Antipsychotic, Antiepileptic, and Hypnotic Medications

Question 1

counseling tips for Antipsychotics, Antiepileptics, and Hypnotics

Answer 1

 Avoid alcohol – intensifies some side effects such as drowsiness, dizziness and stomach upset
 Do not adjust doses or discontinue without consulting healthcare provider. (Doses are individualized by physician.)

Question 2

anticonvulsants, including divalproex sodium, lamotrigine, and topiramate

Answer 2

may ↓ effectiveness of hormonal contraceptives and/or ↑ increase
chance of seizures. Dosage adjustment may be needed

Question 3

olanzapine
drug class

Answer 3

Antipsychotics

Question 4

olanzapine
brand

Answer 4

Zyprexa

Question 5

olanzapine
common strength

Answer 5

2.5mg, 5mg, 7.5mg, 10mg, 15mg, 20mg

Question 6

olanzapine
common frequency

Answer 6

once daily
MAX:
20mg/day

Question 7

olanzapine
indications

Answer 7

 Bipolar Disorder
 Schizophrenia
 Treatment-resistant depression (with fluoxetine)

Question 8

olanzapine
counseling points

Answer 8

 Drowsiness
 Weight gain
 Increase blood sugar and/or cholesterol
 Movement disorders (Muscle restlessness, stiffness, or spasms)
 Decreased sex drive

Question 9

quetiapine
drug class

Answer 9

Antipsychotics

Question 10

quetiapine
brand

Answer 10

Seroquel

Question 11

quetiapine
common strengths

Answer 11

25mg, 50mg, 100mg, 150mg, 200mg

Question 12

quetiapine
common frequency

Answer 12

once daily
MAX:
800mg/day

Question 13

quetiapine
indications

Answer 13

 Bipolar Disorder
 Schizophrenia
 Depression

Question 14

quetiapine
counseling points

Answer 14

 Drowsiness
 Weight gain
 Increased BP, tachycardia
 Increased appetite
 Dizziness

Question 15

aripiprazole
drug class

Answer 15

Antipsychotics

Question 16

aripiprazole
brand

Answer 16

Abilify

Question 17

aripiprazole
common strengths

Answer 17

2 mg, 5 mg, 10mg, 15mg, 20mg, 30mg

Question 18

aripiprazole
common frequency

Answer 18

once daily
MAX:
30mg/day

Question 19

aripiprazole
indications

Answer 19

 Bipolar Disorder
 Schizophrenia
 Treatment-resistant depression (adjunct)
 Irritability associated with autistic disorder

Question 20

aripiprazole
counseling points

Answer 20

 Drowsiness or Insomnia
 Weight gain
 Movement disorders

Question 21

topiramate
drug class

Answer 21

Anticonvulsants

Question 22

topiramate
brand

Answer 22

Topamax

Question 23

topiramate
common strengths

Answer 23

15mg, 25mg, 50mg, 100mg, 200mg

Question 23

topiramate
common frequency

Answer 23

twice daily
MAX:
400mg/day

Question 24

topiramate
indication

Answer 24

 Seizures
 Migraine prevention

Question 25

topiramate
counseling points

Answer 25

 Dizziness/Drowsiness
 Numbness/Tingling
 Memory impairment
 Weight loss due to decreased appetite from nausea

Question 26

pregabalin (C-V)
drug class

Answer 26

Anticonvulsants

Question 27

pregabalin (C-V)
brand

Answer 27

Lyrica

Question 28

pregabalin (C-V)
common strengths

Answer 28

50mg, 75mg, 100mg, 150mg, 200mg

Question 29

pregabalin (C-V)
common frequency

Answer 29

TID
MAX:
600mg/day

Question 30

pregabalin (C-V)
indication

Answer 30

 Neuropathic pain
 Fibromyalgia
 Seizure adjunct

Question 31

pregabalin (C-V)
counseling points

Answer 31

 Drowsiness/Dizziness
 Headache
 Blurred vision
 Weight gain

Question 32

gabapentin
drug class

Answer 32

Anticonvulsants

Question 33

gabapentin
brand

Answer 33

Neurontin

Question 34

gabapentin
common strengths

Answer 34

100mg, 300mg, 400mg

Question 35

gabapentin
common frequency

Answer 35

TID
MAX:
3600mg/day

Question 36

gabapentin
indications

Answer 36

 Nerve pain from shingles
 Seizure adjunct
 Non-FDA use: nerve pain disorders

Question 37

gabapentin
counseling points

Answer 37

 Drowsiness/Dizziness
 Uncoordinated muscle movements

Question 38

lamotrigine
drug class

Answer 38

Anticonvulsants

Question 39

lamotrigine
brand

Answer 39

Lamictal

Question 40

lamotrigine
common strengths

Answer 40

25mg, 100mg, 150mg, 200mg

Question 41

lamotrigine
common frequency

Answer 41

TID
MAX:
700mg/day

Question 42

lamotrigine
indication

Answer 42

 Seizures
 Bipolar Disorder

Question 43

lamotrigine
counseling points

Answer 43

 Drowsiness/Dizziness
 Uncoordinated muscle movements
 Headache
 Blurred/double vision

Question 44

divalproex sodium
drug class

Answer 44

Anticonvulsants

Question 45

divalproex sodium
brand

Answer 45

Depakote, Depakote ER

Question 46

divalproex sodium
common strengths

Answer 46

DR Tabs:
125mg, 250mg, 500mg
ER Tabs:
250mg, 500mg

Question 47

divalproex sodium
common frequency

Answer 47

DR: TID
ER: daily
MAX:
4200mg/day

Question 48

divalproex sodium
indication

Answer 48

 Seizures
 Bipolar Disorder
 Migraine prevention

Question 49

divalproex sodium
counseling points

Answer 49

 Drowsiness/Dizziness
 Tremor
 Muscle weakness
 Upset stomach - may take with food

Question 50

zolpidem (C-IV)
drug class

Answer 50

Hypnotics

Question 51

zolpidem (C-IV)
brand

Answer 51

Ambien, Ambien CR

Question 52

zolpidem (C-IV)
common strengths

Answer 52

Ambien
5mg, 10mg
Ambien CR
6.25mg, 12.5mg

Question 53

zolpidem (C-IV)
common frequency

Answer 53

at bedtime

Question 54

zolpidem (C-IV)
indications

Answer 54

 Insomnia (short term treatment)

Question 55

zolpidem (C-IV)
counseling points

Answer 55

 Take within 20 minutes of bedtime
 Get > 8 hours of rest – May cause next day drowsiness
 Risk of abnormal sleep behaviors

Question 56

temazepam (C-IV)
drug class

Answer 56

Hypnotics

Question 57

temazepam (C-IV)
brand

Answer 57

Restoril

Question 58

temazepam (C-IV)
common strengths

Answer 58

7.5mg, 15mg, 22.5mg, 30mg

Question 59

temazepam (C-IV)
common frequency

Answer 59

at bedtime

Question 60

temazepam (C-IV)
indication

Answer 60

 Insomnia

Question 61

temazepam (C-IV)
counseling points

Answer 61

 Take drug right before you get into bed
 Get > 8 hours of rest - May cause next day drowsiness
 Headache