Med List 2 - Psychotropics Flashcards

1
Q

Amphetamine/Dextroamphetamine (CS-II)

A

Frequency: 1 a day
Use: ADHD, Narcolepsy

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2
Q

Amphetamine/Dextroamphetamine (CS-II) Brand names

A

Adderall
Adderall XR

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3
Q

Methylphenidate (C-II)

A

Frequency: 1 a day
Tx: ADHD, Narcolepsy

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4
Q

Methylphenidate (C-II) Brand names

A

Ritalin
Ritalin LA
Concerta

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5
Q

ADHD Counseling

A

-Take in AM due to insomnia
-Weight Loss from decreased appetite
-Increased Heart rate
-Dry Mouth
-Headache

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6
Q

Escitalopram

A

Frequency: 1 a day
Tx: Depression
Anxiety

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7
Q

Escitalopram counseling:

A

Headache
insomnia/drowsiness
Sexual dysfunction

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8
Q

Escitalopram brand name

A

Lexapro

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9
Q

Fluoxetine

A

Tx: Depression
OCD, Panic disorder, bipolar disorder, bulimia nervosa, Sarafem: Premenstrual dysphoric Disorder (PDD)

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10
Q

Fluoxetine Counseling

A

Sexual dysfunction
Anorexia
Diarrhea
Asthenia (lack of energy)

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11
Q

Fluoxetine brand names

A

Prozac
Sarafem

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12
Q

Duloxetine

A

Tx: Depression
Anxiety
Diabetic peripheral neuropathic pain
Chronic Musculoskeletal pain (ex. fibromyalgia)
Frequency: once daily

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13
Q

Duloxetine counseling:

A

Insomnia or drowsiness
Take w/food if upset stomach occurs

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14
Q

Duloxetine brand names:

A

Cymbalta

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15
Q

Sertraline

A

Tx: Depression
Panic disorder
OCD
PTSD
PDD
Social phobia
Frequency: once daily

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16
Q

Sertraline counseling

A

Headache
Insomnia > drowsiness
Take w/food if upset stomach occurs
Sex dysfunction

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17
Q

Sertraline brand name

A

Zoloft

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18
Q

Bupropion frequency

A

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

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19
Q

Bupropion tx

A

Wellbutrin
Depression
SAD
Zyban: smoking cessation

20
Q

Bupropion counseling:

A

Insomnia
Begin 1 week before patient intends to quit smoking

21
Q

Bupropion brand names

A

Wellbutrin SR
Wellbutrin XL
Zyban

22
Q

Olanzapine

A

Frequency; once daily
Tx. Bipolar disorder
Schizophrenia
Depression

23
Q

Olanzapine counseling

A

Drowsiness
Weight gain - up to 40lbs in 40 days
Increase blood sugar and or cholesterol
Movement disorders (muscle restlessness, stiffness, or spasms)
Decreased sex drive

24
Q

Quetiapine

A

Fx: once daily
Tx: Bipolar disorder
Schizophrenia
Depression

25
Q

Quetiapine counseling

A

Drowsiness
Weight gain
Increased BP, tachycardia
Increased appetite
Dizziness

26
Q

Quetiapine brand name

A

Seroquel

27
Q

Aripiprazole

A

Fx: once daily
Tx: Bipolar disorder
Schizophrenia
Treatment-resistant depression (adjunct)
Irritability associated w/autistic disorder

28
Q

Aripiprazole counseling

A

-Drowsiness/Insomnia
-Weight gain
-Movement disorders

29
Q

Aripiprazole brand

A

Abilify

30
Q

Lamotrigine

A

Fx: bid daily
Tx; Seizures, bipolar disorder

31
Q

Lamotrigine counseling

A

Nausea vomiting
Drowsiness/dizziness
Skin rash (Stevens-Johnson syndrome) - titrate dose to avoid
Visual disturbances

32
Q

Lamotrigine brand name

A

Lamictal

33
Q

Divalproex sodium

A

Fx: DR: TID
ER: once daily
Tx: Seizures
Bipolar disorder
Migraine prevention

34
Q

Divalproex counseling

A

Drowsiness/dizziness
Tremor
muscle weakness
Upset stomach-may take w/food

35
Q

Divalproex Brand names

A

Depakote (DR)
Depakote (ER)

36
Q

Levetiracetam

A

Fx: Keppra (BID)
XR: once daily
Tx: Seizures

37
Q

Levetiracetam counseling:

A

Drowsiness/Dizziness
Asthenia
Headache

38
Q

Levetiracetam brand names

A

Keppra
Keppra Xr

39
Q

Trazodone

A

Fx: Depression: BID, TID
Insomnia: once daily at bedtime tx: Depression
Non-FDA approved use of insomnia

40
Q

Trazodone counseling

A

Drowsiness
Take w/food to increase absorption

41
Q

Trazodone brand name

A

Desyrel

42
Q

Zolpidem (C-IV)

A

Fx: once daily at bed time
Tx; insomnia (short term treatment)

43
Q

Zolpidem (C-IV) counseling

A

Take within 20 minutes of bedtime
Get > 8 hrs of rest - may cause next day drowsiness
Risk of abnormal sleep behaviors

44
Q

Zolpidem (C-IV) names

A

Ambien
Ambien CR

45
Q

ALL MEDS LISTED

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/down when using high doses; tell patients not to discontinue/adjust dosing without counsel
-May take 2-6 weeks to see therapeutic effect of antidepressant
-Avoid alcohol