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CNS 3
| Generic | Brand | Category | Indication | EK |
|---|---|---|---|---|
| lithium (PO) | Lithobid | Antimanic agent | Bipolar disorder | SE: tremor, acne, hypothyroid, wt gain, polyuria/polydipsia, GI upset. BBW: requires prompt level monitoring. Notes: narrow TI (toxicity near therapeutic levels → TDM needed); avoid in pregnancy |
| sumatriptan (PO, intranasal, SQ) | Imitrex | Antimigraine | 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 |
| rizatriptan (PO) | Maxalt | Antimigraine | 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 |
| haloperidol (PO, IV, IM) | Haldol | First-generation antipsychotic | 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 |
| clozapine (PO) | Clozaril | Second- generation antipsychotic | Treatment- resistant schizophrenia | SE: sedation, constipation, orthostasis, sialorrhea, hyperglycemia, wt gain, neutropenia. BBW: severe neutropenia; orthostasis/bradycardia/syncope; seizures; fatal myocarditis/cardiomyopathy; ↑ death risk in elderly w/ dementia psychosis. |
| aripiprazole (PO, IM) | PO/IM: Abilify; IM: Aristada | Second- generation antipsychotic | Schizophrenia, bipolar disorder, MDD (adjunct to antidepressants) | SE: akathisia/restlessness, sedation, EPS, constipation, orthostasis, wt gain. BBW: ↑ suicidal thoughts/behavior in children, adolescents, young adults; ↑ death risk in elderly w/ dementia psychosis on antipsychotics. |
| quetiapine (PO) | Seroquel, Seroquel XR | Second- generation antipsychotic | Schizophrenia, bipolar disorder, MDD (adjunct to antidepressants) | SE: sedation, EPS, constipation, orthostasis, wt gain. BBW: ↑ suicidal thoughts/behavior in children, adolescents, young adults; ↑ death risk in elderly w/ dementia psychosis on antipsychotics. |
| lurasidone (PO) | Latuda | Second- generation antipsychotic | Schizophrenia, bipolar disorder, MDD (adjunct to antidepressants) | SE: sedation, EPS, constipation, orthostasis, wt gain. BBW: ↑ suicidal thoughts/behavior (children, adolescents, young adults); ↑ death risk in elderly w/ dementia psychosis on antipsychotics. Notes: CI w/ strong CYP3A4 inhibitors/inducers. |
| olanzapine (PO, IM) | Zyprexa | Second- generation antipsychotic | Schizophrenia, bipolar disorder, MDD (adjunct to antidepressants) | 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 |
| risperidone (PO, IM) | PO: Risperdal IM: Risperdal Consta | Second- generation antipsychotic | 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 |