Medications Flashcards

0
Q
Tricyclics
Clomipramine (anafranil) 
Desipramine (norpramin)
Doxepin
Daily dosage?
A

25-300

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1
Q

Tricylics
Generic name amitriptyline, amoxapine, trimipramine (surmountil)
Daily dosage?

A

50-300 mg

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2
Q

Tricyclics
Imipramine (tofranil)
Daily dosage?

A

30-300

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3
Q

Tricyclics
Nortriptyline (aventyl; pamelor)
Daily dosage?

A

30-100 mg

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4
Q

Tricylics
Protriptyline (vivactil)
Daily dosage?

A

15-60mg

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5
Q

SSRIs
Citalopram (celexa)
Daily dosage?

A

20-40mg

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6
Q

SSRIs
Escitalipram (lexapro)
Daily dosage?

A

10-20mg

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7
Q

SSRIs
fluoxetine (Prozac, serafem)
Daily dosage?

A

20-80mg

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8
Q

SSRIs
Fluvoxamine (Luvox)
Daily dosage?

A

50-300

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9
Q

SSRIs
Paroxetine (Paxil)
Daily dosage?

A

10-50mg

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10
Q

SSRIs
Sertraline (Zoloft)
Daily dosage?

A

25-200mg

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11
Q

SSRIs
Vilazodone (viibryd)
Also acts as a partial serotonergic agonist
Daily dosage?

A

40 mg

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12
Q
SSRIs
Vortioxetine (brintellix)
Daily dosage?
A

5-20mg

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13
Q

MAOIs
Isocarboxazid (marplan)
Daily dosage?

A

20-60mg

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14
Q

MAIOs
Phenelzine (Nardil)
Daily dosage?

A

45-90mg

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15
Q

MAIOs
Tranylcypromine (parnate)
Daily dosage?

A

30-60mg

16
Q

MAOIs
Selegiline transdermal system (emsam)
Daily dosage?

A

6/24-12/24 hr patch

17
Q

Amphetamines increase or decrease levels of dopamine

A

Increase

18
Q

Diet restrictions for clients on MAOI therapy

A

Aged cheese, caviar, wine, beer, raisins, chocolate, colas, chicken or beef liver, cold remedies, canned figs, diet pills, soy sauce, smoked and processed meats, broad beans, sour cream, yogurt, yeast products, coffee, tea, pickled herring

19
Q

Antipsychotics like chlorpromazine and haloperidol do what to dopamine levels?

A

They lower brain levels of dopamine by blocking dopamine receptors thus reducing schizo symptoms

21
Q

Clozapine (clozaril) has a significant risk of what?

A

Agranulocytosis which occurs within first 3 months and symptoms of sore throat, fever, mailaise, hypersalivation

22
Q

heterocyclics
bupropion (wellbutrin)
daily dosage?

A

200-450mg

23
Q

heterocyclics
maprotiline
daily dosage?

A

25-225mg

24
Q

heterocyclics
mirtazapine (remeron)
daily dosage?

A

15-45mg

25
Q

heterocyclics
nefazodone
daily dosage?

A

200-600 mg

26
Q

heterocyclics
trazodone
daily dosage?

A

150-600 mg

27
Q

SNRIs
desvenlafaxine
daily dosage?

A

50-400mg

28
Q

SNRIs
levomilnacipran
daily dosage?

A

40-120mg

29
Q

SNRIs
duloxetine (cymbalta)
daily dosage?

A

40-60mg

30
Q

heterocyclics
venlafaxine (effexor)
daily dosage?

A

75-375mg

31
Q

Side effects for all chemical classes: tricyclics, SSRIs, MAOIs, heterocylics, SNRIs?

A

dry mouth, sedation, nausea, discontinuation syndrome

32
Q

common side effects with tricyclics and heterocyclics

A

blurred vision, constipation, urinary retention, orthostatic hypotension, reduction of seizure threshold, tachycardia: arrhythmias, photosensitivity, weight gain

33
Q

common side effects with SSRIs and SNRIs

A

insomnia, agitation, headache, weight loss, sexual dysfunction, serotonin syndrome (change in mental status, restlessness, tachycardia, labile BP, shivering, tremors)

34
Q

common side effects with MAOIs

A

hypertensive crisis (occurs if consumed foods with tyramine) which includes palpitations, fever, sweating, chest pain; application site reactions (rash, itching, swelling, irritation)

35
Q

drug restrictions for clients on MAOI therapy

A

14 day restriction is recommended btw use of these drugs and an MAOI

  • all other antidepressant meds (SSRIs, TCAs, SNRIs, heterocyclics)
  • sympathomimetics (epinephrine, norepinephrine, dopamine, ephedrine, pseudoepinephrin, phenylephrine, OTC cough and cold med)
  • stimulants (amphetamines, cocaine, diet drugs)
  • antihypertensives (methyldopa, guanethidine, reserpine)
  • meperidine and possibly other opioid narcotics (morphine, codeine)
  • antiparkinson agents (levodopa)