Med List 2 - Psychotropics Flashcards
Amphetamine/Dextroamphetamine (CS-II)
Frequency: 1 a day
Use: ADHD, Narcolepsy
Amphetamine/Dextroamphetamine (CS-II) Brand names
Adderall
Adderall XR
Methylphenidate (C-II)
Frequency: 1 a day
Tx: ADHD, Narcolepsy
Methylphenidate (C-II) Brand names
Ritalin
Ritalin LA
Concerta
ADHD Counseling
-Take in AM due to insomnia
-Weight Loss from decreased appetite
-Increased Heart rate
-Dry Mouth
-Headache
Escitalopram
Frequency: 1 a day
Tx: Depression
Anxiety
Escitalopram counseling:
Headache
insomnia/drowsiness
Sexual dysfunction
Escitalopram brand name
Lexapro
Fluoxetine
Tx: Depression
OCD, Panic disorder, bipolar disorder, bulimia nervosa, Sarafem: Premenstrual dysphoric Disorder (PDD)
Fluoxetine Counseling
Sexual dysfunction
Anorexia
Diarrhea
Asthenia (lack of energy)
Fluoxetine brand names
Prozac
Sarafem
Duloxetine
Tx: Depression
Anxiety
Diabetic peripheral neuropathic pain
Chronic Musculoskeletal pain (ex. fibromyalgia)
Frequency: once daily
Duloxetine counseling:
Insomnia or drowsiness
Take w/food if upset stomach occurs
Duloxetine brand names:
Cymbalta
Sertraline
Tx: Depression
Panic disorder
OCD
PTSD
PDD
Social phobia
Frequency: once daily
Sertraline counseling
Headache
Insomnia > drowsiness
Take w/food if upset stomach occurs
Sex dysfunction
Sertraline brand name
Zoloft
Bupropion frequency
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
Bupropion tx
Wellbutrin
Depression
SAD
Zyban: smoking cessation
Bupropion counseling:
Insomnia
Begin 1 week before patient intends to quit smoking
Bupropion brand names
Wellbutrin SR
Wellbutrin XL
Zyban
Olanzapine
Frequency; once daily
Tx. Bipolar disorder
Schizophrenia
Depression
Olanzapine counseling
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
Quetiapine
Fx: once daily
Tx: Bipolar disorder
Schizophrenia
Depression
Quetiapine counseling
Drowsiness
Weight gain
Increased BP, tachycardia
Increased appetite
Dizziness
Quetiapine brand name
Seroquel
Aripiprazole
Fx: once daily
Tx: Bipolar disorder
Schizophrenia
Treatment-resistant depression (adjunct)
Irritability associated w/autistic disorder
Aripiprazole counseling
-Drowsiness/Insomnia
-Weight gain
-Movement disorders
Aripiprazole brand
Abilify
Lamotrigine
Fx: bid daily
Tx; Seizures, bipolar disorder
Lamotrigine counseling
Nausea vomiting
Drowsiness/dizziness
Skin rash (Stevens-Johnson syndrome) - titrate dose to avoid
Visual disturbances
Lamotrigine brand name
Lamictal
Divalproex sodium
Fx: DR: TID
ER: once daily
Tx: Seizures
Bipolar disorder
Migraine prevention
Divalproex counseling
Drowsiness/dizziness
Tremor
muscle weakness
Upset stomach-may take w/food
Divalproex Brand names
Depakote (DR)
Depakote (ER)
Levetiracetam
Fx: Keppra (BID)
XR: once daily
Tx: Seizures
Levetiracetam counseling:
Drowsiness/Dizziness
Asthenia
Headache
Levetiracetam brand names
Keppra
Keppra Xr
Trazodone
Fx: Depression: BID, TID
Insomnia: once daily at bedtime tx: Depression
Non-FDA approved use of insomnia
Trazodone counseling
Drowsiness
Take w/food to increase absorption
Trazodone brand name
Desyrel
Zolpidem (C-IV)
Fx: once daily at bed time
Tx; insomnia (short term treatment)
Zolpidem (C-IV) counseling
Take within 20 minutes of bedtime
Get > 8 hrs of rest - may cause next day drowsiness
Risk of abnormal sleep behaviors
Zolpidem (C-IV) names
Ambien
Ambien CR
ALL MEDS LISTED
-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