Psychotropic Medications

Question 1

Typical Antipsychotics

Answer 1

Treatment of schizophrenia and mania

Haldol (haloperidol) [Decanoate = long acting injectable]
Loxitane (loxapine)
Thorazine (chlorpromazine)
Trilafon (perphenazine)
Mellaril (thioridazine)
Prolixin (fluphenazine)
Moban (molindone)
Navane (thiothixene)
Serentil (mesoridazine)
Stelazine (trifluoperazine)

Question 2

Atypical Antipsychotics

Answer 2

Treatment of schizophrenia and mania

Abilify (aripiprazole)
Clozaril (clozapine) [requires blood monitoring]
Risperdal (risperidone)
Seroquel (quetiapine)
Zyprexa (olanzapine)

Question 3

Tardive Dyskinesia

Answer 3

Abnormal, involuntary movements of the tongue, lips, jaws, and face

Twitching

Snakelike movement of the extremities and occasionally the trunk

Results from taking high doses of antipsychotic medications over a long period of time

Symptoms may persist indefinitely after discontinuation of medication

[antipsychotics should be closely monitored and prescribed at low doses]

Question 4

Mood Stabilizers

[antimanic agents]

Answer 4

Treatment of Bipolar and other mood disorders

Lithium (lithium carbonate; lithobid) [requires blood, thyroid, & kidney monitoring]
Depakene (depakote; valproic acid; divalproex sodium)
Lamictal (lamotrigine)
Topamax (topiramate)
Tegretol (carbotrol)

Question 5

Selective Serotonin Reuptake Inhibitors (SSRIs)

Answer 5

Antidepressant - treats depressive disorders

Celexa (citalopram)
Lexapro (escitalopram)
Prozac (fluoxetine)
Zoloft (sertraline)
Paxil (paroxetine)
Luvox (fluvoxamine)

[non-psychotropic: Cymbalta - treats depression, anxiety, chronic muscle pain]

Question 6

Tricyclics

Answer 6

Antidepressants - treats depressive disorders

First development of antidepressants in 50s; Second line to SSRIs

Anafranil (clomipramine)
Norpramin (desipramine)
Sinequan (doxepin)
Tofranil (imipramine)

Question 7

Monoamine Oxidase Inhibitors (MAOIs)

Answer 7

Antidepressants - treats depressive disorders

Extremely strong; prevents breakdown of chemicals serotonin, dopamine, and norepinephrine

Nardil (phenelzine)
Parnate (tranylcypromine)

Dietary restrictions of foods containing high levels of tryamine (beer, wine, cheese, yeast, etc)

Question 8

Other common Antidepressants

Answer 8

Desyrel (trazodone)
Effexor (venlafaxine)
Wellbutrin (bupropion)

Question 9

Serotonin

Answer 9

Monoamine neurotransmitter

Key hormone to stabilize mood, feelings of well being, and happiness

Question 10

Dopamine

Answer 10

Neurotransmitter responsible for experiences of pleasure

Influences mood and feelings of reward and motivation

Question 11

Norepinephrine

Answer 11

Stress hormone and neurotransmitter

Released into blood stream when brain perceives threat

Question 12

Benzodiazepines

Answer 12

Anti anxiety drugs - treatment of anxiety disorders

A “depressant”: slows down messages traveling between brain and body
[also treats insomnia, seizures, panic disorders]

Ativan (lorazepam)
Klonopin (clonazepam)
Valium (diazepam)
Xanax (alprazolam)
Buspar (buspirone)

High risk for abuse; dangerous when combine with alcohol and other illicit drugs
[monitor for impaired motor or other functioning]

Question 13

Stimulants

Answer 13

Treatment of Attention-Deficit/Hyperactivity Disorder

Adderall (amphetamine, mixed salts)
Ritalin (methylphenidate)
Concerta (methylphenidate, long acting)
Metadate (methylphenidate, long acting)
Dexedrine (dextroamphetamine)
Dexedrine Spansules (dextroamphetamine, long acting)

[non-psychotropic: Vyvanse: treats hyperactivity and impulse control]