Mood Stabilizers and Antipsychotics

Question 1

Carbamazepine

Answer 1

Tegretol; mood stabilizer

Bipolar disorder

Question 2

Divalproex, valproic acid

Answer 2

Depakote, Depakene, mood stabilizer

Bipolar disorder

Question 3

Lamotrigine

Answer 3

Lamictal; mood stabilizer

Bipolar disorder

Question 4

Lithium

Answer 4

Lithobid; mood stabilizer

Bipolar disorder

Question 5

Haloperidol

Answer 5

Haldol; typical 1st gen antipsychotic

Agitation, schizophrenia

Question 6

Aripiprazole

Answer 6

Abilify; atypical 2nd gen antipsychotic

Agitation, bipolar disorder, depression, schizophrenia

Question 7

Olanzapine

Answer 7

Zyprexa; atypical 2nd gen antipsychotic

Bipolar disorder, schizophrenia, agitation, depression

Question 8

Quetiapine

Answer 8

Seroquel; atypical 2nd gen antipsychotic

Bipolar disorder, schizophrenia, depression

Question 9

Risperidone

Answer 9

Risperdal; atypical 2nd gen antipsychotic

Bipolar disorder, schizophrenia

Question 10

Ziprasidone

Answer 10

Geodon; atypical 2nd gen antipsychotic

Bipolar disorder, schizophrenia, agitation, depression

Question 11

Adverse reactions with mood stabilizers

Answer 11

Drowsiness, weight gain/appetite control, increased risk of suicidal ideation (convulsant mood stabilizers)

Question 12

Brexpiprazole

Answer 12

Rexulti; atypical 2nd gen antipsychotic

Schizophrenia, depression, agitation

Question 13

Adverse reactions with atypical antipsychotics

Answer 13

Drowsiness or insomnia, hyperglycemia, increased risk of suicidal ideation, weight gain

Question 14

Adverse reactions with typical antipsychotics

Answer 14

Movement disorders (ataxia, tardive dyskinesia), drowsiness, weight gain

Question 15

This mood stabilizer can reduce the efficacy of oral contraceptives

Answer 15

Carbamazepine

Question 16

This mood stabilizer may cause birth defects, so it is used with caution in pregnant patients, or patients who can become pregnant

Answer 16

Carbamazepine

Question 17

Folic acid should be taken with carbamazepine in this patient population

Answer 17

Pregnant patients

Question 18

These two medications are narrow therapeutic index medications (NTI)

Answer 18

Lithium and carbamazepine

Question 19

Most mood stabilizers and antipsychotics are used with caution with these patients

Answer 19

Older patients

Many meds are on the Beers list

Question 20

Clozapine

Answer 20

Clozaril; atypical 2nd gen antipsychotic

Bipolar, schizophrenia

Question 21

This antipsychotic is a REMS med

Answer 21

Clozapine

Question 22

These two meds are NIOSH meds (mood stabilizer and antipsychotic)

Answer 22

Ziprasidone - Geodon - atypical antipsychotic

Divalproex (Depakote) - mood stabilizer

Question 23

Lurasidone

Answer 23

Latuda; atypical 2nd gen antipsychotic

Schizophrenia, bipolar

Question 24

This antipsychotic must be taken with food with at least 350 calories for absorption

Answer 24

Lurasidone

Question 25

Food increases the absorption of these two antipsychotics

Answer 25

Ziprasidone (Geodon) - atypical antipsychotic Lurasidone (Latuda) - atypical antipsychotic