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phrm 820 > Attention-Deficit Hyperactivity Disorder, Anti-anxiety, and Antidepressants > Flashcards

Attention-Deficit Hyperactivity Disorder, Anti-anxiety, and Antidepressants Flashcards

1
Q

Tips for all Antidepressants

A
  • Report signs/symptoms of worsening depression, behavior changes, and increase in suicidal thoughts during initiation of therapy to a healthcare provider immediately
  • May need to taper up and/or down when using high doses; tell patients not to adjust doses or discontinue medication without consulting prescriber
  • May take 2-6 weeks to see therapeutic effect
  • Avoid alcohol (intensifies side effects)
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2
Q

ER, XL, XR, LA, SR, CD, CR

A

all timed-release dosage forms, but use different drug delivery systems; may release at different rates. Never crush or chew these dosage forms.

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3
Q

amphetamine/ dextroamphetamine (C-II)
drug class

A

ADHD

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4
Q

amphetamine/ dextroamphetamine (C-II)
brand

A

Adderall, Adderall XR

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5
Q

amphetamine/ dextroamphetamine (C-II)
common strengths

A

5mg, 10mg, 15mg, 20 mg, 25mg, 30mg

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6
Q

amphetamine/ dextroamphetamine (C-II)
common frequecy

A

once daily

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7
Q

amphetamine/ dextroamphetamine (C-II)
indications

A
  • ADHD
  • Narcolepsy
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8
Q

amphetamine/ dextroamphetamine (C-II)
counseling points

A
  • Take in AM due to insomnia
  • Weight loss from decreased appetite
  • Increases heart rate
  • Dry mouth
  • Headache
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9
Q

methylphenidate (C-II)
drug class

A

ADHD

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10
Q

methylphenidate (C-II)
brand

A

Ritalin, Ritalin LA, Concerta

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11
Q

methylphenidate (C-II)
common strengths

A

Ritalin:
5mg, 10mg, 20mg
Concerta:
18mg, 27mg, 36mg, 54mg

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12
Q

methylphenidate (C-II)
common frequency

A

once daily

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13
Q

methylphenidate (C-II)
indications

A
  • ADHD
  • Narcolepsy
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14
Q

methylphenidate (C-II)
counseling points

A
  • Take in AM due to insomnia
  • Weight loss from decreased appetite
  • Increases heart rate
  • Dry mouth
  • Headache
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15
Q

escitalopram
drug class

A

Anti-Depressants

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16
Q

escitalopram
brand

A

Lexapro

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17
Q

escitalopram
common strengths

A

5mg, 10mg, 20mg

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18
Q

escitalopram
common frequency

A

once daily

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19
Q

escitalopram
indication

A
  • Depression
  • Anxiety
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20
Q

escitalopram
counseling points

A
  • Headache
  • Insomnia or drowsiness
  • Sexual dysfunction
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21
Q

venlafaxine
drug class

A

Anti-Depressants

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22
Q

venlafaxine
brand

A

Effexor, Effexor XR

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23
Q

venlafaxine
common strengths

A

37.5mg, 75mg,150mg, 225mg

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24
Q

venlafaxine
common frequency

A

once daily

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25
Q

venlafaxine
indications

A
  • Depression
  • Anxiety
  • Panic disorder
  • Social phobia
26
Q

venlafaxine
counseling points

A
  • Headache
  • Insomnia or drowsiness
  • Dry mouth
  • Take with food if upset stomach
27
Q

fluoxetine
drug class

A

Anti-Depressants

28
Q

fluoxetine
brand

A

Prozac, Sarafem

29
Q

fluoxetine
common strengths

A

10mg, 20mg, 40mg

30
Q

fluoxetine
common frequency

A

once daily

31
Q

fluoxetine
indication

A
  • Bipolar disorder
  • Bulimia nervosa
  • Major depressive disorder
  • OCD
  • Panic Disorder
  • Premenstrual dysphoric disorder (Sarafem only)
32
Q

fluoxetine
counseling points

A
  • Sexual dysfunction
  • Anorexia
  • Diarrhea
  • Asthenia (lack of energy)
33
Q

duloxetine
drug class

A

Anti-Depressants

34
Q

duloxetine
brand

35
Q

duloxetine
common strengths

A

20mg, 30mg, 60mg

36
Q

duloxetine
common frequency

A

once daily

37
Q

duloxetine
indications

A
  • Depression
  • Anxiety
  • Diabetic peripheral neuropathic pain
  • Chronic musculoskeletal pain (ex: fibromyalgia)
38
Q

duloxetine
counseling points

A
  • Insomnia or drowsiness
  • Take with food if upset stomach occurs
39
Q

sertraline
drug class

A

Anti-Depressants

40
Q

sertraline
brand

41
Q

sertraline
common strengths

A

25mg, 50mg, 100mg

42
Q

sertraline
common frequency

A

once daily

43
Q

sertraline
indications

A
  • Depression
  • Panic disorder
  • OCD (obsessive-compulsive disorder)
  • PTSD (Post-traumatic stress disorder)
  • PDD (Premenstrual dysphoric disorder)
  • Social phobia
44
Q

sertraline
counseling points

A
  • Headache
  • Insomnia > drowsiness
  • Take with food if upset stomach occurs
  • Sexual dysfunction
45
Q

amitriptyline
drug class

A

Anti-Depressants

46
Q

amitriptyline
brand

47
Q

amitriptyline
common strengths

A

10mg, 25mg, 50mg, 75mg, 100mg, 150mg

48
Q

amitriptyline
common frequency

A

once daily at bedtime

49
Q

amitriptyline
indications

A
  • Depression
  • Non-FDA approved uses:
    chronic pain, migraine prevention, insomnia
50
Q

amitriptyline
counseling points

A
  • Weight gain
  • Constipation
  • Drowsiness
51
Q

trazodone
drug class

A

Anti-Depressants

52
Q

trazodone
brand

53
Q

trazodone
common strengths

A

50mg, 100mg, 150mg, 300mg

54
Q

trazodone
common frequency

A

BID, TID (depression)
50mg tablet QHS (insomnia)

55
Q

trazodone
indications

A
  • Depression
  • Non-FDA approved use:
    insomnia
56
Q

trazodone
counseling points

A
  • Drowsiness
  • Take with food to increase absorption
57
Q

bupropion
drug class

A

Anti-Depressants

58
Q

bupropion
brand

A

Wellbutrin SR, Zyban, Wellbutrin XL

59
Q

bupropion
common strengths

A

Wellbutrin SR and Zyban:
100mg, 150mg, 200mg
Wellbutrin XL:
150mg, 300mg

60
Q

bupropion
common frequency

A

SR Dosing:
One tablet PO daily for 3-7 days, then one bid
XL Dosing:
One 150mg tablet daily for 3-7 days, then 300mg tablet daily

61
Q

bupropion
indications

A

Wellbutrin
* Depression
* Seasonal Affective Disorder
Zyban
* Smoking Cessation

62
Q

bupropion
counseling points

A
  • Insomnia
  • Begin 1 week before patient intends to quit smoking

phrm 820 (10 decks)

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