Meds for Final Flashcards
first line of meds for depression
SSRIs( selctive serotonin reuptake inhibitors)
side effects of SSRIs
nausea, agitation, headache, sexual dysfunction
what are examples of SSRIs
Zoloft, Lexipro, Prozac
safety issues for antidepressants
serotonin syndrom increased risk of suicidal ideation increased sedation orthostatic HTN blurred vision constipation discontinuation syndrome
this causes shivers and flu like symptoms
occurs when there is an increase in serotonin levels
serotonin syndrome
most important nursing considerations for SSRIs
do not stop abruptly, taper off
serotonin syndrome
tell them to raise from bed slowly if orthostatic HTN
risk for suicide (start at low dose)
this is primarily given to control anxiety
MAO inhibitors
side effects of MAO inhibitors
sedation, dizziness, sexual dysfunction, HTN crisis
what is IMPERATIVE to remember of MAO inhibitors
AVOID foods high in TYRAMINE
severe dietary restrictions
no cheese and wine
what occurs if on MAO inhibitors and eat tyramine
cause hypertensive crisis
this is another med used to treat depression
SSNRI
side effects of SSNRI
nausea, sweating, tremors, sexual dysfunction
what are examples of SSNRI
Cymbalta, Effexor, Pristiq
this is an older antidepressant not used as commonly anymore
Tricyclic antidepressants
other than depression, what are tricyclics also helpful with
chronic pain
side effects of tricyclic antidepressants
sexual dysfunction, sedation, weight gain, dry mouth, constipation, blurred vision, urinary retention, tachycardia
what is IMPERATIVE to remember of tricyclic antidepressants
a LITTLE is LETHAL
takes 4-6 wks to reach full therapeutic effect
this is another antidepressant that can also aid in smoking cessation
Bupropion
what are examples of tricyclic antidepressants
amitriptyline and amoxapine
what are the side effects of bupropion
insomnia, dry mouth, tremor, seizure
what should you watch for if on bupropion
increased BP and increased norepinephrine
what is important to remember for bupropion
cannot take med if have eating disorder(cause seizures)
works on dopamine (addiction neurotransmitter)
example of bupropion
Wellbutrin
antidepressant that can also be used as a sedative
Trazodone
what re the side effects of trazodone
nausea, sedation, orthostasis, priapism
what is important to remember for trazodone
priapism- erection goes down
used to help at night for sleep/sedation
what is an example of trazodone
desyrel
what are antipsychotics also called
neuroleptics
what meds are used for schizophrenia
antipsychotics
describe first generation antipsychotics
Typical many side effects higher risk of EPS target positive symptoms, make negative worse inexpensive will dry pt out
what are the side effects of Extrapyramidal (EPS)
akinesia, akathisia, dystonia, oculogyric crisis
what should be treated as an emergency
dystonia and oculogyric crisis due to laryngospams
muscle weaknesss
akinesia
continuous restlessness and fidgeting
akathisia
involuntary muscle movement
spasms of face, arms, legs, neck
dystonia
uncontrolled rolling back of the eyes
oculogyric crisis
what is used to treat OC and EPS in general
antiparkinsonia, anticholinergics, antihistamines (Benadryl)
describe second generation antipsychotics
Atypical
less symptoms
early EPS
TD
involuntary repetitive movement
tardive dyskinesia
most antipsychotics cause what
weight gain and increased prolactin levels (increased breast tissue)
most common medication that is known to trigger manic response are
steroids
side effects of antipsychotics
nausea, GI upset, rash, sedation, orthostatic hypotension, photosensitivity, EKG, hypersalivation, agranulocytosis, hyperglycemia, weight gain, TD, EPS
education of antipsychotics
do not stop abruptly wear sunscreen report weekly for blood draws risks with pregnancy do not drink alcohol do not take with other meds
what is clozapine
antipsychotic
what is important to remember about clozapine
can cause agranulocytosis- fatal blood disorder that decreased WBC levels to very low
what is the primary meds for bipolar/mania
lithium, divalproex, carbamazepine, atypical antipsychotics
what is the acute and maintenance dose of lithium in the blood
acute 1-1.5
main: 0.6-1.2
what are the toxicity symptoms of lithium
NVD, ataxia, blurred vision, tinnitus, increased tremors, increased output
lithium education
take regularly drowsiness/dizziness is common notify physician if NVD, causes sodium loss carry ID card about lithium weight gain is a problem serum checked every 1-2 months
meds given for PTSD
Paxil, Prozac, Zoloft, Effexor
anti anxiety meds
Clonazepam, Lorazepam (Ativan), Buspirone (Buspar), Diazepam (Valium)
panic and GAD meds
anxiolytics, antidepressants, antihypertensive agents
phobic disorder meds
anxiolytics, antidepressants, antihypertensive agents
OCD and body dysmorphic meds
antidepressants
hair pulling disorder meds
chlorpromazine, amitriptyline, lithium, SSRI, olanzapine
meds for anorexia nervosa
prozac and zyrexa
meds for bulimia nervosa
prozac and nardil
med for BED
topamax
what meds are given for eating disorders
prescribed for associated symptoms of anxiety and depression
meds for Austism spectrum disorder
risperidone and aripipazole
meds for ADHD
CNS stimulants
dextroamphetamine, methamphetamine
“phetamine”
meds for tourette’s
antipsychotics
alpha agents
NCD meds for cognitive impairment
Cogex, Aricept, Exelan, Razadyne
NCD meds for agitation, aggression, hallucinations
Risperidone and Olazapine
antipsychotics
what anti anxiety drug should not be used long term
valium
what drugs are used in substitution therapy for alcohol addiction
chlordiazepoxide, oxazepam, lorazepam, diazepam
pharmacology for alcoholism
antabuse, compral
psychopharmacology for alcoholism
benzos, anticonvulsants, multivitamin, thiamine
what antianxiety drug does not depress the CNS
Buspirone (buspar)
first line of defense for anxiety
SSRI
Buspar
short term med for anxiety
Benzos
addictive
