Mood Stabilizing Agents Flashcards
Mood Stabilizing ACTION
modulate effects of norepinephrine, serotonin, dopamine, glutamate, gaba = which contribute to bipolar
Mood Stabilizing INDICATIONs
prevention and treatment of manic episodes
Lithium Increased Potency interactions
thiazides NSAIDS ACE inhibitors Furosemide Dehydration Elderly Renal illness
Lithium Decreased Potency Interactions
Mannitol Theophyline Caffeinated products Pregnancy Acetazolamide
Mood Stabilizing Contra/Precautions
elderly pregnant lactating mothers children <18 seizure disorders head injuries
Lithium Carbonate Action
cross cellular membrane altering sodium transport
Lithium SA
increased thirst metallic taste increased urination fine/head tremoring mild diarrhea
Lithium Toxicity (SHOULD withhold dosage & contact PCP)
severe diarrhea
vomiting
drowsiness
muscular weakness
Blood lvl 1.5 - 2 mEq/L
Blurred vision, vomiting, diarrhea
2 - 3.5 mEq/L
tremors
sedation
confusion
> 3.5 mEq/L
delirium
seizure
coma
death
Anticonvulsants
Carbamazepine (Tegretol)
Gabapentin (Neurontin)
topiramate (Topamax)
Treat symptoms consistent with mania
Carbamazepine (Tegretol)
Drug of choice that feels of getting high
Gabapentin (Neurontin)
Medication of concern that causes GLAUCOMA
Topiramate (topamax)