psychopharm Flashcards
what are the four types of psychopharm drugs
Antidepressants
Antipsychotics
Mood stabilizers
Anxiolytics- treat anxiety
5 types of antidepressants
SSRI’s: Selective Serotonin Reuptake Inhibitors (first line)
SNRI’s: Serotonin Norepinephrine Reuptake Inhibitors
NDRI’s: Norepinephrine Dopamine Reuptake Inhibitors
TCA’s: Trycyclic Antidepressants
MAOI’s: Monoamine Oxidase Inhibitors
types of TCAs
amitriptyline, doxepin, nortriptyline, imipramine
side effects of TCAs
anticholinergic- DRY MOUTH, urinary retention
Blurred vision
constipation
Drowsiness, dizzy, ortho hypotension, sedation
weight gain
other uses of TCA besides antidepressants
migraines, anxiety, enurisis
types of MAOI
phenelzine, selegiline
side effects of MAOI
Hypertensive crisis when tyramine foods are ingested.
A, B, C, D
drug interaction of MAOI
with decongestants, other antideprssants, stimulants, and tyramine foods
what foods contain tyramine/ what foods can people with MAOI cannot take
BAR, bananas, avocados, raisins, ETOH, caffeine, chocolate, licorice, old ages cheese, grains ok but no yeast, no meds, no fermented foods, pickled foods, no soy
name the SSRIs
There are 6:
Prozac (fluoxetine)
Celexa (citalopram)
Zoloft (sertraline)
Lexapro (escitalopram)
Paxil (paroxetine)
Luvox (fluvoxamine)
side effects of SSRIs
GI upset- take with food
Headache
fatigue- may take at night
sexual dysfunction
IF given to a person with bipolar will make them go manic
black box warning for SSRI
if symptoms get worse or suicide ideation call HCP happens within 2-6 weeks
adverse effect of SSRI
serotonin syndrome
types of SNRI
Effexor (venlafaxine)- SIDE EFFEXOR
Cymbalta (duloxetine)
Pristiq (desvenlafaxine)
side effects of effexor (venlafaxine)
brain zap- withdrawal symptom
what is cymbalta/dulofetine also used for
neuropathic pain- fibro, Dm
names of mixed meidcation
wellburtrin (Buproprion)
Remeron
Trazodone
other uses of wellburtrin (Buproprion)
smoking cessation
things to know for wellburtrin (Buproprion)
Seizure risk at higher doses
Heavy drinking should avoid
what is serotonin syndrome
when multiple serotonergic medications are combined. can happen within 12 hours. STOP med
symptoms of serotonin syndrome
S/E of serotonin syndrome is “SAD Head”
o Sweating
o Apprehensive (impending sense of doom)
o Dizzyness
o Headache
clonus, fever
S/S of EPS
ADAPT
Acute dystonia- muscle contraction- neck, eyes, back
Akasthesia- restlessness
Pseudo parkinson- muscle rigidity
Taradive dyskenis- abnormal movement of voluntary muscles
what is given for EPS
cogentin- benzotropine
what is EPS
Extrapyramidal Symptoms (EPS)
