pharmocology ch 22
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| selective serotonin inhibitors (SSRI's) | may take up to 8 weeks for symptoms of depression to improve, may take 3-5 weeks for SSRI to control anxiety, icreases amount of serotonin by inhibiting reuptake, fewer side effects than TCA's, continue to take if symptoms are gone so they wont return
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| side effects of SSRI | insomnia, dizziness, anorexia, tremors, increased sweating headache and weakness
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| Tricyclic Antidepressants (TCA'S) | may take up to 8wks for symptoms of depression to improve, inhibit the reuptake of neurotransmitters norepinephrine, dopamine, serotonin by nerve cells, cont take even if symptoms are gone so depression wont return, generally more side effects than SSRI
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| Benzodiazepenes | most common drug for anxiety, CNS depressant increases inhibitory actions of gamma-aminobutyric acid, do not stop taking suddenly life threatening withdrawal symptoms(nervousness,restlessness,tremulousness,weakness,siezures) fetus can become dependant
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| antipsychotics (tranquilizers) | controls psychosis symptoms (hallucinations, delusions) relax CNS, may cause Neuroleptic Malignant syndrome-s/s are muscle rigidity, increased temp and resp rate, elevated pulse and bp and becomes less responsive to verbal stimuli,
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| antipsychotics (tranquilizers) | smoking may decrease effectiveness of thew antipsychotics:olanzipine and clozapine, teach pt to immed. report sore throat, unusual bleeding or bruising, avoid alcohol, change poisition slowly avoid activities that require alertness such as driving,
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| antipsychotic (tranquilizers) | Patients taking Zypresa and Seroquel should avoid grapefruit due to may increase blood levels and increased risk for side effects
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| Prozac | fluoxetine, SSRI, antidepressant
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| Lithonate | lithium carbonate, antipsychotic, Psychosis
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| Desyrel | trazodone, combined reuptake inhibitor and receptor blocker, antidepressant
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| Paxil, Paxil CR | paroxetine, SSRI, antidepressant
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| Klonopin | clonazepam, Benzodiazepene, anxiety
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| Cymbalta | duloxetine, serotonin and norepinephrine reuptake inhibitor, antidepressant
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| Celexa | citalopram, SSRI, antidepression
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| Lexapro | escitalopram, SSRI, antidepressant
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| Risperdal | resperidone, antipsychotic, psychosis
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| Valium | diazepam, benzodiazepene, antianxiety
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| Xanax | alprazolam, benzodiazepine, antianxiety
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| Zoloft | sertaline, SSRI,antidepressant
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| Thorazine | chlopromazine, antipsychotic, psychosis
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| Alwaya assess and report any suicidal thoughts or suicide plans to the prescribe before and/or during medication treatment |
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| Patients taking Venlafaxine, duletine, or bupropion are at risk for siezures |
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| Patients on mirtazapine are at increased risk for infection because of neutropenia |
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| because of abuse potential, benzodiazepene drugs are contrindicated for pts witha substance abuse disoreder |
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| Patients taking quetiapine many experience an alteration in body temperature regulation |
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