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Antipsychotics

Typical and Atypical drugs used to treat psychosis

QuestionAnswer
Typical/Traditional Antipsychotic Nursing Considerations Target only positive symptoms. Heavily sedate. Increased EPS (dystonia, akathesia, pseudoparkinsonism, & tardive diskensia)
Haloperidol Typical (Haldol)
Thioxene Typical (Navane)
Thioridazine Typical (Mellaril)
Fluphenazine Typical (Prolixin)
Trifluoperazine Typical (Stelazine)
Chlorpromazine Typical (Thorazine)
Loxapine Typical (Loxitane)
Haldol D Long-acting typical
Prolixin D Long-acting typical
Risperdal Consta Long-acting atypicals
Clozaril Atypical- can stop bone marrow from WBC production. Heavily sedates. Last choice drug.
Risperidone Atypical (Risperdal)
Atypical Antipsychotic Nursing Considerations First choice drugs. Less sedating. Decreased EPS.
Olanzapine Atypical (Zyprexa)- Wt. gain.
Quetiapine Atypical (Seroquel)
Ziprasidone Atypical (Geodone)- GI upset, take w/ food
Apriprozole Atypical (Abilify)
Paliperidone Atypical (Invega)
More side effects for antipsychotics Anticholinergic, hypotension, agranulocytosis, jaundice, NMS (fever, tachy., diaphoresis, increased muscle rigidity), wt. gain, sexual dysfunction, photosensitivity ('zines' are worst), decreased seizure threshold, black box warning for gerians
Created by: fulk_90