Meds: Mood Stabilizer / antiepileptic drugs
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| mood stabilizing meds / carbamazepine, valproic acid, lamotrigine | treatment & prevention of relapse of mania & depressive episodes.
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| Cabamazepine complications (1) | CNS effects: nystagmus, double vision, vertigo, staggering gait, headache (subside in a few weeks). RN cons: low doses initially, then increase dosage. avoid driving & other activities that require alertness @ beginning of treatment. adm. @ bedtime.
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| carbamazepine complications (2) | blood dyscrasias, teratogenesis, hypo-osmolality, skin disorders; report Stevens-Johnson syndrome, hepatotoxicity don't give to children less than 2 years old,
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| carbamazepine interactions | concurrent w/oral contraceptives, warfarin decrease the effects of these meds. use alternate form of birth contl. grapefruit juice increases carbamazepine levels. avoid grapefruit juice. phenytoin & phenobarbital decrease the effects of carbamazepine.
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| carbamazepine contraindications/precautions | bonemarrow suppression or bleeding disorders
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| Lamotrigine complications | double or blurred vision, dizziness, headache, n/v, skin rashes include stevens-johnson syndrome - withhold med, & notify HCP
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| valproic acid complications | GI effects, hepatotoxicity, pancreatitis d/c med, thrombocytopenia - notify HCP teratogenesis, weight gain
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