Psychopharm Flashcards
What is chlorpromazine
First-Generation Antipsychotics
Thorazine
First-Generation Antipsychotics
haloperidol
First-Generation Antipsychotics
Haldol
1st gen antipsychotic
thioridazine
1st gen
Mellaril
1st gen
fluphenazine
1st gen
Prolixin
1st gen
Anticholinergic side effects
most likely with low potency FGAs (e.g., chlorpromazine and thioridazine) and include dry mouth, blurred vision, urinary retention, constipation, and tachycardia.
Extrapyramidal side effects
high-potency FGAs (e.g., haloperidol and fluphenazine) and include parkinsonism (resting tremor, muscle rigidity, slowed movemen
dystonia
uncontrollable muscle contractions), akathisia (a sense of inner restlessness
Neuroleptic malignant syndrome
a rare life-threatening side effect. Its symptoms include muscle rigidity, a high fever, autonomic dysfunction (e.g., unstable blood pressure, tachycardia, excessive sweating), and an altered mental state (e.g., confusion, combativeness).
clozapine
2nd gen
Clozaril
2nd gen
risperidone
2nd gen
Risperdal
2nd gen
olanzapine
2nd gen
Zyprexa
2nd gen
quetiapine
2nd gen
Seroquel
2nd gen
aripiprazole
2nd gen
Abilify
2nd gen
SGAs are less likely than the FGAs to cause extrapyramidal side effects; however, they can cause X
anticholinergic effects, neuroleptic malignant syndrome, and metabolic syndrome.
fluoxetine
SSRI
Prozac, Sarafem
SSRI
fluvoxamine
SSRI
Luvox
SSRI
paroxetine
SSRI
Paxil
SSRI
sertraline
SSRI
Zoloft
SSRI
citalopram
SSRI
Celexa
SSRI
discontinuation syndrome caused by ssri
involves headaches, dizziness, mood lability, impaired concentration, sleep disturbances, and flu-like symptoms
X syndrome which is potentially fatal and involves extreme agitation, confusion, autonomic instability, hyperthermia, tremor, seizures, and delirium. mixing ssri and MAOI
serotonin syndrome
also known as antidepressant tolerance and antidepressant poop-out. It occurs when a patient with depression “loses a previously antidepressant treatment response despite staying on the same drug and dosage for maintenance treatment”
tachyphylaxis
Effexor
SNRIs
venlafaxine
SNRI
duloxetine
SNRI
Cymbalta
SNRI
desvenlafaxine
SNRI
Pristiq
SNRI
bupropion
NDRIs (ANTIDEPRESSANT)
Wellbutrin
NDRIs (ANTIDEPRESSANT)
Zyban
NDRIs (ANTIDEPRESSANT)
amitriptyline (Elavil), imipramine (Tofranil), clomipramine (Anafranil), and doxepin (Sinequan)
TCA
side effects of the TCAs
cardiovascular effects (e.g., hypertension, tachycardia, orthostatic hypotension), anticholinergic effects, sedation, weight gain, and sexual dysfunction
phenelzine
maoi
Nardil
maoi
isocarboxazid
maoi
Marplan
maoi
tranylcypromine
maoi
Parnate
maoi
diazepam
Benzo
(Valium),
Benzo
alprazolam
Benzo
(Xanax),
Benzo
lorazepam
Benzo
(Ativan)
Benzo
thiopental (Pentothal), amobarbital (Amytal), and secobarbital (Seconal).
Barbiturates
buspirone (BuSpar),
Azapirones
Lithium
Mood Stabilizers
Eskalith
Mood Stabilizers
Lithobid
Mood Stabilizers