click below
click below
Normal Size Small Size show me how
CNS 3
| Pharmacologic Category | Generic | Brand | Indication | Key Side Effects | US Boxed Warnings | Other Notes |
|---|---|---|---|---|---|---|
| Antimanic agent | lithium (PO) | Lithobid | Bipolar disorder | tremor, acne, hypothyroidism, weight gain, polyuria, polydipsia, GI upset | ability to promptly monitor levels is necessary | narrow therapeutic index drug (toxicity may occur at concentrations close to therapeutic range; therapeutic drug monitoring is recommended); avoid in pregnancy |
| Antimigraine | sumatriptan (PO, intranasal, SQ) | Imitrex | Migraine | fatigue, somnolence, dizziness, chest tightness, paresthesias | n/a | CI in ischemic heart disease, history of stroke or TIA, peripheral vascular disease, and uncontrolled hypertension |
| Antimigraine | rizatriptan (PO) | Maxalt | Migraine | fatigue, somnolence, dizziness, chest tightness, paresthesias | n/a | CI in ischemic heart disease, history of stroke or TIA, peripheral vascular disease, and uncontrolled hypertension |
| First-generation antipsychotic | haloperidol (PO, IV, IM) | Haldol | Schizophrenia | sedation, EPS, parkinsonism, xerostomia, orthostatic hypotension, weight gain, QTc prolongation | elderly patients with dementia-related psychosis treated with antipsychotic drugs at increased risk of death | n/a |
| Second- generation antipsychotic | clozapine (PO) | Clozaril | Treatment- resistant schizophrenia | sedation, constipation, orthostatic hypotension, sialorrhea, hyperglycemia, weight gain, neutropenia | cause severe neutropenia; cause orthostatic hypotension, bradycardia, and syncope; cause seizures; may cause fatal myocarditis and cardiomyopathy; elderly patients with dementia-related psychosis treated with antipsychotic drugs at increased risk death | n/a |
| Second- generation antipsychotic | aripiprazole (PO, IM) | PO/IM: Abilify; IM: Aristada | Schizophrenia, bipolar disorder, MDD (adjunct to antidepressants) | akathisia, restlessness, sedation, EPS, constipation, orthostatic hypotension, weight gain | antidepressants increase the risk of suicidal thinking and behavior in children, adolescents and young adults; elderly patients with dementia-related psychosis treated with antipsychotic drugs at increased risk of death | n/a |
| Second- generation antipsychotic | quetiapine (PO) | Seroquel, Seroquel XR | Schizophrenia, bipolar disorder, MDD (adjunct to antidepressants) | sedation, EPS, constipation, orthostatic hypotension, weight gain | antidepressants increase the risk of suicidal thinking and behavior in children, adolescents and young adults; elderly patients with dementia-related psychosis treated with antipsychotic drugs at increased risk of death | n/a |
| Second- generation antipsychotic | lurasidone (PO) | Latuda | Schizophrenia, bipolar disorder, MDD (adjunct to antidepressants) | sedation, EPS, constipation, orthostatic hypotension, weight gain | antidepressants increase the risk of suicidal thinking and behavior in children, adolescents and young adults; elderly patients with dementia-related psychosis treated with antipsychotic drugs at increased risk of death | CI with strong 3A4 inhibitors and inducers |
| Second- generation antipsychotic | olanzapine (PO, IM) | Zyprexa | Schizophrenia, bipolar disorder, MDD (adjunct to antidepressants) | sedation, EPS, xerostomia, constipation, orthostatic hypotension, weight gain, hyperglycemia | elderly patients with dementia-related psychosis treated with antipsychotic drugs at increased risk of death | n/a |
| Second- generation antipsychotic | risperidone (PO, IM) | PO: Risperdal IM: Risperdal Consta | Schizophrenia | sedation, EPS, xerostomia, constipation, orthostatic hypotension, weight gain, hyperglycemia | elderly patients with dementia-related psychosis treated with antipsychotic drugs at increased risk of death | n/a |