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BCC - 54 Psych Drugs
BCC - Psychiatric Drugs
| Drug | Type | Action / Considerations |
|---|---|---|
| chlordiazepoxide (Librium) | Antianxiety - Benzodiazepine | I - Anxiety, Alcohol Withdrawal. SE - addiction XX -ACE Inhibitors, liver problems |
| diazepam (Valium) | Antianxiety - Benzodiazepine | I - Anxiety, |
| lorazepam (Ativan) | Antianxiety - Benzodiazepine | I - Anxiety, Insomnia, Pre-Op |
| * alprazolam (Xanax) | Antianxiety - Benzodiazepine | I - Anxiety, MD |
| * buspirone (Buspar) | Antianxiety - Misc | I - Anxiety. Ben - no addiction, non sedating, SE - Delayed Onset, 10- 14 days XX - Glacouma, Liver, MAOI, MI, Grapefruit juice |
| * propranolol (Inderal) | Antianxiety - Misc, Beta-blocker | I - PTSD, Stage Fright. XX - Bradycardia |
| hydroxyzine (Vistaril, Atarax) | Antianxiety - Misc, Anti-histimine | ^ analgesics, SE - Vivid Dreams, + 4 months |
| * prazosin (Minipress) | Antianxiety - Misc, Alpha-blocker | I - PTSD - vivid dreams*. SE - orthostatic hypotension, Priapism * |
| amitriptyline (Elavil) | Antidepressant - TCA | I - MD, XX - MAOI (14 day gap). Cardiac problems, SE - Hi anticholigrnic,Sedation, Sex, Othro Hypo |
| imipramine (Tofranil) | Antidepressant - TCA | I - MD, |
| pargyline | Antidepressant - MAOI (B) | I - MD, |
| phenelzine (Nardil) | Antidepressant - MAOI | I - MD, panic disorder, XX - Tryosine, SSRI, St John's Wort, Demerol |
| tranylcypromine (Parnate) | Antidepressant - MAOI | I - MD, panic disorder, XX - Tryosine, SSRI, St John's Wort, Demerol |
| selegiline transdermal (Emsam) | Antidepressant - MAOI | PATCH ~ low level dose. XX - Tryosine, SSRI, St John's Wort, Demerol, no food restrictions |
| fluoxetine (Prozac) | Antidepressant - SSRI | I - MD, bulimia nervosa and panic disorder. XX - MAOI, Sex dysfunction |
| sertraline (Zoloft) | Antidepressant - SSRI | I - geriatric. Ben - little liver affects SE - diarrhea |
| paroxetine (Paxil) | Antidepressant - SSRI | I - MD, PTSD, Complusive Gambling. Ben - most sedating* . XX - Sex dysfunction |
| citalopram (Celexa) | Antidepressant - SSRI | I - MD, Anxiety. SE - P450 interaction |
| escitalopram (Lexapro) | Antidepressant - SSRI | similar to Celexa - lower doses |
| reboxetine (Vestra) | Antidepressant - NRI | I - MD, Panic Disorder, ADHD. Ben safe to combine with SSRI. SE - increases Benzodiazepine action |
| bupropion (Wellbutrin Zyban) | Antidepressant - NRI / dopamine | I - smoking cessation, Obesity. * 4 week delay, Ben - no sex dysfunction / weight gain XX - low seizure threshold, Anorexia Nervosa. |
| duloxetine (Cymbalta) | Antidepressant - SNRI | XX - MAOI, Glaucoma, SE - sex disfunction *, loss of apetite |
| mirtazapine (Remeron) | Antidepressant - TCA like | I - OCD, PTSD. Ben - no sex, anticholi, serotonin effects. SE - drowsy, weight gain, hallucinations/dreams |
| trazodone (Desyrel) | Antidepressant - misc | Ben- good for sleep (drowsiness), SE- priapism (erection) |
| venlafaxine (Effexor) | Antidepressant - misc- SSNRI | Ben- few anticholinergic side effects, less cardiotoxic than TCAs. SE- nausea, dry mouth, dizziness, increased diastolic BP (>10 mm Hg bad) |
| duloxetine (Cymbalta) | Antidepressant - misc-SSNRI and NURI | I- Major depression. Ben- pain from diabetic peripheral neuropathy. SE- hepatotoxicity: jaundice, yellow eyes, SE - SE - brown urine, fatty stools, tender liver, itchy, nausea |
| Tegretol (carbamazepine) | Antimanics- Anticonvulsants | XX- humid area (bathroom)* |
| Topamax (topiramate) | Antimanics- Anticonvulsants | SE- metabolic acidosis *: increased RR, tired anorexic |
| Lamotrigine (Lamictal) | Antimanics- Anticonvulsants | I - Epilepsy, Bipolar, |
| Valproate (divalproex valproic acid) VPA | Antimanics- Anticonvulsants | I - Epilepsy, Bipolar, MD, migraine I - I I I I - headaches, schizophrenia. SE- tremors common |
| ***Lithium carbonate (Lithane; Esaklith; Lithonate; Lithobid) | Antimanics- mood stabilizer | I- manic behavior, prevent manic/depressive (bipolar) episodes. |
| phenothiazines | Antipsychotics | targets positive symptoms |
| chlorpromazine (Thorazine) | Antipsychotics - phenothiazines | block dopamine SE - appetite/weight gain, constipation, sedation, hypotension, XX - Benzodiazepines, SSRI, St John Wort |
| fluphenazine - Prolixin (Prolixin-D; Prolixin-E) | Antipsychotics - phenothiazines | 2/3 week shot- deep injection |
| Haloperidol (Haldol) | Antipsychotics - misc | SE - lower seizure threshold, weight gain XX - TCA |
| Chlorprothixene (Taractan) | Antipsychotics - misc | I - Schizophrenia, Mania, Bi-Polar |
| Thiothixene (Navane) | Antipsychotics - misc | I - Schizophrenia, |
| Clozaril (clozapine) | Antipsychotics - atypical | Ben- blocks dopamine and serotonin, less risk of EPS. SE- risk of agranulocytosis, paralytic ileus. Requires- frequent blood draws. |
| Risperdal (risperidone) | Antipsychotics - atypical | SE- increase risk of prolactinemia, breast tenderness |
| Zyprexa (olanzapine) | Antipsychotics - atypical | I- treats stuttering. SE- increasd risk for orthostatic hypertension, weight gain |
| Seroquel (quetiapine) | Antipsychotics - atypical | I - Schizophrenia |
| Geodon (ziprasidone) | Antipsychotics - atypical | Ben- weight neutral, less prolactin elevation. SE- risk of prolonged QT wave (heart block) |
| Abilify (aripiprazole) | Antipsychotics - atypical | Ben - minimal weight gain |
| Consta | Antipsychotics - atypical | long acting form of Risperdal, injectable |
| amphetamine (Adderal) | Stimulants | I - ADHD |
| dextroamphetamine (Dexedrine) | Stimulants | SE- physical tolerance can occur |
| methylphenidate (Ritalin) | Stimulants | SE= physical tolerance can occur |
| Concerta | Stimulants - SR preparations of Ritalin | I - ADHD |
| Metadate | Stimulants - SR preparations of Ritalin | I - ADHD |
| Strattera (atomoxetine) | Stimulants - Norepinephrine reuptake inhibitor | I- non-stimulant for ADHD, ages 6 yrs and older. SE- GI upset, tiredness, hepatoxicity |
| St John's Wort | Anti-Depressant (herbal) | XX - MAOI, SSRI, Tetracycline |
| Fluvoxamine (Luvox) | Anti-Depressant SSRI | I - ONLY for OCD *. SE - P450 interaction |
| EARLY symptoms of Lithium toxicity | muscle weakness, tinnitus, decreased appetite, slurred speech, severe diarrhea, nystagmus | |
| ADVANCING symptoms of Lithium toxicity | coarse hand tremors, drowsiness, change in cognitive status, incoordination | |
| SEVERE symptoms of Lithium toxicity | ataxia, clonic movements, large output of dilute urine, seizure/coma | |
| FINAL symptoms of Lithium toxicity | circulatory collapse, hypothyroidism, proteinuria, oliguria that leads to anuria | |
| Serotonin syndrome symptoms | hyperpyrexia, tachycardia, unstable VS, cognitive changes, hallucinations, muscle rigidity, incoordination | can lead to seizures, renal failure and death |
Created by:
markstokyo
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