Antipsycotics Flashcards
Chlorpromazine
Typical. Low-Moderate potency
SE:poikilothermia, Sedation, Hypotension, Seizure threshold reduction, ECG
Fluphenazine
Typical. High Potency, ECG, EPS
Haloperidol
Typical. High Potency, ECG, EPS
Aripiprazole
Atypical
Clozapine
Atypical
SE: Agranulocytosis* (monitor WBC), Sedation, Muscarinic/Cholinergic, Metabolic effects (Hyperglycemia/Hyperlipidemia), Seizure threshold reduction, Weight gain, hypotension*
Does NOT cause ECG changes or stroke
Olanzapine
Atypical
SE: Stroke, weight gain (Oompalumpa), Muscarinic/Cholinergic*, Metabolic effects (Hyperglycemia/Hyperlipidemia), Seizure threshold reduction
Paliperidone
Atypical
SE: Stroke, ECG changes,EPS
Quetiapine
Atypical
SE: Sedation*
Risperidone
Atypical
SE: Stroke, Hyperprolactinemia, Hypotension,EPS
Ziprasidone
Atypical
SE:ECG changes*
Muscarine side effects
Dry mouth, constipation, urinary retention, blurred vision, sedation
Alpha-adrenergic side effects
Orthostatic hypotension, Impotency/Ejaculation interference
Neuroleptic Malignant Syndrome antidote
Dantrolene
Fatal, severe Parkinsons like movement disorder
-catatonia, autonomic instability, stupor
All Typical Agents have what side effects?
Hyperprolactinemia, Neuroleptic Malignant Syndrome (injectable, high potency class)
All atypical Agents have what SE?
Weight gain, Metabolic (hyperglycemia, hyperlipidemia), death in elderly demented, ECG changes, stroke