Anti-anxiety/psych Flashcards
Benzodiazepines
-Pam and -am. Anti anxiety, seizures, preop sedation, alcohol withdrawal
Anti- anxiety
Central nervous depression agents. A- affect neurotransmitters. Uses- anxiety, manic episodes, panic attacks. Ex- Librium (chlordiazepoxide), Xanax (alprazolam), Ativan (lorazepam), vistaril (hydroxyzine), equanil. SE- sedation, confusion, hepatic dysfunction. Nx- monitor for addiction, OD, avoid alcohol, liver func. Taper off. Changes in smoking, caffeine dec effectiveness
Lithium
Toxicity- early: fine motor tremors, n/v, diarrhea. Late: seizures. Serum Na within normal limits to keep therapeutic. Normal 1-1.5. Toxic >2
Chlorpromazine (Thorazine)
Antipsychotic. Schizophrenia, mania, Tourette’s syndrome. SnS- ortho hypotn, extrapyramidal reactions, seizures
Haloperidol (haldol)
Antipsychotic. Schizophrenia. SnS- blood dyscrasia, extrapyramidal symptoms. Oculogyric crisis- eyes locked upward, acute dystonic reaction, physician will order anticholinergic agent to correct reaction. Used for Tourette syndrome
Thioridazine (mellaril)
Akasthisia- inability to sit or stand still, foot tap, pace. MD- change med or give antiparkinsonian agent
Lorazepam
Anti-anxiety. Sedative-hypnotic. Abd discomfort.
Valproic acid
Anticonvulsant. Bipolar disorder. Preg D. Tremors
Clozapine
Antipsychotic. Preg B. Flu-like symptoms- agranulocytosis.
Fluphenazine (prolixin)
Sedation common during first few weeks of therapy. Phenothiazine. Antipsychotic. Schizophrenia.
Risperidone (risperdal)
Antipsychotic. Bipolar. Schizophrenia. SE-Blurry vision, extrapyramidal reactions, HA, insomnia, agitation, anxiety. Don’t drink alcohol.
OCD
SSRIs (ending in -ine and -pram), TCAs (ending in -triptyline and -pramine)
Chlordiazepoxide (Librium)
Anxiolytic used for outpatient detox. Antianxiety. SE- lethargy, hangover, agranulocytosis
Buspirone
Antianxiety. SE- light-headedness, confusion, hypotension, palpitations
Fluoxetine
SSRI antidepressant. SE- palpitation, bradycardia, n/v
Phenelzine sulfate
MAOI antidepressant. Do not take if consume tyramine in the diet. Results in hypertensive crisis- dizziness, HA, nervousness. Admin nifedipine to lower BP. Don’t eat- bananas, avocado
Imipramine
Tricyclic antidepressant. SE- fever, dry mouth, inc fatigue, vomiting and diarrhea, sore throat
Hydroxyzine (vistaril)
Antihistamine. Anxiety, preop and postop sedation, n/v
Antipsychotic agents
-azine; thiothixene; haloperidol- CI in glaucoma, hepatic/renal/cv disease or Parkinson’s disease. SE- tachycardia, seizures, urinary retention, resp dep, laryngospasm, neuromalignant syndrome, dysrhythmias. Risperidone, quetiapine, aripiprazole. Lithium. Perphenazine for schizophrenia and n/v.
Antidepressant
SSRI- xetine, -pram, sertraline. MAOI- phenelzine, tranylcypromine (avoid tyramine foods pickled, aged, fermented, caffeinated> hypertensive crisis). Tricyclic-triptyline, imipramine (OD lethal)
Methylphenidate
Manage ADHD, narcolepsy, and depression in elderly. SE- nervousness, palpitations, insomnia, tachycardia, wt loss, growth suppression. Do not use- glaucoma, tics, Tourette’s, agitation, anxiety, tension
Bupropion (Wellbutrin)
Tx of depression and smoking cessation. SE- HA, dry mouth, n/v, photosensitivity (sunscreen). Stop smoking once med has been taken for at least a week. Don’t drink alcohol. Don’t take med if forget and close to next dose.
Pseudoparkinsonism symptoms
Benztropine (cogentin) and trihexphenidyl (artane)
Sertraline (Zoloft)
Antidepressant, OCD, panic disorder with or without agoraphobia, PTSD. SE- GI upset, HA, dizziness, impotence, and insomnia. Can potentiate effects of digoxin, warfarin, diazepam. Avoid alcohol. Therapeutic effect may take 4 weeks
