol, Topamax NS IMP assess signs of bleeding, bruising, bleeding gums, sore throat, serum blood levels, sedation, life threatening pancreatitis.
Depakote, Depakene, Trileptal, Neurontin, Lamictal, Tegretol, Topamax teaching serum blood levels, do not stop abruptly, med alert card, no ETOH, caution driving
STIMULANTS Ritalin (methylphenidate), Cylert (pemoline), Adderall (dextroamphetamine), Adderall (dextroamphetamine), Desoxyn (methamphetamine), Provigil (modafinil), Concerta (methylphenidate), Vyvanse (lisdexamfamine)
STIMULANTS action CNS stimulant used for ADHD or narcolepsy
Ritalin, Cylert, Adderall, Desoxyn, Provigi, Concerta, Vyvanse SE anorexia, dec appetite, growth retardation in children, insomnia, restlessness, anxiety, GI upset, Leukopenia, anemia, dry mouth
Ritalin, Cylert, Adderall, Desoxyn, Provigi, Concerta, Vyvanse NS IMP 6-8 sm meals/day, periodic interruption of drug, monitor growth, give in am, dec dose, assess for dependency, CBC for liver enzymes, watch for abuse or selling of drug on street, DEA controlled CII-IV
Ritalin, Cylert, Adderall, Desoxyn, Provigi, Concerta, Vyvanse teaching report wt loss, side effects, watch for fatigue, yellowing of eyes
Strattera (atomoxetine) action SNRI inc norepinephrine
Strattera SE anorexia, wt loss, insomnia, restlessness, GI upset, mood swings
Strattera NS IMP Restlessness, watch wt loss, suicidal ideation
Strattera teaching can take w food
ANOREXIANT Adipex-P (phentermine)
ANOREXIANT action suppresses appetite or influences metabolism
Adipex-P SE cardiac symptoms such as SOB, arrhythmias, angina, seizures, may inc BP
Adipex-P NS IMP baseline EKG, monitor vitals, BP, HR, siezure precautions, insomnia, anxiety
Adipex-P teaching Monitor BP, discontinue if adverse effects
ANTI-ANXIETY #####################################
BENZODIAZEPINES for Anti anxiety Xanax (alprazolam), Valium (diazepam), Ativan (lorazepam), Librium (chlordiazepoxide), Klonopin (clonazepam)
BENZODIAZEPINES action potentiate GABA receptor sites, fast acting for acute short term anxiety
Xanax, Valium, Ativan, Librium, Klonopin SE sedation, confusion, tolerance to drug, paradoxical excitement, ortho hypo, depression
Xanax, Valium, Ativan, Librium, Klonopin NS IMP effects potentiated w elderly, narcotics, barbituates, alcohol, cimetidine, disulfiram; assess BP lying/standing, hold if pregnant/lactating, DEA controlled C-IV
Xanax, Valium, Ativan, Librium, Klonopin teaching caution driving, rise slowly, withdrawal effects w long term use, nicotine/caffeine dec effects
BETA-BLOCKERS for anti-anxiety Tenormin (atenolol), Toprol (metoprolol), Corgard (nadolol), Inderal (propranolol)
BETA-BLOCKERS action tx somatic effects of anxiety by vasodialation
Tenormin, Toprol, Corgard, Inderal SE ortho hypo, bradycardia, WPW syndrome, N/V, paradozical HTN if given w clonidine, potentiates hypoglycemic drugs, dizziness, HA
Tenormin, Toprol, Corgard, Inderal NS IMP BP lying/standing, cardiac assessment d/t inc risk of CHF, caution w COPD, bronchiospasm, contraindicated w asthma
Tenormin, Toprol, Corgard, Inderal teaching rise slowly, report any cardiac symptoms promptly, take w meals, med card
ANTIHISTAMINE for anti-anxiety Atarax (hydrozyzine), Vistaril
ANTIHISTAMINE for anti-anxiety: action dec histamine
Atarax, Vistaril SE hypertensive crisis w MAO
Atarax, Vistaril NS IMP effects potentiated w CNS depression
Atarax, Vistaril teaching caution driving
MISC for anti-anxiety BuSpar (buspirone)
BuSpar action serotonin and dopamine antagonist
BuSpar SE anticholinergic, tremors, chest pain, tachycardia
BuSpar NS IMP hold if pregnant/lactating, N, monitor HR
BuSpar teaching report any seizure activity
HYPNOTICS Ambien (zolpidem), Restoril (temazepam), ProSom (estazolam), Halcion (triazolam), Dalmane (flurazepam), Doral (quazepam), Sonata (zaleplon)
HYPNOTICS action CNS depressant for SHORT TERM, sleep aid
Ambien, Restoril, ProSom, Halcion, Dalmane, Doral, Sonata SE Somnolence, confusion, C-IV controlled IV med, potential for dependence and OD, GI upset
Ambien, Restoril, ProSom, Halcion, Dalmane, Doral, Sonata NS IMP watch combo w other psychotropic meds, explore other sleep aids, suicide assessment
Ambien, Restoril, ProSom, Halcion, Dalmane, Doral, Sonata teaching caution driving, no ETOH, OTC or suicide contract
ANTI-DEPRESSANTS> TRI-CYCLICS Elavil(amitriptyline), Anafranil (clomipramine), Norpramin (desipramine), Sinequan (doxepin), Tofranil (imipramine, Ludiomil (maprotiline), Asendin (amaoxapine), Vivactil (protriptyline), Surmontil (trimipramine), Pamelor (nortriptyline, protriptyline)
TRI-CYCLICS for anti-depressant action inc serotonin and norepinephrine
Elavil, Anafranil, Norpramin, Sinequan, Tofranil, Ludiomil, Asendin, Vivactil, Surmontil, Pamelor SE anticholenergic effects, ortho hypo, cardiac arrythmias, wt gain, photosensitivity, inc suicide risk, sedation
Elavil, Anafranil, Norpramin, Sinequan, Tofranil, Ludiomil, Asendin, Vivactil, Surmontil, Pamelor NS IMP BP lying/standing, cardiac assessment, high OD potential-limit quantity available to pt
Elavil, Anafranil, Norpramin, Sinequan, Tofranil, Ludiomil, Asendin, Vivactil, Surmontil, Pamelor teaching inc fluids/fiber, take at HS, exercise, sensible eating, sunscreen, no suicide contract, no ETOH, caution driving
TETRA-CYCLICS for anti-depressants Desyrel (traodone), Remeron (mirtazapine)
Desyrel, Remeron SE inc suicide risk as depression lifts, takes 7-14 days for effect, sedating, anticholinergic effecgts, photosensitivity, cardiac arythmias, wt gain, ortho hypo
Desyrel, Remeron NS IMP no suicide contract, sunscreen, cardiac assessment, BP lying/standing, seizure assessment
Desyrel, Remeron teaching delayed onset to improve mood, caution driving, inc fiber/fluids, sunscreen
SNRIs for anti-depressant Effexor (venlafaxine), Cymbalta (duloxetine), Pristiq Q (desvenlaaxine)
SNRIs for anti-depressant: action inc serotonin/norepinephrine
Effexor, Cymbalta , Pristq Q SE HTN, anticholinergic effects
Effexor, Cymbalta , Pristq Q NS IMP serotonin syndrome, inc bleeding risk w ASA, NSAIDS
Effexor, Cymbalta , Pristq Q teaching no tryptophan or St. Johns Wort
Wellbutrin SR or XL (bupropion) action inc norepinephrine and dopamine
Wellbutrin SE lowers seizure threshold, agitation, insomnia, restlessness
Wellbutrin NS IMP restlessness
Wellbutrin teaching rise slowly,dose 8 hr apart, no ETOH/drugs, lowering seizure risk
SSRIs for antidressants Prozac/Sarafem (fluoxetine), Paxil (paroxetine), Zoloft (sertraline), Luvox (fluvoxamine), Celexa (citalopram), Lexapro (escitalopram), Symbyax (combo of Prozac and Zyprexa)
SSRIs for antidressants: action blocks reuptake of serotonin, increasing available serotonin at receptor site, anti anxiety, anti-depressant
Prozac/Sarafem, Paxil, Zoloft, Luvox, Celexa, Lexapro, Symbyax SE inc suicide risk as depression lifts, Prozac inc blood levels of statins, potentates other meds that use same enzymes (except Celexa), insomnia, N, anorexia, HA, restlessness, dec libido, serotonin syndrome=BP, HR, fever, muscle rigidity, coma, death,
Prozac/Sarafem, Paxil, Zoloft, Luvox, Celexa, Lexapro, Symbyax NS IMP assess for serotonin syndrome, in low dose dec anxiety
Prozac/Sarafem, Paxil, Zoloft, Luvox, Celexa, Lexapro, Symbyax teaching black box warning, give w food for N, do not stop abruptly, Prozac is approved by FDA for children
MAO INHIBITORS for anti-depressants Nardil (phenelzine), Parnate (tranylcypromine), Marplan (isocarboxazid)
MAO INHIBITORS for anti-depressants: action inhibits enzyme monoamine oxidase which inc norepinephrine, dopamine, serotonin
Nardil, Parnate, Marplan SE HA, insomnia, wt gain, hypoglycemia, high BP, convulsions, coma
Nardil, Parnate, Marplan NS IMP can not be taken w any other psychotropic drug, min "wash out" time is 2-5 wks, thyamine free diet, HTN crisis occurs w thyamine foods, narcotics, general anesthesia
Nardil, Parnate, Marplan teaching dissolve under tongue, do not swallow, start 4 hr after last opioid use
ADDICTION/DEPENDENCE #####################################
Suboxone (buprenorphine) action opioid antagonist and partial agonist-antagonist. for narcotic and opioid dependency
Suboxone SE inc IOP, CNS depression, acute abdomen
Suboxone NS IMP avoid w benzodiazepines or delirium tremens (DTs)
Suboxone teaching dissolve under tongue, do not swallow, start 4 hours after last opioid use
akinesia muscular weakness or partial loss of muscle mvt
akathisia restlessness, urgent need for movt
dystonia involuntary muscle mvt. spasms of face, arms, legs, neck
pseudo-parkinsonism mimic side effects of parkinsons. temor, shuffling gait, drooling and rigidy
oculogyric crisis rotating of eyeballs
tardive dyskinesia facial, tongue mvt, stiff neck, difficulty swallowing
neuroleptic malignant syndrome severe muscle rigidity, high fever, tachycardia, fluctuations in BP, diaphoresis, rapid deterioration of mental status to stupor and coma
Created by: vstein