Medications for Final Exam Flashcards
anxiety meds
Buspar plus Benzos: Xanax, Valium, Ativan
depression meds
MAOI’s, TCA’s, SSRI’s, SSNRI’s, Atypycals - Wellbutrin, Buspar, Trazadone
Muscle relaxers
Anectine
Benzodiazepines
Xanax, Valium, Ativan
very addictive
Benzo s/e
Avoid abrupt discontinuation. Avoid combining with alcohol. Drowsiness, confusion. Prolonged use may produce psychological and physical dependence (except BuSpar) CNS depression
MAOI’s
NO POPULAR MEDS - NPO, Nardil, Parnate, Marplan
MAOI s/e
USED FOR SEVERE CASES WHEN OTHER DRUGS FAIL, dry mouth, drowsiness, weight gain, blurred vision, constipation, dizziness upon standing. May interact with certain drugs and foods to cause extremely high blood pressure-hypertensive crisis. Anticholinergic, NO OTHER MEDS OR TYRAMINES (AGED FOODS, CHEESES, WINES) monitor for impaired renal/ hepatic Fx
SSRI’s
Prozac, Zoloft, Paxil
SSRI s/e
MONITOR RENAL Fx, dry mouth, nausea, diarrhea tremors, insomnia due to CNS stimulation, somnolence (sleepy or drowsy)—-sometimes requiring bedtime dosing, HIGH FEVER = SERATONIN SYNDROME, sexual disfunction, GI bleed/upset, hyponatremia, weight loss, bruxism (clinching, grinding teeth), DONT MIX WITH OTHER PSYCH MEDS
Wellbutrin s/e
Headache, dry mouth, GI distress,
constipation, increased heart rate, nausea,
restlessness, insomnia, Suppression of appetite resulting in weight loss, seizures, DO NOT USE W/ MAOI
Buspar s/e
no grapefruit juice!!! take w/ food
(Trazodone) Desyrel s/e
sedation and…. priapism!!!
What is best drug for suicide
Ssri
Haldol side effects
Muscle stiffness, tiredness
What is haldol used for
To sedate pts during acute breaks in hospital, and oral treatment for schizophrenia
Remember
Schizophrenia drugs make you fat except abilify
Chlorpromazine (Thorazine) What is it?
Antipsychotic : Non addictive Fast acting
Typical- 1st generation
Amitripyline (Elavil) What is it?
Antidepressant: Non Addictive - Slow Acting
Trycyclic Antidepressant
What class are:
Clozapine (Clozaril)
Risperidone (Resperdal)
And name some side effects
Atypical Antipsychotics Second generation agents; newer, fewer side effects.
fast acting
hypotension insomnia sedation sexual dysfuntion weight gain
What class are:
Doxepin (Adapin Sinequan)
Protriptyline (Vivactil)
Clomipramine (Anafranil)
Tricyclic Antidepressants
Non addicting
Slow acting
What class are:
Buspar
Visaril
Atarax
Non- benzodiazepines
Buspar is safer to use that any other antianxiety meds
Non Addictive
What class are:
Citalophram (Celexa) Fluvoxamin (luvox) Seraline (Zoloft) Fluxetine (Prozac) Paroxeline ( Paxil, Pexeva) Escitalopram (Lexapro)
SSRI
Slow acting
Used for depression
What class are:
Imipramine (Tofranil)
Trimipramine (Surmontil
Desipramine (Norpramin)
Nortriplyine (Pamelor)
Tricyclic antidepressants
Tricyclic and tetracyclic antidepressants ease depression by affecting naturally occurring chemical messengers (neurotransmitters), which are used to communicate between brain cells.
They’re effective, but they’ve generally been replaced by antidepressants that cause fewer side effects.
What class are:
Phenelzine (Nardil)
Tranylcypromine (Parnate)
MAOI
Remember hypertensive crisis
What class is Abilify
Atypical antipsychotic
Little or no weight gain or increase in glucose, HDL, LDL, or triglyceride level
What class is Quetiapine ( Seroquel) and what are its side effects?
Atypical antipsychotic
weight gain
headache
drowsiness
orthostasis
What class is Zyprexa in and what are its side effects?
Atypical antipsychotic
significant weight gain drowsiness insomnia agitation restlessness parkinsinism
What class is Palperidone ( Invega)
Atypical antipsychotic
fast acting
Tegretol Depakote Lithium Triliptal Lamictal
are anticonvulsants, why else are they used?
For Mood stabilizers in Bipolar disorder
Non addictive
Knowledge about lithium:
lithium is used as mood stabilizing drug in clients with bipolar or manic depressive disorder
it works by altering electrical conductivity
lithium represents a potential threat to all body functions that are regulated by electrical currents such as cardiac contractility, cerebral contractility, and nerves.
What disturbances can lithium cause in the body?
disturbances in fluid balance that caused by lithium include polyuria, edema
induced cardiac dysrhythmias
Long term use of lithium increases
the risk of kidney and thyroid disease
lithium has the lowest therapeutic index of all psychiatric drugs
the therapeutic index represents the ratio of the lethal dose to the effective dose and thus indicates the safety of the drug
the blood level of lithium needs to be monitored on a regular basis to be sure that the drug is not accumulating
What are the adverse effects of lithium
Adverse effects of lithium include: tremor ataxia confusion convulsions nausea vomiting diarrhea arrhythmias polyuria polydipsia edema goiter and hypothyroidism
