Neurological Medications (27) Flashcards
ZOLMITRIPTAN: Nursing Considerations
- Take as soon as symptoms occur
- Avoid foods high in tyramine (cheese, pickled products), alcohol, large amounts of caffeine
- May cause serotonin syndrome when used with antidepression medication
- Rx; Preg Cat C
ZOLMITRIPTAN: Side Effects
Weakness, neck stiffness
Tingling, hot sensation, burning, feeling of pressure, tightness
Numbness, dizziness, sedation
Palpitations, chest pain
Abdominal discomfort
Dyspepsia
Dry mouth
ZOLMITRIPTAN: Purpose
acute treatment of migraines
SELEGILINE: Nursing Considerations
- Do not use with tricyclics or opioids; do not use with meperidine
- Monitor for signs of toxicity: twitching, eye spasms
- Do not stop abruptly; parkinsonian crisis may occur
- Avoid foods high in tyramine (cheese, pickled products), alcohol, large amounts of caffeine
- Rx; Preg Cat C
SELEGILINE: Side Effects
- Dizziness
- Photosensitivity
- Nausea, diarrhea
- Headache
- Shortness of breath
- Insomnia
- Orthostatic hypotension
- Dysrhythmias
- Sexual dysfunction
- Diplopia
SELEGILINE: Purpose
Management of Parkinson disease in patients being treated with levodopa/carbidopa
MEMANTINE: Nursing Considerations
- Use with caution in patients with liver, bladder, or renal disease
- Capsules can be opened and contents sprinkled on applesauce for patients who have difficulty swallowing pills
- Rx
MEMANTINE: Side Effects
- Headache
- Constipation
- Confusion
- Dizziness
- Heart failure
- Hypertension
- Anemia
- Back pain
- Cough, dyspnea
MEMANTINE: Purpose
Treatment of moderate to severe dementia in Alzheimer disease
LISDEXAMFETAMINE DIMESYLATE: Nursing Considerations
- For individuals age 6 years through adult; effects have not been studied in the elderly
- Interrupt therapy occasionally to determine if there is recurrence of behavioral symptoms sufficient to require continued therapy
- Children and adolescents: sudden death has been reported in patients with structural cardiac abnormalities or other serious heart problems taking CNS stimulant treatment at usual doses
- Adults: sudden death, stroke, and MI have occurred in adults taking stimulant drugs in ADHD doses
- Rx C-II
LISDEXAMFETAMINE DIMESYLATE: Side Effects
- Insomnia
- Irritability, restlessness
- Decreased appetite
- Dry mouth
- Upper abdominal pain
- Tachycardia, dysrhythmias
- Blurred vision
- Diplopia
- Change in libido
- Anorexia
LISDEXAMFETAMINE DIMESYLATE: Purpose
Treatment of ADHA and binge eating disorder
GALANTAMINE, RIVASTIGMINE: Nursing Considerations
- Galantamine and rivastigmine are cholinesterase inhibitors, which increase acetylcholine in the brain, potentially reducing symptoms of dementia
- Drugs do not cure, but stabilize or relieve symptoms
- Use with caution in patients with liver, bladder, or renal disease
- Rx; Preg Cat C
GALANTAMINE, RIVASTIGMINE: Side Effects
- Nausea
- Vomiting
- Diarrhea
- URI
- Anemia
- Bradycardia
- Tremors, insomnia
GALANTAMINE, RIVASTIGMINE: Purpose
Treatment of dementia in mild to moderate Alzheimer disease