PSYCHOTHERAPEUTICS Flashcards
Short-acting Benzodiazepines
Alprazolam (Xanax)
Benzo’s adverse effects
Avoid alcohol
Don’t stop abruptly
Addiction
Tricyclics
Amitriptyline (Elavil)
MAOIs
Tranycypromine (Parnate)
Why are MAOIs rarely used
They can cause death
Selective Serotonin Reuptake Inhibitors (SSRI)
Citalopram (Celexa)
Fluoxetine (Prozac)
Miscellaneous newer generation
Bupropion (Wellburtin, Zyban)
Bupropion
Don’t give if the patient has history of seizures because it will increase risk of seizure
Don’t put patients with eating disorders on this
Antidepressant adverse effects
Suicide
Headache
Dizziness
Dry mouth
Insomnia
Nervousness
Nausea
Diarrhea or constipation
Sexual dysfunction
Antimanic
Lithium
-Can die from this and also gain weight
Mood stabilizing agents indications
Prevention and treatment of maniac episodes associated with bipolar disorder
Lithium side effects
Drowsiness, dizziness, headache
Dry mouth, thirst, GI upset, diarrhea, nausea/vomiting
Fine hand tremors
hypotension, arrhythmias, pulse irregularities
Polyuria, dehydration
weight gain (because of salt)
potential for toxicity
Tremors
TSH levels (may induce hypothyroidism)
Atypical 2nd generation (antipsychotic)
Risperidone (risperdal)
Antipsychotic adverse effects
Extrapyramidal symtoms (EPS)
-Dystonia
-Akathisia
Anticholinergic effects
Nausea, Gi upset
Sedation
Weight gain (very common)
Type 2 diabetes
Extrapyramidal symptoms (EPS) is
Involuntary muscle symptoms similar to those of Parkinson’s disease