Psych Meds Flashcards
MAO-Inhibitors (Monoamine Oxidase Inhibitors) SE and Precautions
• Tachycardia • Urinary hesitancy, constipation • Impotence • Dizziness • Insomnia • Muscle twitching • Drowsiness • Dry mouth • Fluid retention *** (Hypertensive crisis: severe hypertension, severe headache, chest pain, fever, sweating, nausea and vomiting) • Confusion ***No tricyclics or SSRI (wait 2 weeks; 5 weeks for Prozac)!!! ***No OTC Meds!!!!!!! ***Major concern is need for dietary restrictions—certain drug and food interactions can cause hypertensive crisis. • Instruct client not to eat foods with high tyramine content: aged cheese, red wine, beer, beef and chicken, liver, yeast, yogurt, soy sauce, chocolate, bananas!!!! • Teach client to use caution around machinery
Isocarboxazid: Trade Name, Class, TX?
- Marplan
- TCA
- Depression, Phobias, Anxiety
Phenelzine sulfate: Trade Name, Class, TX?
- Nardil
- TCA
- Depression, Phobias, Anxiety
Tranylcypromine sulfate: Trade Name, Class, TX?
- Parnate
- TCA
- Depression, Phobias, Anxiety
SSRIs (Selective Serotonin Reuptake Inhibitors) SE and Precautions
SE: • Drowsiness • Dizziness, light-headedness • Headache • Insomnia • Depressed appetite • Serotonin syndrome • Sexual dysfunction • Allergic reaction or rash; withhold drug if occurs • Weight gain Precautions: • Effective 2-4 weeks after treatment is initiated • No MAOI wait 2 weeks Monitor for serotonin syndrome (defined by at least 3 symptoms): → Rapid onset of altered mental states → Agitation → Myoclonus → Hyperreflexia → Fever → Shivering → Diaphoresis → Ataxia → Diarrhea • No St. John’s Wort!!!! • Must be tapered slowly if discontinuing or changing from one SSRI to another!!!!
Fluoxetine HCl: Trade Name, Class, TX?
-Prozac
-SSRI
-TX:
• Depression
• Anxiety
• Panic disorder
• Aggression
• Anorexia nervosa
• OCD
Paroxetine: Trade Name, Class, TX?
-Paxil
-SSRI
-TX:
• Depression
• Anxiety
• Panic disorder
• Aggression
• Anorexia nervosa
• OCD
Sertraline: Trade Name, Class, TX?
-Zoloft
-SSRI
-TX:
• Depression
• Anxiety
• Panic disorder
• Aggression
• Anorexia nervosa
• OCD
Fluvoxamine: Trade Name, Class, TX?
-Luvox
-SSRI
-TX:
• Depression
• Anxiety
• Panic disorder
• Aggression
• Anorexia nervosa
• OCD
Citalopram: Trade Name, Class, TX?
-Celexa
-SSRI
-TX:
• Depression
• Anxiety
• Panic disorder
• Aggression
• Anorexia nervosa
• OCD
Tricyclics (TCAs) SE and Precautions
-Anticholinergic effects: dry mouth,
blurred vision, constipation, and
urinary retention
• sedation, psychomotor slowing, and poor concentration
• Cardiac: tachycardia,orthostatic, hypotension, quinidinelike
effect on the heart (assess history of myocardial infarction), prolongation of QTc interval
• GI: nausea and vomiting
• Narrow therapeutic index (can be
lethal in overdose)
Precautions:
• Administer at bedtime to minimize
sedative effect.**
• Takes 2-6 weeks to achieve
therapeutic effects
• 1-3 weeks should elapse between
discontinuing tricyclics and initiating MAO inhibitors.
• Teach client to avoid alcohol, antihypertensive drugs.
• Carefully evaluate suicide risk.
Amitriptyline HCl, Trade Name, Class, TX?
- Elavil
- TCA
- Depression
Desipramine HCl, Trade Name, Class, TX?
- Norpramin
- TCA
- Depression
Imipramine HCl, Trade Name, Class, TX?
- Tofranil
- TCA
- Depression
Nortriptyline HCl, Trade Name, Class, TX?
- Aventyl
- TCA
- Depression
Protriptyline HCl, Trade Name, Class, TX?
- Vivactil
- TCA
- Depression
Maprotiline, Trade Name, Class, TX?
- Ludiomil
- TCA
- Depression