Mental Health - Final Medications Flashcards
Tricyclics
Block Norepinephrine reuptake
SSRI
Block Serotonin reuptake
DONT STOP ABRUPTLY
MAO AI
monoamine oxidase inhibitors
Atypical Antidepressant
NDRI
SARI
SNRI
NaSSA
Wellbutrin
Atypical Antidepressant - NDRI
*DECREASES SEIZURE THRESHOLD
smoking cessation
Effexor
Atypical Antidepressant - SNRI
-need to monitor for elevated BP
Cymbalta
Atypical Antidepressant - SNRI
sertraline (Zoloft)
SSRI Antidepressant
Citalopram (Celexa)
SSRI Antidepressant
excitalopram (Lexapro)
SSRI Antidepressant
fluoxitine (Prozac)
SSRI Antidepressant
paroxetine (Paxil)
SSRI Antidepressant
amitriptyline (Elavil)
Tricyclic Antidepressant
AE of SSRI
Sleep disturbance HA Sexual dysfunction sweating *Serotonin syndrome
Trazadone (Desyrel)
Atypical Antidepressant SARI
AE: Priapism
used as sleep aid
AE of Tricyclics
Cardiac dysrhythmias constipation urinary retention dry mouth sedating Lethal in OD
AE of MAOIs
weight gain orthostatic hypotension sexual dysfunction Need 2 week washout period before use with other meds Avoid foods with Tyramine
phenelzine (Nardil)
MAO AI
tranylcypromine (Parnate)
MAO AI
selegiline (Emsam)
MAO BI
MAOI Toxicity
hypertensive crisis
Lithium carbonate
Mood Stabilizer
Gold Standard for Bipolar Tx
Therapeutic Lithium Level
0.8 to 1.4 mEq/L
Maintenance is 0.4 to 1.3
AE of Lithium
fine hand tremors thirst weight gain polyuria nausea
Long term: hypothyroidism, kidney function
Lithium Toxicity
levels greater than 1.4 mEq/L
S/S: slurred speech, muscle weakness, polyuria, diarrhea, confusion, lack of coordination, muscle hyper irritability, seizures, incontinence, cardiac arrythmias, coma, death
Labs for Lithium
Baseline EKG
Kidney- BUN & CR
Thyroid - TSH
carbamazepine (Tegretol)
Anti-Epileptic for Bipolar (Acute Mania)
periodic liver function, platelet count, & blood levels
oxcarbazepine (Trileptal)
Anti-Epileptic
divalproex, Valproic Acid (Depakote)
Anti-Epileptic for Bipolar (Acute Mania)
periodic liver function & platelet count
lamotrigine (Lamictal)
Anti-Epileptic for Bipolar
AE: Stevens-Johnson
gabapentin (Neurontin)
Anti-Epileptic for Bipolar
topiramate (Topamax)
Anti-Epileptic for Bipolar
Meds available in Depot
Risperdal
Invega