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CNS 3
| Pharmacologic Category | Generic | Brand | Common Indications | EK |
|---|---|---|---|---|
| Antimanic agent | lithium (PO) | Lithobid | Bipolar disorder | Key Side Effects: tremor, acne, hypothyroidism, weight gain, polyuria, polydipsia, GI upset US Boxed Warnings: ability to promptly monitor levels is necessary/ Narrow therapeutic index drug/ Avoid in pregnancy |
| Antimigraine | sumatriptan (PO,Intranasal,SQ) | Imitrex | Migraine | Key Side Effects: fatigue, somnolence, dizziness, chest tightness, paresthesias Other Notes: CI in ischemic heart disease, history of stroke or TIA, peripheral vascular disease, and uncontrolled hypertension |
| Antimigraine | rizatriptan (PO) | Maxalt | Migraine | Key Side Effects: fatigue, somnolence, dizziness, chest tightness, paresthesias Other Notes: 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 | Key Side Effects: sedation, EPS, parkinsonism, xerostomia, orthostatic hypotension, weight gain, QTc prolongation US Boxed Warnings: elderly patients with dementia-related psychosis treated with antipsychotic drugs at increased risk of death |
| Second-Generation antipsychotic | clozapine (PO) | Clozaril | Treatment-resistant schizophrenia | SE: Sedation, constipation, orthostasis, sialorrhea, weight gain/hyperglycemia, neutropenia. BBW: Severe neutropenia, seizures, myocarditis/cardiomyopathy, syncope, ↑ death in elderly with dementia psychosis. |
| Second-Generation antipsychotic | aripiprazole (PO,IM) | PO/IM: Abilify IM: Aristada | Schizophrenia, biopolar disorder, MDD | SE: Akathisia, restlessness, sedation, EPS, constipation, orthostasis, weight gain. BBW: ↑ suicidal thoughts/behavior in young patients; ↑ death in elderly with dementia psychosis. |
| Second-Generation antipsychotic | quetiapine (PO) | Seroquel, Seroquel XR | Schizophrenia, biopolar disorder, MDD | SE: Sedation, EPS, constipation, orthostasis, weight gain. BBW: ↑ suicidal thoughts/behavior in young patients; ↑ death in elderly with dementia psychosis. |
| Second-Generation antipsychotic | lurasidone (PO) | Latuda | Schizophrenia, biopolar disorder, MDD | SE: Sedation, EPS, constipation, orthostasis, weight gain. BBW: ↑ suicidal thoughts/behavior in young patients; ↑ death in elderly with dementia psychosis. Note: CI with strong CYP3A4 inhibitors/inducers. |
| Second-Generation antipsychotic | olanzapine (PO,IM) | Zyprexa | Schizophrenia, biopolar disorder, MDD | Key Side Effects: sedation, EPS, xerostomia, constipation, orthostatic hypotension, weight gain, hyperglycemia US Boxed Warnings: elderly patients with dementia-related psychosis treated with antipsychotic drugs at increased risk of death |
| Second-Generation antipsychotic | risperidone (PO,IM) | PO: Risperdal IM: Risperdal Consta | Schizophrenia | Key Side Effects: sedation, EPS, xerostomia, constipation, orthostatic hypotension, weight gain, hyperglycemia US Boxed Warnings: elderly patients with dementia-related psychosis treated with antipsychotic drugs at increased risk of death |