Psychotherapeutic Flashcards
First Generation (Conventional) ◦ High Potency
haloperidol Chlorpromazine clozapine (Clozaril®) risperidone LITHIUM
haloperidol
First Generation (Conventional) ◦ Low Potency
haloperidol Chlorpromazine clozapine (Clozaril®) risperidone LITHIUM
Chlorpromazine
Second Generation (Atypical
haloperidol Chlorpromazine clozapine (Clozaril®) risperidone LITHIUM
clozapine
risperidone
Mood Stabilizer
haloperidol Chlorpromazine clozapine (Clozaril®) risperidone LITHIUM
LITHIUM
EXTRAPYRAMIDAL SYMPTOMS (EPS)
haloperidol Chlorpromazine clozapine (Clozaril®) risperidone LITHIUM
haloperidol
Chlorpromazine
Which are EPS
Akathisia Acute dystonia Tardive Dyskinesia Pseudoparkinsons None All
All
restlessness, constant motion
Akathisia
Acute dystonia
Tardive Dyskinesia
Pseudoparkinsons
Akathisia
involuntary contractions of muscles; face, extremities
Akathisia
Acute dystonia
Tardive Dyskinesia
Pseudoparkinsons
Acute dystonia
Lip/tongue smacking
Akathisia
Acute dystonia
Tardive Dyskinesia
Pseudoparkinsons
Tardive Dyskinesia
◦ muscle rigidity/tremor
Akathisia
Acute dystonia
Tardive Dyskinesia
Pseudoparkinsons
Pseudoparkinsons
Which are EPS Treatment
Benztropine (Cogentin®) Trihexyphenidyl
Diphenhydramine
All
None
Benztropine (Cogentin®) Trihexyphenidyl
Diphenhydramine
ADVERSE EFFECTS:
NEUROLEPTIC MALIGNANT SYNDROME
haloperidol Chlorpromazine clozapine (Clozaril®) risperidone LITHIUM
haloperidol
Chlorpromazine
ADVERSE EFFECTS:
NEUROLEPTIC MALIGNANT SYNDROME
haloperidol Chlorpromazine clozapine (Clozaril®) risperidone LITHIUM
haloperidol
Chlorpromazine
risperidone
Fever
Encephalopathy
Vitals Unstable
Elevated enzymes (CPK) ◦ Rigidity
haloperidol Chlorpromazine clozapine (Clozaril®) risperidone LITHIUM
haloperidol
Chlorpromazine
Antipsychotics have been shown to prolong QTc interval
-can cause dysrhythmias and DEATH
haloperidol Chlorpromazine clozapine (Clozaril®) risperidone LITHIUM
haloperidol
Chlorpromazine
BOXED WARNING: Elderly patients with dementia- related psychosis treated with antipsychotic drugs are at an increased risk of death
haloperidol Chlorpromazine clozapine (Clozaril®) risperidone LITHIUM
haloperidol
Chlorpromazine
BOXED WARNING: Elderly patients with dementia- related psychosis treated with antipsychotic drugs are at an increased risk of death
haloperidol Chlorpromazine clozapine (Clozaril®) risperidone LITHIUM
haloperidol
Chlorpromazine
risperidone
◦ elevated prolactin (hyperprolactinemia) ◦ General Sexual dysfunction
◦ Gynecomastia
◦ Galactorrhea
◦ Menstrual irregularities
haloperidol Chlorpromazine clozapine (Clozaril®) risperidone LITHIUM
haloperidol
Chlorpromazine
Orthostatic Hypotension
haloperidol Chlorpromazine clozapine (Clozaril®) risperidone LITHIUM
haloperidol
Chlorpromazine
Anticholinergic
◦ Can’t see, can’t pee, can’t spit, can’t s***
haloperidol Chlorpromazine clozapine (Clozaril®) risperidone LITHIUM
haloperidol
Chlorpromazine
Histamine Blockade ◦ Drowsiness
◦ Weight gain
haloperidol Chlorpromazine clozapine (Clozaril®) risperidone LITHIUM
haloperidol
Chlorpromazine
Agranulocytosis
haloperidol Chlorpromazine clozapine (Clozaril®) risperidone LITHIUM Lower seizure threshold Skin Sensitivity
haloperidol
Chlorpromazine
Agranulocytosis
Lower seizure threshold
Skin Sensitivity
haloperidol Chlorpromazine clozapine (Clozaril®) risperidone LITHIUM
haloperidol
Chlorpromazine
Which is less potent
haloperidol
Chlorpromazine
Chlorpromazine
◦ WEIGHT GAIN, GLUCOSE INTOLERANCE , CHOLESTEROL
haloperidol Chlorpromazine clozapine (Clozaril®) risperidone LITHIUM
risperidone
Monitor for Metabolic Syndrome ◦ Glucose,cholesterol,weightgain
haloperidol Chlorpromazine clozapine (Clozaril®) risperidone LITHIUM
risperidone clozapine (Clozaril®)
Severe neutropenia
haloperidol Chlorpromazine clozapine (Clozaril®) risperidone LITHIUM
clozapine (Clozaril®)
available only through a restricted program under a Risk Evaluation Mitigation Strategy (REMS)
haloperidol Chlorpromazine clozapine (Clozaril®) risperidone LITHIUM
clozapine (Clozaril®)
L evels (0.6-1.2 mEq/L)
I ncreased urination (polyuria)/ Insipidus
T remors/Thirst
H ypothyroidism
I nteractions (NSAIDS,ACE-Is,Diuretic, etc.)
U pset stomach
M uscle weakness/ Miscellaneous- EKG changes)
haloperidol Chlorpromazine clozapine (Clozaril®) risperidone LITHIUM
LITHIUM
LITHIUM L evels (?-? mEq/L)
(0.6-1.2 mEq/L)