Bipolar Drugs - Essential Drugs for Exam 1 Flashcards
1
Q
Valproate (Depakote, Depakene, Stavzor)
A
- Better for mixed episodes than lithium
- Teratogenic
2
Q
Carbamazepine (Tegretol)
A
Leucopenia + agranulocytosis
3
Q
Oxcarbazepine
A
Better safety index (no GI issues, doesn’t affect liver enzymes, no leucopenia)
4
Q
Gabapentin (Neurontin) / Pregabalin (Lyrica)
A
Excellent safety profile (not metabolized by liver, excreted intact)
5
Q
Topiramate (Topamax)
A
- Not useful in treatment for BPD
- Induces weight loss, can counteract weight gain seen in other drugs
6
Q
Lurasidone (Latuda)
A
- Atypical antipsychotic
- Treats adults and pediatric patients (10-17)
- Antagonist at D2 receptors and 5-HT2A/7 receptors
7
Q
Quetiapine (Seroquel)
A
- Issues with off label use in treating insomnia
- Caused cataracts in Beagles
- Takes several days/weeks to get an appropriate dose and for symptoms to start improving
8
Q
Lamotrigine (Lamictal)
A
- Only mood stabilizer lifting depression than suppressing mania
- Serious side effect: Stevens-Johnson syndrome (serious rash)
- Avoid spicy foods when taking Lamictal