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BDK CNS #2-3
Basic Drug Knowledge Central Nervous System Page #2-3
| Generic Name | Brand Name | Classification | Pharmacologic Category | Common Indications | Key Side Effects | US Boxed Warnings | Other Notes |
|---|---|---|---|---|---|---|---|
| Dexmethylphenidate (PO) | Focalin, Focalin XR | CS-II | CNS (Central Nervous System) Stimulant | Attention-Deficit/Hyperactivity Disorder (ADHD) | Insomnia, Headache, Anxiety, Weight Loss, Decreased Appetite, Hypertension | High Potential for Abuse | CI within 14 days of MAOI |
| Dextroamphetamine & Amphetamine (PO) | Adderall, Adderall XR | CS-II | CNS (Central Nervous System) Stimulant | Attention-Deficit/Hyperactivity Disorder (ADHD), Narcolepsy | Insomnia, Headache, Anxiety, Weight Loss, Decreased Appetite, Hypertension | High Potential for Abuse | CI within 14 days of MAOI |
| Lisdexamfetamine (PO) | Vyvanse | CS-II | CNS (Central Nervous System) Stimulant | Attention-Deficit/Hyperactivity Disorder (ADHD) | Insomnia, Headache, Anxiety, Weight Loss, Decreased Appetite, Hypertension | High Potential for Abuse | CI within 14 days of MAOI |
| Methylphenidate (PO, Transdermal) | PO: Concerta, Ritalin Patch: Daytrana | CS-II | CNS (Central Nervous System) Stimulant | Attention-Deficit/Hyperactivity Disorder (ADHD), Narcolepsy | Insomnia, Headache, Anxiety, Weight Loss, Decreased Appetite, Hypertension | High Potential for Abuse | CI within 14 days of MAOI |
| Guanfacine (PO) | Intuniv | Selective Alpha 2A Agonist | Attention-Deficit/Hyperactivity Disorder (ADHD), Hypertension (HTN) | Bradycardia, Hypotension, Sedation, Skin Rash, Xerostomia, Constipation | Do Not Abruptly Discontinue | ||
| Pramipexole (PO) | Mirapex | Dopamine Agonist | Parkinson's Disease, Restless Legs Syndrome (RLS) | Nausea, Hallucinations, Dizziness, Drowsiness, Compulsive Behaviors, Orthostasis | |||
| Ropinirole (PO) | Requip | Dopamine Agonist | Parkinson's Disease, Restless Legs Syndrome (RLS) | Nausea, Hallucinations, Dizziness, Drowsiness, Compulsive Behaviors, Orthostasis | |||
| Carbidopa & Levodopa (PO) | Sinemet, Sinemet CR | Decarboxylase Inhibitor (Carbidopa), Dopamine Precursor (Levodopa) | Parkinson's Disease | Nausea, orthostatic Hypotension, Dyskinesias | CI within 14 days of MAOI, CI in narrow-angle glaucoma; Do Not Abruptly Discontinue | ||
| Memantine (PO) | Namenda | N-Methyl D-Aspartate (NMDA) Antagonist | Dementia | Constipation, Confusion, Dizziness, Headache | |||
| Donepezil (PO, Transdermal) | PO: Aricept Transdermal: Adlarity | Cholinesterase Inhibitor | Dementia | Nausea, Vomiting, Diarrhea | |||
| Lithium (PO) | Lithobid | Antimanic Agent | 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 | |
| Sumatriptan (PO, Intranasal, SQ) | Imitrex | Antimigraine | Migraine | Fatigue, Somnolence, Dizziness, Chest Tightness, Paresthesias | CI in ischemic heart disease, history of stroke or TIA, peripheral vascular disease, and uncontrolled hypertension | ||
| Rizatriptan (PO) | Maxalt | Antimigraine | Migraine | Fatigue, Somnolence, Dizziness, Chest Tightness, Paresthesias | CI in ischemic heart disease, history of stroke or TIA, peripheral vascular disease, and uncontrolled hypertension | ||
| Haloperidol (PO, IV, IM) | Haldol | First-Generation Antipsychotic | 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 | ||
| Clozapine (PO) | Clozaril | Second-Generation Antipsychotic | Treatment-Resistant Schizophrenia | Sedation, Constipation, Orthostatic Hypotension, Sialorrhea, Hyperglycemia, Weight Gain, Neutropenia | May cause severe neutropenia; May cause fatal orthostatic hypotension, bradycardia, & syncope; May cause seizures, fatal myocarditis & cardiomyopathy; Elderly patients w/ dementia-related psychosis treated w/ antipsychotic draws at increased risk of death | ||
| Aripiprazole (PO, IM) | PO/IM: Abilify IM: Aristada | Second-Generation Antipsychotic | Schizophrenia, Bipolar Disorder, Major Depressive Disorder [(MDD) Adjunct to Antidepressants] | Akathisia, Restlessness, Sedation, EPS, Constipation, Orthostatic Hypotension, Weight Gain | Antidepressants increase the risk of suicidal thinking & behavior in children, adolescents & young adults; Elderly patients with dementia-related psychosis treated with antipsychotic drugs at increased risk of death | ||
| Quetiapine (PO) | Seroquel, Seroquel XR | Second-Generation Antipsychotic | Schizophrenia, Bipolar Disorder, Major Depressive Disorder [(MDD) Adjunct to Antidepressants] | Sedation, EPS, Constipation, Orthostatic Hypotension, Weight Gain | Antidepressants increase the risk of suicidal thinking & behavior in children, adolescents & young adults; Elderly patients with dementia-related psychosis treated with antipsychotic drugs at increased risk of death | ||
| Lurasidone (PO) | Latuda | Second-Generation Antipsychotic | Schizophrenia, Bipolar Disorder, Major Depressive Disorder [(MDD) Adjunct to Antidepressants] | Sedation, EPS, Constipation, Orthostatic Hypotension, Weight Gain | Antidepressants increase teh risk of suicidal thinking & behavior in children, adolescents & young adults; Elderly patients with dementia-related psychosis treated with antipsychotic drugs at increased risk of death | CI with strong #a4 inhibitors & inducers | |
| Olanzapine (PO, IM) | Zyprexa | Second-Generation Antipsychotic | Schizophrenia, Bipolar Disorder, Major Depressive Disorder [(MDD) Adjunct to Antidepressants] | ||||
| Risperidone (PO, IM) | PO: Risperdal IM: Risperdal Consta | Second-Generation Antipsychotic | Schizophrenia |