Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Top 100 Drugs (Brand-Generic) > Anx-depp-Bipolar > Flashcards

Anx-depp-Bipolar Flashcards

1
Q

What are uses of BZD?

A

Anx disorder

Insomnia

Seizure disorder

Status Epilepticus: IV ONLY

Premedication for anesthesia (IV/IM)

Off-lable use:

  - Alcohol withdrawal
  - Chemotherapy-assoc N/V
  - Essential tremor
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Which BZD’s are my LONG-ACTING BDZ’s?

A
  • Chlordiazepoxide (LIBRIUM)
    • anx: 5-25mg PO tid-qid
    • alcohol withdrawal
  • Clonazepam (klonopin)
    • panic disorder
    • seizure disorder
  • Diazepam (Valium)
  • Flurazepam (Dalmane)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Which Benzo’s are INTERMEDIATE (10-20 hrs)?

A

Lorazepam (Ativan)

TEMAZEPAM (Restoril)

Estazolam (Prosom)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Short-Acting- BZD’s (<12 HOURS)

A

Alprazolam (Xanax, Xanax-XR)
- 3A4 SUBSTRATE (use with caution w/ INHIBTORS & INDUCERS)

Oxazepam

Triazolam (Halcion)

Midazolam

-SHORT ACTING BENZO’s have the HIGHEST risk of abuse because of RAPID RISE AND FALL of levels!!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Which BZD’s are recommended for OLDER patients?

A

Lorazepam

Oxazepam

Temazepam

LOT!!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

For patients taking MULTIPLE MEDS, on METHADONE, or COMPROMISED LIVER FX, which BZD’s do you recommend?

A

LOT

LORAZEPAM

OXAZEPAM

TEMAZEPAM

LOT drugs are mostly cleared by KIDNEYS and thus have DECREASE P450 drug INTERACTIONS. (Most BZD’s except for LOT are metabolized by CYP3A4)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Benzodiazepine SE and PRECAUTIONS

A

Drowsiness/ impair driving

Memory impairment: ANTEROGRADE AMNESIA

Tolerance**

Rebound or Withdrawal s/s FOLLOWING discontinuation

Drug abuse: CAUTION in pts w/ HISTORY of ALCOHOL or DRUG ABUSE

BBW: Can be lethal if combined with OPIODS, ALCOHOL, Or other meds that depress the CNS: result in RESPIRATORY DEPP & DEATH!!

-PREGNANCY CAT D**

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

BZD Withdrawal SYMPTOMS?

A

-DISTURBED SLEEP
-TREMORS
-MUSCLE ACHES
POOR COORDINATION
MILD PARANOIA
CONFUSION
PSYCHOSIS
SEIZURES**

OVERDOSE: results in RESPIRATORY DEPRESSION, HYPOTENSION, COMA, DEATH

-ANTIDOTE: Flumazenil!!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Buspar

A

BUSPIRONE

MOA: unknown

      - NO EFFECT ON GABA
      - AFFINITY for serotonin 5-HT1A
      - AFFINITY for dopamine D2- receptors

Treats: ANXIETY

Dose: MAX —> 30mg BID

MAJOR CYP3A4 SUBSTRATE

DONT GIVE W/ MAOI

Counseling point: TAKES UP TO 4 weeks to work!!

SE: dizziness, drowsiness, HA, Nervousness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Anxiolytic SUPPLEMENTS

A

Kava-kava - caution: HEPATOTOXIC

Valerian ROOT - Insomnia; not for ANX

PASSION flower - A calming herb

St. John’s Wort - INCREASES 5HT-3

Hops - Relaxing and sedative effect

Chamomile - sedative, ANX, relieves GI distress, MAY INCREASE INR(has warfarin derivatives)

B-Complex: essential for SYNTHESIS of serotonin; Vitamin B deficiency has been associated with ANX & DEPRESSION.

L-Tryptophan and 5-HTP: Precursors used by body for synthesis of serotonin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

SSRI

GENERAL INFO

RECEPTOR SPECIFICITY**

A

MOA: inhibit reuptake of serotonin (5-HT) at ALL receptors, acting as a SEROTONIN AGONIST

5-HT1: involves DEPRESSION

5-HT2: involves SEXUAL DISFX

5-HT3: involves GI side EFFECTS

AD’s increase the risk of SUICIDAL THINKING & behavior in short term studies in pts < 24YO w MDD AND A DECREASED RISK IN those > 65 yrs old.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

SSRI SIDE EFFECTS:

A
  • SSRI’s reduce platelet aggregation (INCREASE BLEEDING)
  • Link to Increase GI BLEEDING

CAUTION W/: NSAIDS, aspirin, WARFARIN

Luvox & Celexa: Known to have LESS Bleeding

  • Activating or Sedating
    (Fluoxetine: Activating)
    (Fluvoxamine: Sedating)
  • GI effects: Nausea/ Diarrhea
  • Weight Gain!!
  • Sexual dysfx!!
  • HeadAche
  • Hyponatremia
  • Orthostatic Hypotension
  • Bone Fractures
  • Ocular effects
  • Suicidal thinking

PREGNANCY CAT C (pulmonary HTN)
-Paxil: Heart Defects

-Anticholinergic: Dry mouth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

SSRI DRUG INTERACTIONS

A

Fluvoxamine- STRONG CYP1A2 INH

Fluoxetine/Paroxetine- STRONG CYP2D6 INHIBITORS

- Avoid combining w/ TAMOXIFEN!!
- Avoid w/ Codeine (CYP2D6 substrate)

Vortioxetine: substrate of CYP2D6 & CYP3A4

Vilazodone: substrate of CYP3A4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Celexa

A

Citalopram

Treats: MAJOR DEPP DISORDER

form: tabs; solution (10mg/5mL)

Max: 40mg/d; 20mg/d > 60YO DUE TO QT prolongation**

CAUTION: Cardiac disease, low k/mg, liver impairment

Drug Interactions: 2C19 SUBSTRATE

  • avoid going over 20mg w/ CYP2C19 inhibitors: OMEPRAZOLE & Cimetidine
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Lexapro

A

EsCitalopram

Treats: MDD; GAD

DOSE: 10qd AM/PM

MAX: 20mg/d after one week QD

FORMS: tabs; soln

DI: Major substrate of CYP2C19/ CYP3A4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Prozac/ Sarafem

A

Treats: MDD, OCD, Bulimia nervosa, PreMENSTRUal dysphoric disorder, PANIC disorder

  • approved in CHILDREN W/ MDD > 8 yo
  • approved in children w/ OCD >7 YO

Forms: caps; solution
MAX: 80mg/d

CAUTION: **MAOI’s should be D/C at least 14 days before initiating fluoxetine. If on fluoxetine, d/c fluoxetine at least 5 weeks before going on MAOI due to its LONG half life

DI: PROZAC is a STRONG inhibitor of CYP2D6

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

LuVOX

A

Fluvoxamine

Treats: OCD

FORMS: tabs; ER caps

Administer: BEDTIME(VERY SEDATING)

CYP2c19 substrate

CYP450 Inhibitor: PRIMARILY 1A2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

PAXIL, PAXIL CR, PEXEVA, Brisdelle

A

ParoxeTiNE

Indication: MDD, GAD, OCD, panic disorder, PMDD, SAD, PTSD, Vasomotor symptoms of menapause (BRISDELLE) ONLY

CYP450 STRONG Inhibitor of : 2D6

  • DO NOT D/C abruptly

Pregnancy CATEGORY D due to CARDIAC TOX!!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Zoloft

A

Sertraline

Treats: MDD, OCD, Panic disorder, PMDD

DOSE: MAX:200mg/d

-Moderate/Weak inhibitor of CYP450
:CYP2D6 ( like paxil/prozac)

FOOD ^ BIOAVAILABILITY

But can take W/WO food.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Trintellix

A

Vortioxetine

Treats: MDD

MOA: SRI/ 5HT1a agonist/ 5HT1b partial agonist/ 5HT3a; 5HT7 ANTAGONIST

DOSE: MAX: 20mg/d

CONTRAINDICATION: Dont use MAOI’s within 21 days of STOPPING TrinTELLIX

SE: NAUSEA, no effect on WEIGHT GAIN

DI: SUBSTRATE of CYP2D6 & CYP3A4. Decrease dose by 1/2 w INHIBITORS

BUPROPION ^ TRINTELLIX BY 2X’s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

SNRI

GENERAL INFO

A

Serotonin-Norepi-Reuptake- INHIBITOR

Venlafaxine(EFFEXOR)

DesVenlafaxine(Pristiq)

DesVenlafaxine(Khedezla)

DULOXETINE (CYMBALTA)

Milnacipran (SAVELL)

LevoMilnacipran(Fetzima)

ALL SNRI need DOSE ADJUSTMENT IN RENAL/HEPATIC

SE: NAUSEA(most common), CONSTIPATION, DRY MOUTH, DIZZINESS, SWEATING, ^^BP^^, sexual dysfx.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

SNRI SIDE EFFECTS:

A

HEADACHE/HYPONATREMIA

OCULAR

BONE FRACTURES

SUICIDAL THINKING

GI: Nausea; GI Bleeding, ^ risk of BLEED

^^^ BLOOD PRESSURE^^^

NE “psuedoanticholinergic” EFFECT ( Constipation, dry mouth, Urinary RETENTION)

  • NAUSEA, dizziness, Dry Mouth, Sweating, BP
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Effexor

A

Venlafaxine

Treats: MDD, GAD, panic disorder (XR- ONLY)

Dose: Administer w/ FOOD

Forms: tabs(BID/TID), XR CAPS, ER TABS

CRCL<30 reduce dose by 1/2

SE: Activating/ Sedating, agitation, GI, HTN, HA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

PRISTIQ

A

DESVENLAFAXINE SUCCINATE

SNRI**

Treats: DEPRESSION

CRCL< 30 50mg QOD

^^ BP^^

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Khedezla

A

Desvenlafaxine BASE

SNRI

TREATS: MDD

MAX:400mg/d

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Cymbalta/ Irenka

A

Moa: SNRI

INDICATION: Depression, GAD, fibromyalgia, chronic musculoskeletal pain, chronic osteoarthritis pain, and chronic low back PAIN.

Max: 120mg

DI: Substrate CYP1A2, CYP2D6/ Inhibits CYP2D6
- AVOID in CrCL < 30mL/min & Hepatic impairment

Monitor: BP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Savella

A

Milnacipran

SNRI

Treats: Fibromyalgia

(3 drugs approved for fibromyalgia are: Lyrica, Cymbalta, Savella)

Max:200mg

ESRD: NOT RECOMMENDED

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Fetzima

A

LEVOmilnacipran

SNRI

TREATS: MDD(NOT fibromyalgia)

CYP3A4 SUBSTRATE

  • ESRD: NOT RECOMMENDED

Dose: ONCE DAILY

DO NOT TAKE W/ ALCOHOL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

NE & DOPAMINE (NDRI)

REUPTAKE INHIBITORS

A

BUPROPION

  • Wellbutrin SR
  • Wellbutrin XL
  • Aplenzin (ER)
  • Zyban
30
Q

Wellbutrin; Aplenzin; Zyban

A

BuPROPION

MOA: D2/NE agonist
- preferred if worried about sexual dysfx

Indication: MDD/Smoking cessation/ SAD- seasonal affective DISORDER

  • MAX dose/d:
  • IR: 450mg/d
  • SR: 400mg/d
  • XL: 450mg

Aplenzin: 522mg

SE: SEIZURES

31
Q

Bupropion

SE & DRUG INTERACTIONS

A

SE: 1) ACTIVATION
2) SEIZURES

CAUTION: bulimia**, Alcoholics, Seizures, psychosis

WEIGHT-LOSS

GI Effects

DI: Moderate CYP2D6 Inhibitor

Avoid ethanol, Valerian root, St. Johns WORT, SAMe, kava kava( may increase CNS depression)

32
Q

Serotonin MODULATORS

A

Trazodone

Nefazodone

Vilazodone

33
Q

Trazodone

A

MOA: blocks serotonin reuptake (LESS POTENT than SSRI’s) & alpha-Adrenergic Blocker!!)

  • Serotonin Modulators

Treats: MDD, Sleep disorder

SE: GI, sexual dysfx, Orthostasis, PRIAPISM!!

34
Q

Nefazodone

A

MOA: serotonin reuptake blocker & alpha1 blocker

Treats: MDD

BBW: HEPATOTOXICITY monitor LFT’s

35
Q

viiBRYD

A

Vilazodone

CLASS: Serotonin MODULATOR

MOA: blocks 5HT reuptake & partial 5HT1a receptor AGONIST

treats: MDD

DOSE: Start 10mg WD w FOOD x 7 days

Maint/ max: 40mg QD w FOOD

-: NO WEIGHT GAIN
DI: SUBSTRATE OF CYP3A4
Contraindications: 14 days D/C with MAOI’s

Se: Same as SSRI’s

36
Q

Remeron

A

Mirtazapine

Treats: MDD

MOA: alpha2 antagonist —> ^ NOR; 5HT3
- Antagonist @ 5HT2a, 5HT2C, 5HT3

Form: tabs; ODT**

SE: 1) Sedation

   2) appetite(^ weight gain)
   3) ^ lipids
   4) anticholinergic (dry mouth, constipation)
   5) QT Prolongation
37
Q

TCA MOA

A

MOA: Blocks NOR & 5HT3 reuptake

Tertiary - Higher 5HT3 Affinity
Secondary - Higher NOR affinity

Also stimulate:

  • alpha adrenergic: Orthostasis
  • Histaminergix : Weight gain; Sedation
  • anticholinergic: dry mouth, urinary ret, constip
38
Q

TCA SIDE EFFECTS

A

1) sedation
2) anticholinergic
3) weight gain
4) tachycardia/arrhythmias
- risk of QTc prolongation
- Lower seizure threshold

DO NOT D/C abruptly

39
Q

Elavil

A

Amitriptyline (Tertiary)

TCA

TREATS: 1) Depression

            - OFF-LABLE: 1) chronic pain
                                    2) Diabetic Neuropathy
                                    3) migraine ppx
                                    4) PTSD
40
Q

Anafranil

A

Clomipramine (Tertiary)

Class: TCA

TREATS: OCD

41
Q

Silenor

A

Doxepin (Tertiary)

Class: TCA

Treats: Depression/anxiety/INSOMNIA

OFF-LABLE: 1) CHRONIC UTICARIA (Hives)

42
Q

Tofranil

A

Imipramine (Tertiary)

Class: TCA

  • Indicated: Depression
    * * ENURESIS** BED WETTING!!!

OFF-LABLE: Bulimia, Neuropathic PAIN

43
Q

Surmontil

A

TRIMIPRAMINE (Tertiary)

Class: TCA

44
Q

Amoxapine

A

TCA(secondary)

MOA: Blocks NE & DOPAMINE (ONLY ONE)

45
Q

Norpramin

A

Desipramine

TCA : 2nd

Treats: Depression

OFF-LABLE: Neuropathic pain

46
Q

Maprotiline

A

TCA: SecondAry

47
Q

PaMEloR

A

Nortriptyline

CLASS: TCA: 2nd

Treats: DEPRESSION

OFF-LABLE: 1) Chronic pain

                  2) IBS
                  3) Post-Herpetic Neuralgia
                  4) Smoking cessation
48
Q

Protriptyline

A

Class: TCA; 2nd

49
Q

What meds can also be used for BED-WETTING?

A

1) Imipramine

2) anticholinergics
- fesoterodine
- oxybutynin
- Tolterodine

3) DDAVP (Desmopressin)

50
Q

MONOAMINE OXIDASE INHIBITORS

A

Inhibit MAOa & MAOb

- 1) Isocarboxazid (Marplan)
- 2)phenelzine (Nardil)
- 3) Tranylcypromine (Parnate)
Selegilime (EmSAM) 
       QD PATCH (SELECTIVE FOR MAOb at low doses and NONSELECTIVE AT HIGHER)
51
Q

MAOI

SE; MOA; Indications

A

MOA: MAOI’s inhibit the BREAKDOWN OF DOPAMINE; 5HT3, and NOR-EPi

Indications: MDD
- Can be effective in treatment resistant depression

E: Insomnia, anticholinergic, Orthostasis, Weight Gain, Edema, Sexual dysfx.

52
Q

MAOI DRUG INTERACTIONS:

VERY IMPORTANT

A

1) Dextromethorphan - Hyperpyrexia
2) Meperidine; Fentanyl; Methadone; Tramadol (^ Effect of MAOI)

3) Morphine/Hydromorphone/Hydrocodone
- (^^ CNS Depression & hypotension)

4) TCA; SSRI:
5) Oral INHALATION; Anticholinergics; Umeclidinium: Tiotropium
- May enhance Anticholinergic effects
6) Sympathomimetics( amphetamines, Ephedrine, psuedophedrine, Beta-Agonist) - Hypertensive CRISIS

53
Q

Emsam

A

Selegiline

Indication: MDD

FORM: PATCHES (DAILY)

54
Q

What are other MAOI’s that arent in the depression chapter?

A

1) Linezolid (ABX)
2) Tidezolid (ABX)
3) Rasagiline
4) Procarbazine (Chemo)

55
Q

Which AP’s are approved for MDD?

A

1) Abilify
2) Symbyax (Olanzapine/Fluoxetine)
3) Quetiapine (XR)
4) Brexipiprazole (Rexulti)

56
Q

OTC meds for DEPRESSiON

A

1) SAM-e
2) ST. John’s WORT

 - Photosensitivity
 - P450 Inducer
 - Watch for Serotonin Syndrome
57
Q

Celexa

A

Citalopram

Treats: MAJOR DEPP DISORDER

form: tabs; solution (10mg/5mL)

Max: 40mg/d; 20mg/d > 60YO DUE TO QT prolongation**

CAUTION: Cardiac disease, low k/mg, liver impairment

Drug Interactions: 2C19 SUBSTRATE

  • avoid going over 20mg w/ CYP2C19 inhibitors: OMEPRAZOLE & Cimetidine
58
Q

Lexapro

A

EsCitalopram

Treats: MDD; GAD

DOSE: 10qd AM/PM

MAX: 20mg/d after one week QD

FORMS: tabs; soln

DI: Major substrate of CYP2C19/ CYP3A4

59
Q

Prozac/ Sarafem

A

Treats: MDD, OCD, Bulimia nervosa, PreMENSTRUal dysphoric disorder, PANIC disorder

  • approved in CHILDREN W/ MDD > 8 yo
  • approved in children w/ OCD >7 YO

Forms: caps; solution
MAX: 80mg/d

CAUTION: **MAOI’s should be D/C at least 14 days before initiating fluoxetine. If on fluoxetine, d/c fluoxetine at least 5 weeks before going on MAOI due to its LONG half life

DI: PROZAC is a STRONG inhibitor of CYP2D6

60
Q

Which meds can be used for BiPolar DISORDER?

A

1) Lithium

2) Anticonvulsants
- Divalproex sodium (Depakote)
- Lamotrigine (Lamictal)
- Carbamazapine (Equetro)

3) Antipsychotic
- Quetiapine XR
- Olanzapine (Zyprexa); Symbyax
- Ziprasidone
- Aripiprazole
- Lurasidone
- Asenapine (Saphris)

In General: Lithium or Depakote combined w/ an antipsychotic is more EFFECTIVE than monotherapy

61
Q

DOC for Bipolar

A

Lithium, IF TOLERABLE

62
Q

Which drugs have been shown to be effective in treating BiPolaR DePressIoN?

A

1) Lithium
2) quetiapine
3) Lurasidone
4) symbyax (Olanzapine + Fluoxetine)

63
Q

Which Anticonvulsant is effective for prevention of RECURRENT depressive episodes?

A

Lamictil (Lamotrigine)

64
Q

Which two Anticonvulsant can be for maint Tx but are usually less effective than Lithium?

A

Valproate (Depakote)

Carbamazepine

65
Q

Lithobid

A

Lithium

Indication: 1) Bipolar Depression
2) Off-label; Depression

MOA: Unknown; Believe to influence reuptake of 5HT and/or NOR

  • (+) charge element similar to Na/K
  • EFFECT ON electrolytes (Na, K, Ca, Magnesium)

OPPOSITE effect on SODIUM

66
Q

Lithium DOSAGE Forms

A

Lithium Carbonate

- (IR) forms: 150,300, 600 CAPS
                      300mg tabs (Eskalith)
  • (CR): 300mg Lithobid
  • XR: 300mg & 450mg

Lithium citrate SYRUP

  • 8mEq/5mL soln (5mL = 8meq= 300mg)
67
Q

Lithium DOSAGE!!

A

Starting dose: 300-600mg BID-TID

Effective range: 900-1800mg/day(15-20 mg/kg)

- Elderly and Renal: Decrease dose
       - 300mg/ day w/ LEVELS of 0.4-0.6 mEq are
          Usually effective in elderly patients

- Pregnancy cat D
* *100% RENALLY CLEARED**

Therapeutic Monitoring: Draw serum levels JUST BEFORE next dose, after 5(FiVE) days of TREATMENT

 - Acute Levels: 0.8-1.2 mEq/L
 - Maintenance: 0.6-1.0 mEq/L

Lithium effect usually begin in 1 WEEK and full effect w/I 2-3 WEEKS

68
Q

Lithium SIDE EFFECTS

A

1) GI(N/VD) take w/ FOOD**!!!
2) Fine intentional HAND TREMOR
3) Nephrogenic diabetic insipid-us:

 - Chronic lithium ingestion can cause ADH not to
    work causing POLYURIA/POLYDIPSIA which may 
    cause Lithium TOXICITY!!

 - If possible D/C lithium

 - For patients whom lithium therapy is necessary
    Add POTASSIUM (K)- sparring Diuretic,
    AMiLoRiDe

4) Leukocytosis (^WBC)
5) Thyroid**
6) Parathyroid - Hypercalcemia: Hyperparathyroidsm
7) Weight gain **
8) Bradycardia
9) Acne: Alopecia

10) CNS adverse RXN: Ataxia, Blackout spells,
Cogwheel rigidity

69
Q

Lithium toxicity

A

1) > 1.5: TREMOR, Vomiting, CONFUsion, Ataxia, slurred speech

HOLD DOSE

2) > 2: arrhythmias, SEIZURES, COMA
- NS IV infusion, Hemodialysis
3) > 3.5: Lethal Toxicity!!

70
Q

LITHIUM DRUG INTERACTIONS

A
  • Thiazides; ACEI’s, NSAIDS
  • Sodium RESTRICTION, dehydration, RENAL IMPAIRMENT
  • ** ^^ Na will DECREASE LITHIUM!!
  • SODIUM BICARB MAY ALSO DECREASE LITHIUM!!

Lithium w/ SSRI’s: Serotonin Syndrome
S/s: confusion, agitation, Diarrhea, Tremor, diaphoresis

71
Q

Which NSAID can be recommended w/ Lithium?

A

Sulindac

Aspirin

Top 100 Drugs (Brand-Generic) (19 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions