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phrm 820 > Antipsychotic, Antiepileptic, and Hypnotic Medications > Flashcards

Antipsychotic, Antiepileptic, and Hypnotic Medications Flashcards

1
Q

counseling tips for Antipsychotics, Antiepileptics, and Hypnotics

A

 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.)

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2
Q

anticonvulsants, including divalproex sodium, lamotrigine, and topiramate

A

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

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3
Q

olanzapine
drug class

A

Antipsychotics

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4
Q

olanzapine
brand

A

Zyprexa

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5
Q

olanzapine
common strength

A

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

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6
Q

olanzapine
common frequency

A

once daily
MAX:
20mg/day

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7
Q

olanzapine
indications

A

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

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8
Q

olanzapine
counseling points

A

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

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9
Q

quetiapine
drug class

A

Antipsychotics

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10
Q

quetiapine
brand

A

Seroquel

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11
Q

quetiapine
common strengths

A

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

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12
Q

quetiapine
common frequency

A

once daily
MAX:
800mg/day

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13
Q

quetiapine
indications

A

 Bipolar Disorder
 Schizophrenia
 Depression

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14
Q

quetiapine
counseling points

A

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

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15
Q

aripiprazole
drug class

A

Antipsychotics

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16
Q

aripiprazole
brand

A

Abilify

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17
Q

aripiprazole
common strengths

A

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

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18
Q

aripiprazole
common frequency

A

once daily
MAX:
30mg/day

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19
Q

aripiprazole
indications

A

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

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20
Q

aripiprazole
counseling points

A

 Drowsiness or Insomnia
 Weight gain
 Movement disorders

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21
Q

topiramate
drug class

A

Anticonvulsants

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22
Q

topiramate
brand

A

Topamax

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23
Q

topiramate
common strengths

A

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

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23
Q

topiramate
common frequency

A

twice daily
MAX:
400mg/day

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24
Q

topiramate
indication

A

 Seizures
 Migraine prevention

25
Q

topiramate
counseling points

A

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

26
Q

pregabalin (C-V)
drug class

A

Anticonvulsants

27
Q

pregabalin (C-V)
brand

A

Lyrica

28
Q

pregabalin (C-V)
common strengths

A

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

29
Q

pregabalin (C-V)
common frequency

A

TID
MAX:
600mg/day

30
Q

pregabalin (C-V)
indication

A

 Neuropathic pain
 Fibromyalgia
 Seizure adjunct

31
Q

pregabalin (C-V)
counseling points

A

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

32
Q

gabapentin
drug class

A

Anticonvulsants

33
Q

gabapentin
brand

A

Neurontin

34
Q

gabapentin
common strengths

A

100mg, 300mg, 400mg

35
Q

gabapentin
common frequency

A

TID
MAX:
3600mg/day

36
Q

gabapentin
indications

A

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

37
Q

gabapentin
counseling points

A

 Drowsiness/Dizziness
 Uncoordinated muscle movements

38
Q

lamotrigine
drug class

A

Anticonvulsants

39
Q

lamotrigine
brand

A

Lamictal

40
Q

lamotrigine
common strengths

A

25mg, 100mg, 150mg, 200mg

41
Q

lamotrigine
common frequency

A

TID
MAX:
700mg/day

42
Q

lamotrigine
indication

A

 Seizures
 Bipolar Disorder

43
Q

lamotrigine
counseling points

A

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

44
Q

divalproex sodium
drug class

A

Anticonvulsants

45
Q

divalproex sodium
brand

A

Depakote, Depakote ER

46
Q

divalproex sodium
common strengths

A

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

47
Q

divalproex sodium
common frequency

A

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

48
Q

divalproex sodium
indication

A

 Seizures
 Bipolar Disorder
 Migraine prevention

49
Q

divalproex sodium
counseling points

A

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

50
Q

zolpidem (C-IV)
drug class

A

Hypnotics

51
Q

zolpidem (C-IV)
brand

A

Ambien, Ambien CR

52
Q

zolpidem (C-IV)
common strengths

A

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

53
Q

zolpidem (C-IV)
common frequency

A

at bedtime

54
Q

zolpidem (C-IV)
indications

A

 Insomnia (short term treatment)

55
Q

zolpidem (C-IV)
counseling points

A

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

56
Q

temazepam (C-IV)
drug class

A

Hypnotics

57
Q

temazepam (C-IV)
brand

A

Restoril

58
Q

temazepam (C-IV)
common strengths

A

7.5mg, 15mg, 22.5mg, 30mg

59
Q

temazepam (C-IV)
common frequency

A

at bedtime

60
Q

temazepam (C-IV)
indication

A

 Insomnia

61
Q

temazepam (C-IV)
counseling points

A

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

phrm 820 (10 decks)

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