Antidepressants Flashcards
sertraline trade name
zoloft
sertraline drug class
antidepressant, SSRI
sertraline how it works
inhibit reuptake in CNS, ^ effects serotonin
sertraline expected effect
improve mood sleep appetitive energy & decrease fear, anxiety panic
sertraline why use
depression, OCD, PTSD, panic, anxiety, premenstrual dysmorphic disorder
sertraline dosage
depression/ OCD 25-50mg to max 200
premenstrual dysmorphic disorder 50-100mg
sertraline route admin
PO
sertraline adverse effects
seizure, neuroleptic malignant syndrome, serotonin syndrome, suicide, hepatitis, neonatal abstinence
sertraline black box
suicide thoughts/ ideation in kids
sertraline nursing considerations
mental status, bleeding, serotonin syndrome, neuroleptic malignant syndrome
esciptalopram trade name
cipralex, lexapro
escitalopram drug class
SSRI, antidepressant
escitalopram expected effect
inhibit CNS reuptake serotonin but no NP
why use escitalopram
anxiety, depression
escitalopram black box
kids suicide ideation; clinical worsening suicide; mental status mood suicide depression panic worsen > not approved kids
escitalopram side effects
suicide, seizure, neuroleptic malignant, hemorrhage, tachy, brady, MI, serotonin, Stevens Johnson syndrome, neonatal abstinence
escitalopram dosages
PO 10mg, may increase 20mg, maintain 10-20mg
hepatic: 10mg PO
escitalopram route admin
PO
escitalopram nursing considerations
allergic rxn, serotonin syndrome, ECG, teach patient about serotonin syndrome & to report it (nausea, vomit, dizzy, sweat, mental changes)
citalopram trade name
celexa
citalopram drug class
antidepressant, SSRI
citalopram expected effect
inhibit CNS reuptake serotonin. Not inhibit NR making it more appealing
citalopram why use
depression
citalopram adverse effect
anxiety, seizure, hallucinations, psychosis, sucide, neuroleptic malignant syndrome, hemorrhage, heart problems, pneumonia, serotonin syndrome, serotonin, neonatal abstinence
citalopram nursing considerations
mental stauts, serotonin syndrome, vital signs, tornadoes de points, if systolic drops 20 hold med and tell prescriber
teach: 4-6weeks, higher anxiety at first, do not discontinue abruptly, avoid alcohol depressants, no pregnant or kids, teach signs serotonin symptoms
citalopram doses
depression 20mg/day up to 40mg
panic 20-40mg
prementrual 10-30mg
