Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
PSYCH MEDSS
| Question | Answer |
|---|---|
| Thorazine (chlorpromazine) action | antipsychotic. dopamine receptor antagonists |
| Thorazine (chlorpromazine) SE | antipsychotic. high EPS, moderate anticholinergic |
| Thorazine (cholrpromazine) NS IMP | assses I/O, urinary rention, especially elders. vitals. wt. adm meds as needed for EPS, AIMS scale, EKG=cardiotoxicity |
| Thorazine (cholrpromazine) teaching | antipsychotic. drinke 2-3L fluids qd, sugarless gum for dry mouth, high fiber dieat, good oral hygiene, sunscreen, rise slowly, no alcohol, caution driving |
| Prolizine (fluphenazine) action | antipsychotic. dopamine receptor antagonists |
| Prolizine (fluphenazine) SE | antipsychotic. high EPS, moderate anticholinergic |
| Prolizine (fluphenazine) NS IMP | assses I/O, urinary rention, especially elders. vitals. wt. adm meds as needed for EPS, AIMS scale, EKG=cardiotoxicity |
| Prolizine (fluphenazine) teaching | antipsychotic. drinke 2-3L fluids qd, sugarless gum for dry mouth, high fiber dieat, good oral hygiene, sunscreen, rise slowly, no alcohol, caution driving |
| Trilafon (perphenazine) action | antipsychotic. dopamine receptor antagonists |
| Trilafon (perphenazine) SE | antipsychotic. high EPS, moderate anticholinergic |
| Trilafon (perphenazine) NS IMP | assses I/O, urinary rention, especially elders. vitals. wt. adm meds as needed for EPS, AIMS scale, EKG=cardiotoxicity |
| Trilafon (perphenazine) teaching | antipsychotic. drinke 2-3L fluids qd, sugarless gum for dry mouth, high fiber dieat, good oral hygiene, sunscreen, rise slowly, no alcohol, caution driving |
| Serentil (mesoridazine) action | antipsychotic. dopamine receptor antagonists |
| Serentil (mesoridazine) SE | antipsychotic. high EPS, moderate anticholinergic |
| Serentil (mesoridazine) NS IMP | assses I/O, urinary rention, especially elders. vitals. wt. adm meds as needed for EPS, AIMS scale, EKG=cardiotoxicity |
| Serentil (mesoridazine) teaching | antipsychotic. drinke 2-3L fluids qd, sugarless gum for dry mouth, high fiber dieat, good oral hygiene, sunscreen, rise slowly, no alcohol, caution driving |
| Stelazine (trifluoperazine) action | antipsychotic. dopamine receptor antagonists |
| Stelazine (trifluoperazine) SE | antipsychotic. high EPS, moderate anticholinergic |
| Stelazine (trifluoperazine) NS IMP | assses I/O, urinary rention, especially elders. vitals. wt. adm meds as needed for EPS, AIMS scale, EKG=cardiotoxicity |
| Stelazine (trifluoperazine) teaching | antipsychotic. drinke 2-3L fluids qd, sugarless gum for dry mouth, high fiber dieat, good oral hygiene, sunscreen, rise slowly, no alcohol, caution driving |
| Mellaril (thioridazine) action | antipsychotic. dopamine receptor antagonists |
| Mellaril (thioridazine) SE | antipsychotic. high EPS, moderate anticholinergic |
| Mellaril (thioridazine) NS IMP | assses I/O, urinary rention, especially elders. vitals. wt. adm meds as needed for EPS, AIMS scale, EKG=cardiotoxicity |
| Mellaril (thioridazine) teaching | antipsychotic. drinke 2-3L fluids qd, sugarless gum for dry mouth, high fiber dieat, good oral hygiene, sunscreen, rise slowly, no alcohol, caution driving |
| Haldol (haloperidol) action | antipsychotic. |
| Haldol (holperidol) SE | Antipsychotic. High EPS, low anticholinergic |
| Haldol (holperidol) NS IMP | antipsychotic. CBC, liver function tests, |
| Haldol (holperidol) teaching | antipsychotic. report EPS, any symptoms immediately |
| Navane (thiothixene) action | antipsychotic. |
| Navane (thiothixene) SE | antipsychotic. high EPS, low anticholinergic |
| Navane (thiothixene) NS IMP | antipsychotic. ocular exams periodically |
| Navane (thiothixene) teaching | antipsychotic. report EPS, any symptoms immediately |
| Long-acting Haldol decanoate. action | antipsychotic. dopamine receptor antagonists |
| long-acting Haldol decanoate. SE | antipsychotic. |
| long-acting Haldol decanoate. NS IMP | antipsychotic. given IM every 3-4 weeks |
| long-acting Haldol decanoate. teaching | antipsychotic |
| long-acting Prolixin action | antipsychotic. dopamine receptor antagonists |
| long-acting Prolixin SE | antipsychotic. |
| long-acting Prolixin NS IMP | antipsychotic. given IM every 3-4 weeks |
| long-acting Prolixin teaching | antipsychotic. |
| Risperdal Consta action | Atypical anitpsychotic. maintenance of bipolar 1 or schizophrenia. Long-acting injection often as adjunctive therapy to lithium or valproate |
| Risperdal Consta SE | atypical antipsychotic. NMS, TD, metabolic hyperglycemia, dyslipidemia, inc body wt, orthostatic hypotension, agranulocytosis, priapism |
| Risperdal Consta NS IMP | Atypical antipsychotic. assess BP lying and standing |
| Risperdal Consta teaching | atypical antipsychotic. educate about diet and exercise, rise slowly |
| Clozaril (clozapine) action | atypical antipsychotic. serotonin-dopamine antagonists |
| Clozaril (clozapine) SE | atypical antipsychotic. Agranulocytosis, neutropenia, low EPS, wt gain, high anticholinergic |
| Clozaril (clozapine) NS IMP | atypical antipsychotic. assess biweekly WBC, hold if less than 3000mm, check FBS, controls negative and positive symptoms of schizophrenia, aspiration risk, BP lying/standing, wt, |
| Clozaril (clozapine) teaching | atypical antipsychotic. report symptoms of sore throat, fever, compliance w lab draws, dont stop abruptly, no ETOH, no OTC, med alert card, diet/exercise, rise slowly |
| Seroquel (quetiapine) action | atypical antipsychotic. serotonin-dopamine antagonist |
| Seroquel (quetiapine) SE | atypical antipsychotic. exacerbated hypothyroidism, high sedation, lowers seizure threshold, inc salivation, orthostatic hypo, low EPS, wt gain, cateracts |
| Seroquel (quetiapine) NS IMP | atypical antipsychotic. avoid extreme temps, wt gain, FBS for insulin resistance, BP lying/standing |
| Seroquel (quetiapine) teaching | atypical antipsychotic. no ETOH, no OTC, eye exam q 6 mths, diet/exercise, rise slowly |
| Zyprexa (olanzapine) action | atypical antipsychotic. serotonin-dopamine antagonists |
| Zyprexa (olanzapine) SE | atypical antipsychotic. lowers seizure threshold, low EPS, sedation, insulin resistance |
| Zyprexa (olanzapine) NS IMP | atypical antipsychotic. take w food, wt gain, FBS, dec seizure threshold, cardiotoxicity, check EKG, BP lying/standing |
| Zyprexa (olanzapine) teaching | atypical antipsychotic. use sunscreen, diet/exercise, rise slowly |
| Latuda (lurasidone HCL) action | atypical antipsychotic. serotonin-dopamine antagonists |
| Latuda (lurasidone HCL) SE | atypical antipsychotic. angioedema, NMS, TD, inc blood gluecose, ortho hypo |
| Latuda (lurasidone HCL) NS IMP | atypical antipsychotic. BP lying/standing |
| Latuda (lurasidone HCL) teaching | atypical antipsychotic. diet/exercise, rise slowly |
| Geodon (ziprasidone) action | atypical antipsychotic. serotonin-dopamine antagonists |
| Geodon (ziprasidone) SE | atypical antipsychotic. ortho hypo, low EPS, anticholinergic |
| Geodon (ziprasidone) NS IMP | atypical antipsychotic. BP lying/standing |
| Geoden (ziprasidone) teaching | atypical antipsychotic. diet/exercise, rise slowly |
| Saphris (asenapine) action | atypical antipsychotic. serotonin-dopamine antagonists |
| Saphris (asenapine) SE | atypical antipsychotic. ortho hypo, low EPS, anticholinergic |
| Saphris (asenapine) NS IMP | atypical antipsychotic. BP lying/standing |
| Saphris (asenapine) teaching | atypical antipsychotic. diet/exercise, rise slowly |
| Abilify (aripiprazole) ACTION | atypical antipsychotic. serotonin-dopamine modulator\ |
| Abilify (aripiprazole) SE | atypical antipsychotic. ortho hypo, low EPS, wt gain, inc FBS, anticholinergic |
| Abilify (aripiprazole) NS IMP | atypical antipsychotic. BP standing/lying |
| Abilify (aripiprazole) teaching | atypical antipsychotic. diet/exercise, rise slowly |
| Med for EPS=Cogentin (benztropine) action | anticholinergic. restores balance of depamine and acetylcholine in CNS |
| Med for EPS: Cogentin (benztropine) SE | anticholinergic. anticholinergic effects, ortho hypo |
| Med for EPS: Cogentin (benztropine) NS IMP | anticholinergic. assess for symptoms, BP standing/lying |
| Med for EPS: Cogentin (benztropine) teaching | anticholinergic. inc fluids and fiber, rise slowly, report symptoms |
| Med for EPS: Artane (trihexyphenidyl) action | anticholinergic. restores balance of depamine and acetylcholine in CNS |
| Meds for EPS: Artane (trihexyphenidyl) SE | anticholinergic. anticholinergic effects, ortho hypo |
| Meds for EPS: Artane (trihexyphenidyl) NS IMP | anticholinergic. assess for symptoms, BP standing/lying |
| Meds for EPS: Artane (trihexyphenidyl) teaching | anticholinergic. inc fluids and fiber, rise slowly, report symptoms |
| Med for EPS: Benadryl (diphenhydramine) action | antihistamine. |
| Med for EPS: Benadryl (diphenhydramine) SE | antihistamine. inc psychosis |
| Med for EPS: Benadryl (diphenhydramine) NS IMP | antihistamine. assess inc psychosis |
| Med for EPS: Benadryl (diphenhydramine) teaching | antihistamine. no OTC or preps w antihistamines (antagonizes psychotropics) |
| Med for EPS: Symmetrel (amantadine) action | antiparkinsonism med: inc dopamine releases |
| Med for EPS: Symmetrel (amantadine) SE | antiparkinsonism med: dizzy, confusion, ortho hypo |
| Med for EPS: Symmetrel (amantadine) NS IMP | antiparkinsonism med: taper dose, BP lying/standing |
| Med for EPS: Symmetrel (amantadine) teaching | antiparkinsonism med: caution driving rise slowly |
| Med for EPS: Parlodel (bromocriptine) action | antiparkinsonism med: inc dopamine releases |
| Med for EPS: Parlodel (bromocriptine) SE | antiparkinsonism med: dizzy, confusion, ortho hypo |
| Med for EPS: Parlodel (bromocriptine) NS IMP | antiparkinsonism med: taper dose, BP lying/standing |
| Med for EPS: Parlodel (bromocriptine) teaching | antiparkinsonism med: caution driving rise slowly |
| Mood stabilizing drugs: Lithium carbonate (Eskalith, Lithane, Lithobid, canalith, Lithonate, Lithotabs) action | Enhance reuptake of norepinephrine and serotonin |
| Mood stabilizing drugs: Lithium carbonate (Eskalith, Lithane, Lithobid, canalith, Lithonate, Lithotabs) SE | dec thyroid func, drowsy, dizzy, HA, dry mouth, thirst, metallic taste, wt gain, hypotension, fine hand tremor, arrhythmias. |
| Mood stabilizing drugs: Lithium carbonate (Eskalith, Lithane, Lithobid, canalith, Lithonate, Lithotabs) Toxicity | excessive sweating, polyuria, polydipsia, N/V, progressing to oliguria, slurred speech, coma progressing to death |
| Mood stabilizing drugs: Lithium carbonate (Eskalith, Lithane, Lithobid, canalith, Lithonate, Lithotabs) NS IMP | theraputic level is 0.6-1.2mEq/l, acute=1.0-1.5mEq/l, toxicity=1.5mEq/l => STOP MED!! |
| Mood stabilizing drugs: Lithium carbonate (Eskalith, Lithane, Lithobid, canalith, Lithonate, Lithotabs) teaching | drq serum levels 12 hours after last dose, takes 1-2 wks to stabilize mood, do not restrict sodium, maintain 2-3 L of fluid daily |
| Mood stabilizing drug: Depakote, Depakene, Trileptal (valproic acid) action | anticonvulsants. anticonvulsants used to stabilize mood. |
| Mood stabilizing drug: Depakote, Depakene, Trileptal (valproic acid) SE | anticonvulsants. blood dycrasias, prolong bleeding time, elevated liver enzymes, jaundice, rash |
| Mood stabilizing drug: Depakote, Depakene, Trileptal (valproic acid) NS IMP | anticonvulsant. assess signs of bleeding, bruising, bleeding gums, sore throat, serum blood levels, sedation, life threatening pancreatitis. |
| Mood stabilizing drug: Depakote, Depakene, Trileptal (valproic acid) teaching | anticonvulsants. serum blood levels, do not stop abruptly, med alert card, no ETOH, caution driving |
| Mood stabilizing drug: Neurontin Mood stabilizing drug: Neurontin (gabapentin)(gabapentin) action | anticonvulsants. anticonvulsants used to stabilize mood. |
| Mood stabilizing drug: Neurontin (gabapentin) SE | anticonvulsants. blood dycrasias, prolong bleeding time, elevated liver enzymes, jaundice, rash |
| Mood stabilizing drug: Neurontin (gabapentin) NS IMP | anticonvulsant. assess signs of bleeding, bruising, bleeding gums, sore throat, serum blood levels, sedation, life threatening pancreatitis. |
| Mood stabilizing drug: Neurontin (gabapentin) teaching | anticonvulsants. serum blood levels, do not stop abruptly, med alert card, no ETOH, caution driving |
| Mood stabilizing drug: Lamictal (lamotrigine) action | anticonvulsants. anticonvulsants used to stabilize mood. |
| Mood stabilizing drug: Lamictal (lamotrigine) SE | anticonvulsants. blood dycrasias, prolong bleeding time, elevated liver enzymes, jaundice, rash |
| Mood stabilizing drug: Lamictal (lamotrigine) NS IMP | anticonvulsant. assess signs of bleeding, bruising, bleeding gums, sore throat, serum blood levels, sedation, life threatening pancreatitis. |
| Mood stabilizing drug: Lamictal (lamotrigine) teaching | anticonvulsants. serum blood levels, do not stop abruptly, med alert card, no ETOH, caution driving |
| Mood stabilizing drug: tegretol (carbamazepine) action | anticonvulsants. anticonvulsants used to stabilize mood. |
| Mood stabilizing drug: tegretol (carbamazepine) SE | anticonvulsants. blood dycrasias, prolong bleeding time, elevated liver enzymes, jaundice, rash |
| Mood stabilizing drug: tegretol (carbamazepine) NS IMP | anticonvulsant. assess signs of bleeding, bruising, bleeding gums, sore throat, serum blood levels, sedation, life threatening pancreatitis. |
| Mood stabilizing drug: tegretol (carbamazepine) teaching | anticonvulsants. serum blood levels, do not stop abruptly, med alert card, no ETOH, caution driving |
| Mood stabilizing drug: Topamax (topiramate) action | anticonvulsants. anticonvulsants used to stabilize mood. |
| Mood stabilizing drug: Topamax (topiramate) SE | anticonvulsants. blood dycrasias, prolong bleeding time, elevated liver enzymes, jaundice, rash |
| Mood stabilizing drug: Topamax (topiramate) NS IMP | anticonvulsant. assess signs of bleeding, bruising, bleeding gums, sore throat, serum blood levels, sedation, life threatening pancreatitis. |
| Mood stabilizing drug: Topamax (topiramate) teaching | anticonvulsants. serum blood levels, do not stop abruptly, med alert card, no ETOH, caution driving |
| Ritalin (methylphenidate) action | Stimulant. CNS stimulant used for ADHD or narcolepsy |
| Ritalin (methylphenidate) SE | Stimulant. anorexia, dec appetite, growth retardation in children, insomnia, restlessness, anxiety, GI upset, Leukopenia, anemia, dry mouth |
| Ritalin (methylphenidate) NS IMP | Stimulant. 6-8 sm meals/day, periodic interruption of drug, monitor growth, give in am, dec dose, assess for dependency, CBC for liver enzymes, watch for abuse or selling of drug on street, DEA controlled CII-IV |
| Ritalin (methylphenidate) teaching | Stimulant.report wt loss, side effects, watch for fatigue, yellowing of eyes |
| Cylert (pemoline) action | Stimulant. CNS stimulant used for ADHD or narcolepsy |
| Cylert (pemoline) SE | Stimulant. anorexia, dec appetite, growth retardation in children, insomnia, restlessness, anxiety, GI upset, Leukopenia, anemia, dry mouth |
| Cylert (pemoline) NS IMP | Stimulant. 6-8 sm meals/day, periodic interruption of drug, monitor growth, give in am, dec dose, assess for dependency, CBC for liver enzymes, watch for abuse or selling of drug on street, DEA controlled CII-IV |
| Cylert (pemoline) teaching | Stimulant.report wt loss, side effects, watch for fatigue, yellowing of eyes |
| Adderall (dextroamphetamine) action | Stimulant. CNS stimulant used for ADHD or narcolepsy |
| Adderall (dextroamphetamine) SE | Stimulant. anorexia, dec appetite, growth retardation in children, insomnia, restlessness, anxiety, GI upset, Leukopenia, anemia, dry mouth |
| Adderall (dextroamphetamine) NS IMP | Stimulant. 6-8 sm meals/day, periodic interruption of drug, monitor growth, give in am, dec dose, assess for dependency, CBC for liver enzymes, watch for abuse or selling of drug on street, DEA controlled CII-IV |
| Adderall (dextroamphetamine) teaching | Stimulant.report wt loss, side effects, watch for fatigue, yellowing of eyes |
| Desoxyn (methamphetamine) action | Stimulant. CNS stimulant used for ADHD or narcolepsy |
| Desoxyn (methamphetamine) SE | Stimulant. anorexia, dec appetite, growth retardation in children, insomnia, restlessness, anxiety, GI upset, Leukopenia, anemia, dry mouth |
| Desoxyn (methamphetamine) NS IMP | Stimulant. 6-8 sm meals/day, periodic interruption of drug, monitor growth, give in am, dec dose, assess for dependency, CBC for liver enzymes, watch for abuse or selling of drug on street, DEA controlled CII-IV |
| Desoxyn (methamphetamine) teaching | Stimulant.report wt loss, side effects, watch for fatigue, yellowing of eyes |
| Provigil (modafinil) action | Stimulant. CNS stimulant used for ADHD or narcolepsy |
| Provigil (modafinil) SE | Stimulant. anorexia, dec appetite, growth retardation in children, insomnia, restlessness, anxiety, GI upset, Leukopenia, anemia, dry mouth |
| Provigil (modafinil) NS IMP | Stimulant. 6-8 sm meals/day, periodic interruption of drug, monitor growth, give in am, dec dose, assess for dependency, CBC for liver enzymes, watch for abuse or selling of drug on street, DEA controlled CII-IV |
| Provigil (modafinil) teaching | Stimulant.report wt loss, side effects, watch for fatigue, yellowing of eyes |
| Concerta (methylphenidate) action | Stimulant. CNS stimulant used for ADHD or narcolepsy |
| Concerta (methylphenidate) SE | Stimulant. anorexia, dec appetite, growth retardation in children, insomnia, restlessness, anxiety, GI upset, Leukopenia, anemia, dry mouth |
| Concerta (methylphenidate) NS IMP | Stimulant.6-8 sm meals/day, periodic interruption of drug, monitor growth, give in am, dec dose, assess for dependency, CBC for liver enzymes, watch for abuse or selling of drug on street, DEA controlled CII-IV |
| Concerta (methylphenidate) teaching | Stimulant.report wt loss, side effects, watch for fatigue, yellowing of eyes |
| Vyvanse (lisdexamfamine) action | Stimulant. CNS stimulant used for ADHD or narcolepsy |
| Vyvanse (lisdexamfamine) SE | Stimulant. anorexia, dec appetite, growth retardation in children, insomnia, restlessness, anxiety, GI upset, Leukopenia, anemia, dry mouth |
| Vyvanse (lisdexamfamine) NS IMP | Stimulant.6-8 sm meals/day, periodic interruption of drug, monitor growth, give in am, dec dose, assess for dependency, CBC for liver enzymes, watch for abuse or selling of drug on street, DEA controlled CII-IV |
| Vyvanse (lisdexamfamine) teaching | Stimulant.report wt loss, side effects, watch for fatigue, yellowing of eyes |
| Strattera (atomaxetine) action | Stimulant. SNRI, inc norepinephrine |
| Strattera (atomaxetine) SE | Stimulant. anorexia, wt loss, insomnia, restlessness, GI upset, mood swings |
| Strattera (atomaxetine) NS IMP | Stimulant. Restlessness, watch wt loss, suicidal ideation |
| Strattera (atomaxetine) teaching | Stimulant. can take with food |
| Adipex-P (phentermine) action | Anorexiant. suppresses appetite or influences metabolism |
| Adipex-P (phentermine) SE | Anorexiant. coardiac symptoms such as SOB, arrhythmias, angina, seizures, may inc BP |
| Adipex-P (phentermine) NS IMP | Anorexiant. baseline EKG, monitor vitals, BP, HR, siezure precautions, insomnia, anxiety |
| Adipex-P (phentermine) teaching | Anorexiant. Monitor BP, discontinue if adverse effects |
| Meds for anti-anxiety: Xanax (alprazolam) action | Benzodiazepine: potentiate GABA receptor sites, fast acting for acute short term anxiety |
| Meds for anti-anxiety: Xanax (alprazolam) SE | Benzodiazepine: sedation, confusion, tolerance to drug, paradoxical excitement, ortho hypo, depression |
| Meds for anti-anxiety: Xanax (alprazolam) NS IMP | Benzodiazepine: effects potentiated w elderly, narcotics, barbituates, alcohol, cimetidine, disulfiram; assess BP lying/standing, hold if pregnant/lactating, DEA controlled C-IV |
| Meds for anti-anxiety: Xanax (alprazolam) teaching | Benzodiazepine: caution driving, rise slowly, withdrawal effects w long term use, nicotine/caffeine dec effects |
| Meds for anti-anxiety: Valium (diazepam) action | Benzodiazepine: potentiate GABA receptor sites, fast acting for acute short term anxiety |
| Meds for anti-anxiety: Valium (diazepam) SE | Benzodiazepine: sedation, confusion, tolerance to drug, paradoxical excitement, ortho hypo, depression |
| Meds for anti-anxiety: Valium (diazepam) NS IMP | Benzodiazepine: effects potentiated w elderly, narcotics, barbituates, alcohol, cimetidine, disulfiram; assess BP lying/standing, hold if pregnant/lactating, DEA controlled C-IV |
| Meds for anti-anxiety: Valium (diazepam) teaching | Benzodiazepine: caution driving, rise slowly, withdrawal effects w long term use, nicotine/caffeine dec effects |
| Meds for anti-anxiety: Ativan (lorazepam) action | Benzodiazepine: potentiate GABA receptor sites, fast acting for acute short term anxiety |
| Meds for anti-anxiety: Ativan (lorazepam) SE | Benzodiazepine: sedation, confusion, tolerance to drug, paradoxical excitement, ortho hypo, depression |
| Meds for anti-anxiety: Ativan (lorazepam) NS IMP | Benzodiazepine: effects potentiated w elderly, narcotics, barbituates, alcohol, cimetidine, disulfiram; assess BP lying/standing, hold if pregnant/lactating, DEA controlled C-IV |
| Meds for anti-anxiety: Ativan (lorazepam) teaching | Benzodiazepine: caution driving, rise slowly, withdrawal effects w long term use, nicotine/caffeine dec effects |
| Meds for anti-anxiety: Librium (chlordiazepoxide) action | Benzodiazepine: potentiate GABA receptor sites, fast acting for acute short term anxiety |
| Meds for anti-anxiety: Librium (chlordiazepoxide) SE | Benzodiazepine: sedation, confusion, tolerance to drug, paradoxical excitement, ortho hypo, depression |
| Meds for anti-anxiety: Librium (chlordiazepoxide) NS IMP | Benzodiazepine: effects potentiated w elderly, narcotics, barbituates, alcohol, cimetidine, disulfiram; assess BP lying/standing, hold if pregnant/lactating, DEA controlled C-IV |
| Meds for anti-anxiety: Librium (chlordiazepoxide teaching | Benzodiazepine: caution driving, rise slowly, withdrawal effects w long term use, nicotine/caffeine dec effects |
| Meds for anti-anxiety: Klonopin (clonazepam) action | Benzodiazepine: potentiate GABA receptor sites, fast acting for acute short term anxiety |
| Meds for anti-anxiety: Klonopin (clonazepam) SE | Benzodiazepine: sedation, confusion, tolerance to drug, paradoxical excitement, ortho hypo, depression |
| Meds for anti-anxiety: Klonopin (clonazepam) NS IMP | Benzodiazepine: effects potentiated w elderly, narcotics, barbituates, alcohol, cimetidine, disulfiram; assess BP lying/standing, hold if pregnant/lactating, DEA controlled C-IV |
| Meds for anti-anxiety: Klonopin (clonazepam) teaching | Benzodiazepine: caution driving, rise slowly, withdrawal effects w long term use, nicotine/caffeine dec effects |
| Meds for anti-anxiety: Tenormin (atenolol) action | Beta-Blockers: treats somatic effects of anxiety by vasodilation |
| Meds for anti-anxiety: Tenormin (atenolol) SE | Beta-Blocker: ortho hypo, bradycardia, WPW syndrome, N/V, paradozical HTN if given w clonidine, potentiates hypoglycemic drugs, dizziness, HA |
| Meds for anti-anxiety: Tenormin (atenolol) NS IMP | Beta-Blocker: BP lying/standing, cardiac assessment d/t inc risk of CHF, caution w COPD, bronchiospasm, contraindicated w asthma |
| Meds for anti-anxiety: Tenormin (atenolol) teaching | Beta-Blocker: rise slowly, report any cardiac symptoms promptly, take w meals, med card |
| Meds for anti-anxiety: Toprol (metoprolol) action | Beta-Blockers: treats somatic effects of anxiety by vasodilation |
| Meds for anti-anxiety: Toprol (metoprolol) SE | Beta-Blocker: ortho hypo, bradycardia, WPW syndrome, N/V, paradozical HTN if given w clonidine, potentiates hypoglycemic drugs, dizziness, HA |
| Meds for anti-anxiety: Toprol (metoprolol) NS IMP | Beta-Blocker: BP lying/standing, cardiac assessment d/t inc risk of CHF, caution w COPD, bronchiospasm, contraindicated w asthma |
| Meds for anti-anxiety: Toprol (metoprolol) teaching | Beta-Blocker: rise slowly, report any cardiac symptoms promptly, take w meals, med card |
| Meds for anti-anxiety: Corgard (nadolol) action | Beta-Blockers: treats somatic effects of anxiety by vasodilation |
| Meds for anti-anxiety: Corgard (nadolol) SE | Beta-Blocker: ortho hypo, bradycardia, WPW syndrome, N/V, paradozical HTN if given w clonidine, potentiates hypoglycemic drugs, dizziness, HA |
| Meds for anti-anxiety: Corgard (nadolol) NS IMP | Beta-Blocker: BP lying/standing, cardiac assessment d/t inc risk of CHF, caution w COPD, bronchiospasm, contraindicated w asthma |
| Meds for anti-anxiety: Corgard (nadolol) teaching | Beta-Blocker: rise slowly, report any cardiac symptoms promptly, take w meals, med card |
| Meds for anti-anxiety: Inderal (propranolol) action | Beta-Blockers: treats somatic effects of anxiety by vasodilation |
| Meds for anti-anxiety: Inderal (propranolol) SE | Beta-Blocker: ortho hypo, bradycardia, WPW syndrome, N/V, paradozical HTN if given w clonidine, potentiates hypoglycemic drugs, dizziness, HA |
| Meds for anti-anxiety: Inderal (propranolol) NS IMP | Beta-Blocker: BP lying/standing, cardiac assessment d/t inc risk of CHF, caution w COPD, bronchiospasm, contraindicated w asthma |
| Meds for anti-anxiety: Inderal (propranolol) teaching | Beta-Blocker: rise slowly, report any cardiac symptoms promptly, take w meals, med card |
| Meds for anti-anxiety: Atarax (hydrozyzine) action | Antihistamine: dec histamine |
| Meds for anti-anxiety: Atarax (hydrozyzine) SE | Antihistamine: hypertensive crisis w MAO |
| Meds for anti-anxiety: Atarax (hydrozyzine) NS IMP | Antihistamine: effects ptentiated w CNS depression |
| Meds for anti-anxiety: Atarax (hydrozyzine) teaching | caution driving |
| Meds for anti-anxiety: BuSpar (buspirone) action | MISC: serotonin and dopamine antagonist |
| Meds for anti-anxiety: BuSpar (buspirone) SE | MISC: anticholinergic, tremors, chest pain, tachycardia |
| Meds for anti-anxiety: BuSpar (buspirone) NS IMP | MISC: hold if pregnant/lactating, N, monitor HR |
| Meds for anti-anxiety: Ambien (zolpidem) action | Hypnotic: CNS depressant for SHORT TERM, sleep aid |
| Meds for anti-anxiety: Ambien (zolpidem) SE | Hypnotic: Somnolence, confusion, C-IV controlled med, potential for dependence and OD, GI upset |
| Meds for anti-anxiety: Ambien (zolpidem) NS IMP | Hypnotic: watch combo w other psychotropic meds, explore other sleep aids, suicide assessment |
| Meds for anti-anxiety: Ambien (zolpidem) teaching | Hypnotic: caution driving, no ETOH, OTC or suicide contract |
| Meds for anti-anxiety: Restoril (temazepam) action | Hypnotic: CNS depressant for SHORT TERM, sleep aid |
| Meds for anti-anxiety: Restoril (temazepam) SE | Hypnotic: Somnolence, confusion, C-IV controlled med, potential for dependence and OD, GI upset |
| Meds for anti-anxiety: Restoril (temazepam) NS IMP | Hypnotic: watch combo w other psychotropic meds, explore other sleep aids, suicide assessment |
| Meds for anti-anxiety: Restoril (temazepam) teaching | Hypnotic: caution driving, no ETOH, OTC or suicide contract |
| Meds for anti-anxiety: ProSom (estazolam) action | Hypnotic: CNS depressant for SHORT TERM, sleep aid |
| Meds for anti-anxiety: ProSom (estazolam) SE | Hypnotic: Somnolence, confusion, C-IV controlled med, potential for dependence and OD, GI upset |
| Meds for anti-anxiety: ProSom (estazolam) NS IMP | Hypnotic: watch combo w other psychotropic meds, explore other sleep aids, suicide assessment |
| Meds for anti-anxiety: ProSom (estazolam) teaching | Hypnotic: caution driving, no ETOH, OTC or suicide contract |
| Meds for anti-anxiety: Halcion (triazolam) action | Hypnotic: CNS depressant for SHORT TERM, sleep aid |
| Meds for anti-anxiety: Halcion (triazolam) SE | Hypnotic: Somnolence, confusion, C-IV controlled med, potential for dependence and OD, GI upset |
| Meds for anti-anxiety: Halcion (triazolam) NS IMP | Hypnotic: watch combo w other psychotropic meds, explore other sleep aids, suicide assessment |
| Meds for anti-anxiety: Halcion (triazolam) teaching | Hypnotic: caution driving, no ETOH, OTC or suicide contract |
| Meds for anti-anxiety: Dalmane (flurazepam) action | Hypnotic: CNS depressant for SHORT TERM, sleep aid |
| Meds for anti-anxiety: Dalmane (flurazepam) SE | Hypnotic: Somnolence, confusion, C-IV controlled med, potential for dependence and OD, GI upset |
| Meds for anti-anxiety: Dalmane (flurazepam) NS IMP | Hypnotic: watch combo w other psychotropic meds, explore other sleep aids, suicide assessment |
| Meds for anti-anxiety: Dalmane (flurazepam) teaching | Hypnotic: caution driving, no ETOH, OTC or suicide contract |
| Meds for anti-anxiety: Doral (quazepam) action | Hypnotic: CNS depressant for SHORT TERM, sleep aid |
| Meds for anti-anxiety: Doral (quazepam) SE | Hypnotic: Somnolence, confusion, C-IV controlled med, potential for dependence and OD, GI upset |
| Meds for anti-anxiety: Doral (quazepam) NS IMP | Hypnotic: watch combo w other psychotropic meds, explore other sleep aids, suicide assessment |
| Meds for anti-anxiety: Doral (quazepam) teaching | Hypnotic: caution driving, no ETOH, OTC or suicide contract |
| Meds for anti-anxiety: Sonata (zaleplon) action | Hypnotic: CNS depressant for SHORT TERM, sleep aid |
| Meds for anti-anxiety: Sonata (zaleplon) SE | Hypnotic: Somnolence, confusion, C-IV controlled med, potential for dependence and OD, GI upset |
| Meds for anti-anxiety: Sonata (zaleplon) NS IMP | Hypnotic: watch combo w other psychotropic meds, explore other sleep aids, suicide assessment |
| Meds for anti-anxiety: Sonata (zaleplon) teaching | Hypnotic: caution driving, no ETOH, OTC or suicide contract |
| Anti-depressants: Elavil (amitriptyline) action | tri-cyclics: inc serotonin & norepinephrine |
| Anti-depressants: Elavil (amitriptyline) SE | tri-cyclics: anticholenergic effects, ortho hypo, cardiac arrythmias, wt gain, photosensitivity, inc suicide risk, sedation |
| Anti-depressants: Elavil (amitriptyline) NS IMP | tri-cyclics: BP lying/standing, cardiac assessment, high OD potential-limit quantity available to pt |
| Anti-depressants: Elavil (amitriptyline) teaching | tri-cyclics: inc fluids/fiber, take at HS, exercise, sensible eating, sunscreen, no suicide contract, no ETOH, caution driving |
| Anti-depressants: Anafranil (clomipramine) action | tri-cyclic: inc serotonin & norepinephrine |
| Anti-depressants: Anafranil (clomipramine) SE | tri-cyclics: anticholenergic effects, ortho hypo, cardiac arrythmias, wt gain, photosensitivity, inc suicide risk, sedation |
| Anti-depressants: Anafranil (clomipramine) NS IMP | tri-cyclics: BP lying/standing, cardiac assessment, high OD potential-limit quantity available to pt |
| Anti-depressants: Anafranil (clomipramine) teaching | tri-cyclics: inc fluids/fiber, take at HS, exercise, sensible eating, sunscreen, no suicide contract, no ETOH, caution driving |
| Anti-depressants: Norpramin (desipramine) action | tri-cyclic: inc serotonin & norepinephrine |
| Anti-depressants: Norpramin (desipramine) SE | tri-cyclics: anticholenergic effects, ortho hypo, cardiac arrythmias, wt gain, photosensitivity, inc suicide risk, sedation |
| Anti-depressants: Norpramin (desipramine) NS IMP | tri-cyclics: BP lying/standing, cardiac assessment, high OD potential-limit quantity available to pt |
| Anti-depressants: Norpramin (desipramine) teaching | tri-cyclics: inc fluids/fiber, take at HS, exercise, sensible eating, sunscreen, no suicide contract, no ETOH, caution driving |
| Anti-depressants: Sinequan (doxepin) action | tri-cyclic: inc serotonin & norepinephrine |
| Anti-depressants: Sinequan (doxepin) SE | tri-cyclics: anticholenergic effects, ortho hypo, cardiac arrythmias, wt gain, photosensitivity, inc suicide risk, sedation |
| Anti-depressants: Sinequan (doxepin) NS IMP | tri-cyclics: BP lying/standing, cardiac assessment, high OD potential-limit quantity available to pt |
| Anti-depressants: Sinequan (doxepin) teaching | tri-cyclics: inc fluids/fiber, take at HS, exercise, sensible eating, sunscreen, no suicide contract, no ETOH, caution driving |
| Anti-depressants: Tofranil (imipramine) action | tri-cyclic: inc serotonin & norepinephrine |
| Anti-depressants: Tofranil (imipramine) SE | tri-cyclics: anticholenergic effects, ortho hypo, cardiac arrythmias, wt gain, photosensitivity, inc suicide risk, sedation |
| Anti-depressants: Tofranil (imipramine) NS IMP | tri-cyclics: BP lying/standing, cardiac assessment, high OD potential-limit quantity available to pt |
| Anti-depressants: Tofranil (imipramine) teaching | tri-cyclics: inc fluids/fiber, take at HS, exercise, sensible eating, sunscreen, no suicide contract, no ETOH, caution driving |
| Anti-depressants: Ludiomil (maprotiline) action | tri-cyclic: inc serotonin & norepinephrine |
| Anti-depressants: Ludiomil (maprotiline) SE | tri-cyclics: anticholenergic effects, ortho hypo, cardiac arrythmias, wt gain, photosensitivity, inc suicide risk, sedation |
| Anti-depressants: Ludiomil (maprotiline) NS IMP | |
| Anti-depressants: Ludiomil (maprotiline) teaching | tri-cyclics: inc fluids/fiber, take at HS, exercise, sensible eating, sunscreen, no suicide contract, no ETOH, caution driving |
| Anti-depressants: Asendin (amaoxapine) action | tri-cyclic: inc serotonin & norepinephrine |
| Anti-depressants: Asendin (amaoxapine) SE | tri-cyclics: anticholenergic effects, ortho hypo, cardiac arrythmias, wt gain, photosensitivity, inc suicide risk, sedation |
| Anti-depressants: Asendin (amaoxapine) NS IMP | tri-cyclics: BP lying/standing, cardiac assessment, high OD potential-limit quantity available to pt |
| Anti-depressants: Asendin (amaoxapine) teaching | tri-cyclics: inc fluids/fiber, take at HS, exercise, sensible eating, sunscreen, no suicide contract, no ETOH, caution driving |
| Anti-depressants: Vivactil (protriptyline) action | tri-cyclic: inc serotonin & norepinephrine |
| Anti-depressants: Vivactil (protriptyline) SE | tri-cyclics: anticholenergic effects, ortho hypo, cardiac arrythmias, wt gain, photosensitivity, inc suicide risk, sedation |
| Anti-depressants: Vivactil (protriptyline) NS IMP | tri-cyclics: BP lying/standing, cardiac assessment, high OD potential-limit quantity available to pt |
| Anti-depressants: Vivactil (protriptyline) teaching | tri-cyclics: inc fluids/fiber, take at HS, exercise, sensible eating, sunscreen, no suicide contract, no ETOH, caution driving |
| Anti-depressants: Surmontil (trimipramine) action | tri-cyclic: inc serotonin & norepinephrine |
| Anti-depressants: Surmontil (trimipramine) SE | tri-cyclics: anticholenergic effects, ortho hypo, cardiac arrythmias, wt gain, photosensitivity, inc suicide risk, sedation |
| Anti-depressants: Surmontil (trimipramine) NS IMP | tri-cyclics: BP lying/standing, cardiac assessment, high OD potential-limit quantity available to pt |
| Anti-depressants: Surmontil (trimipramine) teaching | tri-cyclics: inc fluids/fiber, take at HS, exercise, sensible eating, sunscreen, no suicide contract, no ETOH, caution driving |
| Anti-depressants: Pamelor (nortriptyline, protriptyline) action | tri-cyclic: inc serotonin & norepinephrine |
| Anti-depressants: Pamelor (nortriptyline, protriptyline) SE | tri-cyclics: anticholenergic effects, ortho hypo, cardiac arrythmias, wt gain, photosensitivity, inc suicide risk, sedation |
| Anti-depressants: Pamelor (nortriptyline, protriptyline) NS IMP | tri-cyclics: BP lying/standing, cardiac assessment, high OD potential-limit quantity available to pt |
| Anti-depressants: Pamelor (nortriptyline, protriptyline) teaching | tri-cyclics: inc fluids/fiber, take at HS, exercise, sensible eating, sunscreen, no suicide contract, no ETOH, caution driving |
| Anti-depressants: Desyrel (traodone) action | tetra-cyclic: |
| Anti-depressants: Desyrel (traodone) SE | tetra-cyclic: inc suicide risk as depression lifts, takes 7-14 days for effect, sedating, anticholinergic effecgts, photosensitivity, cardiac arythmias, wt gain, ortho hypo |
| Anti-depressants: Desyrel (traodone) NS IMP | tetra-cyclic: no suicide contract, sunscreen, cardiac assessment, BP lying/standing, seizure assessment |
| Anti-depressants: Desyrel (traodone) teaching | tetra-cyclic: delayed onset to improve mood, caution driving, inc fiber/fluids, sunscreen |
| Anti-depressants: Remeron (mirtazapine) action | tetra-cyclic: |
| Anti-depressants: Remeron (mirtazapine) SE | tetra-cyclic: inc suicide risk as depression lifts, takes 7-14 days for effect, sedating, anticholinergic effecgts, photosensitivity, cardiac arythmias, wt gain, ortho hypo |
| Anti-depressants: Remeron (mirtazapine) NS IMP | tera-cyclic: no suicide contract, sunscreen, cardiac assessment, BP lying/standing, seizure assessment |
| Anti-depressants: Remeron (mirtazapine) teaching | tetra-cyclic: delayed onset to improve mood, caution driving, inc fiber/fluids, sunscreen |
| Anti-depressant: Effexor (venlafaxine) action | SNRI: inc serotonin/norepinephrine |
| Anti-depressant: Effexor (venlafaxine) SE | SNRI: HTN, anticholinergic effects |
| Anti-depressant: Effexor (venlafaxine) NS IMP | SNRI: serotonin syndrome, inc bleeding risk w ASA, NSAIDS |
| Anti-depressant: Effexor (venlafaxine) teaching | SNRI: no tryptophan or St. Johns Wort |
| Anti-depressant: Effexor (venlafaxine) action | SNRI: inc serotonin/norepinephrine |
| Anti-depressant: Pristiq Q (desvenlafaxin) SE | SNRI: HTN, anticholinergic effects |
| Anti-depressant: Pristiq Q (desvenlafaxin) NS IMP | SNRI: serotonin syndrome, inc bleeding risk w ASA, NSAIDS |
| Anti-depressant: Pristiq Q (desvenlafaxin) teaching | SNRI: no tryptophan or St. Johns Wort |
| Anti-depressant: Wellbutrin SR or XL (bupropion) action | SNRI: inc norepinepherine/dopamine |
| Anti-depressant: Wellbutrin SR or XL (bupropion) SE | SNRI: lowers seizure threshold, agitation, insomnia, restlessness |
| Anti-depressant: Wellbutrin SR or XL (bupropion) NS IMP | SNRI: restlessness |
| Anti-depressant: Wellbutrin SR or XL (bupropion) teaching | SNRI: rise slowly,dose 8 hr apart, no ETOH/drugs, lowering seizure risk |
| Anti-depressant: Prozac/Sarafem (fluoxetine) action | SSRI: blocks reuptake of serotonin, increasing available serotonin at receptor site, anti anxiety, anti-depressant |
| Anti-depressant: Prozac/Sarafem (fluoxetine) SE | inc suicide risk as depression lifts, inc blood levels of statins, potentates other meds that use same enzymes (except Celexa), insomnia, N, anorexia, HA, restlessness, dec libido, serotonin syndrome, BP, HR, fever, muscle rigidity, coma, death, MED EMERG |
| Anti-depressant: Prozac/Sarafem (fluoxetine) NS IMP | SSRI: assess for serotonin syndrome, in low dose dec anxiety |
| Anti-depressant: Prozac/Sarafem (fluoxetine) teaching | SSRI: blsck box warning, give w food for N, do not stop abruptly, prozac is approved by FDA for children |
| ##################################### | ##################################### |
| Typical anti-phycotics | Thorazine (chlorpromazine), Prolixin (fluphenazine), Trilafon (perphenazine), Serentil (mesoridazine), Stelazine (trifluoperazine), Mellaril (thioridazine) |
| Typical anti-phycotics: Thorazine (chlorpromazine), Prolixin (fluphenazine), Trilafon (perphenazine), Serentil (mesoridazine), Stelazine (trifluoperazine), Mellaril (thioridazine) action | dopamine receptor antagonists |
| Typical anti-phycotics: Thorazine (chlorpromazine), Prolixin (fluphenazine), Trilafon (perphenazine), Serentil (mesoridazine), Stelazine (trifluoperazine), Mellaril (thioridazine) SE | high EPS, moderate anticholinergic |
| Typical anti-phycotics: Thorazine (chlorpromazine), Prolixin (fluphenazine), Trilafon (perphenazine), Serentil (mesoridazine), Stelazine (trifluoperazine), Mellaril (thioridazine) NS IMP | assses I/O, urinary rention, especially elders. vitals. wt. adm meds as needed for EPS, AIMS scale, EKG=cardiotoxicity |
| Typical anti-phycotics: Thorazine (chlorpromazine), Prolixin (fluphenazine), Trilafon (perphenazine), Serentil (mesoridazine), Stelazine (trifluoperazine), Mellaril (thioridazine) teaching | drinke 2-3L fluids qd, sugarless gum for dry mouth, high fiber dieat, good oral hygiene, sunscreen, rise slowly, no alcohol, caution driving |
| Typical anti-phycotics: Haldol (haloperidol), Navane (thiothixene) action | dopamine receptor antagonist |
| Typical anti-phycotics: Haldol (haloperidol), Navane (thiothixene) SE | High EPS, low anticholinergic effects |
| Typical anti-phycotics: Haldol (haloperidol), Navane (thiothixene) NS IMP | CBC, liver function tests (Haldol), ocular exams periodically (Navane) |
| Typical anti-phycotics: Haldol (haloperidol), Navane (thiothixene) teaching | report EPS, any symptoms immediately |
| long-acting Haldol decanoate, long-acting Prolixin | dopamine receptor antagonists, given IM every 3-4 weeks |
| ATYPICAL ANTIPSYCOTIC: Risperdal Consta action | maintenance of bipolar 1 or schizophrenia. Long-acting injection often as adjunctive therapy to lithium or valproate |
| ATYPICAL ANTIPSYCOTIC: Risperdal Consta SE | NMS, TD, metabolic hyperglycemia, dyslipidemia, inc body wt, orthostatic hypotension, agranulocytosis, priapism |
| ATYPICAL ANTIPSYCOTIC: Risperdal Consta NS IMP | low EPS< may combine w Clozaril or Haldol, wt gain, insulin resistance |
| ATYPICAL ANTIPSYCOTIC: Risperdal Consta teaching | report symptoms of sore throat, fever, compliance w lab draws, dont stop abruptly, no ETOH, no OTC, med alert card, diet/exercise, rise slowly |
| ATYPICAL ANTIPSYCOTIC: Clozaril (clozapine) action | serotonin-dopamine antagonists |
| ATYPICAL ANTIPSYCOTIC: Clozaril (clozapine) SE | Agranulocytosis, neutropenia, low EPS, wt gain, high anticholinergic |
| ATYPICAL ANTIPSYCOTIC: Clozaril (clozapine) NS IMP | assess biweekly WBC, hold if less than 3000mm, check FBS, controls negative and positive symptoms of schizophrenia, aspiration risk, BP lying/standing, wt, |
| ATYPICAL ANTIPSYCOTIC: Clozaril (clozapine) teaching | report symptoms of sore throat, fever, compliance w lab draws, dont stop abruptly, no ETOH, no OTC, med alert card, diet/exercise, rise slowly |
| ATYPICAL ANTIPSYCOTIC: Seroquel (quetiapine) action | serotonin-dopamine antagonist |
| ATYPICAL ANTIPSYCOTIC: Seroquel (quetiapine) SE | exacerbated hypothyroidism, high sedation, lowers seizure threshold, inc salivation, orthostatic hypo, low EPS, wt gain, cateracts |
| ATYPICAL ANTIPSYCOTIC: Seroquel (quetiapine) NS IMP | avoid extreme temps, wt gain, FBS for insulin resistance, BP lying/standing |
| ATYPICAL ANTIPSYCOTIC: Seroquel (quetiapine) teaching | use sunscreen, diet/exercise, rise slowly |
| ATYPICAL ANTIPSYCOTIC: Zyprexa (olanzapine) action | serotonin-dopamine antagonists |
| ATYPICAL ANTIPSYCOTIC: Zyprexa (olanzapine) SE | lowers seizure threshold, low EPS, sedation, insulin resistance |
| ATYPICAL ANTIPSYCOTIC: Zyprexa (olanzapine) NS IMP | take w food, wt gain, FBS, dec seizure threshold, cardiotoxicity, check EKG, BP lying/standing |
| ATYPICAL ANTIPSYCOTIC: Zyprexa (olanzapine) teaching | use sunscreen, diet/exercise, rise slowly |
| ATYPICAL ANTIPSYCOTIC: Risperdal (respirodone) action | Serotonin-dopamine antagonist |
| ATYPICAL ANTIPSYCOTIC: Risperdal (respirodone) SE | low EPS< may combine w Clozaril or Haldol, wt gain, insulin resistance |
| ATYPICAL ANTIPSYCOTIC: Risperdal (respirodone) NS IMP | check EKG (cardiotoxicity), ortho hypo, asses BP lying/standing |
| ATYPICAL ANTIPSYCOTIC: Risperdal (respirodone) teaching | takes 1-2wks to reach effectiveness, educate about diet and exercise, rise slowly |
| ATYPICAL ANTIPSYCOTIC: Latuda (lurasidone HCL) action | serotonin-dopamine antagonists |
| ATYPICAL ANTIPSYCOTIC: Latuda (lurasidone HCL) SE | angioedema, NMS, TD, inc blood gluecose, ortho hypo |
| ATYPICAL ANTIPSYCOTIC: Latuda (lurasidone HCL) NS IMP | BP lying/standing |
| ATYPICAL ANTIPSYCOTIC: Latuda (lurasidone HCL) teaching | diet/exercise, rise slowly |
| ATYPICAL ANTIPSYCOTIC: Geodon (ziprasidone), Saphris (asenapine) action | serotonin-dopamine antagonists |
| ATYPICAL ANTIPSYCOTIC: Geodon (ziprasidone), Saphris (asenapine) SE | ortho hypo, low EPS, anticholinergic |
| ATYPICAL ANTIPSYCOTIC: Geodon (ziprasidone), Saphris (asenapine) NS IMP | BP lying/standing |
| ATYPICAL ANTIPSYCOTIC: Geodon (ziprasidone), Saphris (asenapine) teaching | diet/exercise, rise slowly |
| ATYPICAL ANTIPSYCOTIC: Abilify (aripiprazole) ACTION | serotonin-dopamine modulator |
| ATYPICAL ANTIPSYCOTIC: Abilify (aripiprazole) SE | ortho hypo, low EPS, wt gain, inc FBS, anticholinergic |
| ATYPICAL ANTIPSYCOTIC: Abilify (aripiprazole) NS IMP | BP standing/lying |
| ATYPICAL ANTIPSYCOTIC: Abilify (aripiprazole) teaching | diet/exercise, rise slowly |
| MEDS FOR EPS> ANTICHOLINERGIC: Cognentin (benztropine), Artane (trihexyphenidyl) action | restores balance of depamine and acetylcholine in CNS |
| MEDS FOR EPS> ANTICHOLINERGIC: Cognentin (benztropine), Artane (trihexyphenidyl) SE | anticholinergic effects, ortho hypo |
| MEDS FOR EPS> ANTICHOLINERGIC: Cognentin (benztropine), Artane (trihexyphenidyl) NS IMP | assess for symptoms, BP standing/lying |
| MEDS FOR EPS> ANTICHOLINERGIC: Cognentin (benztropine), Artane (trihexyphenidyl) teaching | inc fluids and fiber, rise slowly, report symptoms |
| MEDS FOR EPS> ANTIHISTIMINE: Benadryl (diphenhydramine) action | |
| MEDS FOR EPS> ANTIHISTIMINE: Benadryl (diphenhydramine) SE | inc psychosis |
| MEDS FOR EPS> ANTIHISTIMINE: Benadryl (diphenhydramine) NS IMP | assess inc psychosis |
| MEDS FOR EPS> ANTIHISTIMINE: Benadryl (diphenhydramine) teaching | no OTC preps w antihistamines-antagonize psychotropics |
| MEDS FOR EPS> ANTIPARKINSONISM MEDS: Symmetrel (amantadine), Parlodel (bromocriptine) action | inc dopamine releases |
| MEDS FOR EPS> ANTIPARKINSONISM MEDS: Symmetrel (amantadine), Parlodel (bromocriptine) SE | dizzy, confusion, ortho hypo |
| MEDS FOR EPS> ANTIPARKINSONISM MEDS: Symmetrel (amantadine), Parlodel (bromocriptine) NS IMP | taper dose, BP lying/standing |
| MEDS FOR EPS> ANTIPARKINSONISM MEDS: Symmetrel (amantadine), Parlodel (bromocriptine) teaching | caution driving, rise slowly |
| MOOD STABILIZING DRUGS> Lithium carbonate (Eskalith, Lithane, Lithobid, canalith, Lithonate, Lithotabs) action | Enhance reuptake of norepinephrine and serotonin |
| MOOD STABILIZING DRUGS> Lithium carbonate (Eskalith, Lithane, Lithobid, canalith, Lithonate, Lithotabs) SE | dec thyroid func, drowsy, dizzy, HA, dry mouth, thirst, metallic taste, wt gain, hypotension, fine hand tremor, arrhythmias. |
| MOOD STABILIZING DRUGS> Lithium carbonate (Eskalith, Lithane, Lithobid, canalith, Lithonate, Lithotabs) NS IMP | theraputic level is 0.6-1.2mEq/l, acute=1.0-1.5mEq/l, toxicity=1.5mEq/l => STOP MED!! |
| MOOD STABILIZING DRUGS> Lithium carbonate (Eskalith, Lithane, Lithobid, canalith, Lithonate, Lithotabs) TOXICITY | excessive sweating, polyuria, polydipsia, N/V, progressing to oliguria, slurred speech, coma progressing to death |
| MOOD STABILIZING DRUGS> Lithium carbonate (Eskalith, Lithane, Lithobid, canalith, Lithonate, Lithotabs) teaching | drq serum levels 12 hours after last dose, takes 1-2 wks to stabilize mood, do not restrict sodium, maintain 2-3 L of fluid daily |
| MOOD STABILIZING DRUGS> ANTICONVULSANT: Depakote, Depakene, Trileptal (valproic acid), Neurontin (gabapentin), Lamictal (lamotrigine), Tegretol (carbamazepine), Topamax (topiramate) action | anticonvulsants used to stabilize mood. |
| MOOD STABILIZING DRUGS> ANTICONVULSANT: Depakote, Depakene, Trileptal (valproic acid), Neurontin (gabapentin), Lamictal (lamotrigine), Tegretol (carbamazepine), Topamax (topiramate) SE | blood dycrasias, prolong bleeding time, elevated liver enzymes, jaundice, rash |
| MOOD STABILIZING DRUGS> ANTICONVULSANT: Depakote, Depakene, Trileptal (valproic acid), Neurontin (gabapentin), Lamictal (lamotrigine), Tegretol (carbamazepine), Topamax (topiramate) NS IMP | assess signs of bleeding, bruising, bleeding gums, sore throat, serum blood levels, sedation, life threatening pancreatitis. |
| MOOD STABILIZING DRUGS> ANTICONVULSANT: Depakote, Depakene, Trileptal (valproic acid), Neurontin (gabapentin), Lamictal (lamotrigine), Tegretol (carbamazepine), Topamax (topiramate) teaching | serum blood levels, do not stop abruptly, med alert card, no ETOH, caution driving |
| STIMULANTS> Ritalin (methylphenidate), Cylert (pemoline), Adderall (dextroamphetamine), Adderall (dextroamphetamine), Desoxyn (methamphetamine), Provigil (modafinil), Concerta (methylphenidate), Vyvanse (lisdexamfamine) action | CNS stimulant used for ADHD or narcolepsy |
| STIMULANTS> Ritalin (methylphenidate), Cylert (pemoline), Adderall (dextroamphetamine), Adderall (dextroamphetamine), Desoxyn (methamphetamine), Provigil (modafinil), Concerta (methylphenidate), Vyvanse (lisdexamfamine) SE | anorexia, dec appetite, growth retardation in children, insomnia, restlessness, anxiety, GI upset, Leukopenia, anemia, dry mouth |
| STIMULANTS> Ritalin (methylphenidate), Cylert (pemoline), Adderall (dextroamphetamine), Adderall (dextroamphetamine), Desoxyn (methamphetamine), Provigil (modafinil), Concerta (methylphenidate), Vyvanse (lisdexamfamine) NS IMP | 6-8 sm meals/day, periodic interruption of drug, monitor growth, give in am, dec dose, assess for dependency, CBC for liver enzymes, watch for abuse or selling of drug on street, DEA controlled CII-IV |
| STIMULANTS> Ritalin (methylphenidate), Cylert (pemoline), Adderall (dextroamphetamine), Adderall (dextroamphetamine), Desoxyn (methamphetamine), Provigil (modafinil), Concerta (methylphenidate), Vyvanse (lisdexamfamine) teaching | report wt loss, side effects, watch for fatigue, yellowing of eyes |
| STIMULANTS> Strattera (atomoxetine) action | SNRI, inc norepinephrine |
| STIMULANTS> Strattera (atomoxetine) SE | anorexia, wt loss, insomnia, restlessness, GI upset, mood swings |
| STIMULANTS> Strattera (atomoxetine) NS IMP | Restlessness, watch wt loss, suicidal ideation |
| STIMULANTS> Strattera (atomoxetine) teaching | can take w food |
| ANOREXIANTS> Adipex-P (phentermine) action | suppresses appetite or influences metabolism |
| ANOREXIANTS> Adipex-P (phentermine) SE | cardiac symptoms such as SOB, arrhythmias, angina, seizures, may inc BP |
| ANOREXIANTS> Adipex-P (phentermine) NS IMP | baseline EKG, monitor vitals, BP, HR, siezure precautions, insomnia, anxiety |
| ANOREXIANTS> Adipex-P (phentermine) teaching | Monitor BP, discontinue if adverse effects |
| ANTI-ANXIETY> BENZODIAZEPINES: Xanax (alprazolam), Valium (diazepam), Ativan (lorazepam), Librium (chlordiazepoxide), Klonopin (clonazepam) action | potentiate GABA receptor sites, fast acting for acute short term anxiety |
| ANTI-ANXIETY> BENZODIAZEPINES: Xanax (alprazolam), Valium (diazepam), Ativan (lorazepam), Librium (chlordiazepoxide), Klonopin (clonazepam) SE | sedation, confusion, tolerance to drug, paradoxical excitement, ortho hypo, depression |
| ANTI-ANXIETY> BENZODIAZEPINES: Xanax (alprazolam), Valium (diazepam), Ativan (lorazepam), Librium (chlordiazepoxide), Klonopin (clonazepam) NS IMP | effects potentiated w elderly, narcotics, barbituates, alcohol, cimetidine, disulfiram; assess BP lying/standing, hold if pregnant/lactating, DEA controlled C-IV |
| ANTI-ANXIETY> BENZODIAZEPINES: Xanax (alprazolam), Valium (diazepam), Ativan (lorazepam), Librium (chlordiazepoxide), Klonopin (clonazepam) teaching | caution driving, rise slowly, withdrawal effects w long term use, nicotine/caffeine dec effects |
| ANTI-ANXIETY> BETA-BLOCKERS: Tenormin (atenolol), Toprol (metoprolol), Corgard (nadolol), Inderal (propranolol) action | treats somatic effects of anxiety by vasodilation |
| ANTI-ANXIETY> BETA-BLOCKERS: Tenormin (atenolol), Toprol (metoprolol), Corgard (nadolol), Inderal (propranolol) SE | ortho hypo, bradycardia, WPW syndrome, N/V, paradozical HTN if given w clonidine, potentiates hypoglycemic drugs, dizziness, HA |
| ANTI-ANXIETY> BETA-BLOCKERS: Tenormin (atenolol), Toprol (metoprolol), Corgard (nadolol), Inderal (propranolol) NS IMP | BP lying/standing, cardiac assessment d/t inc risk of CHF, caution w COPD, bronchiospasm, contraindicated w asthma |
| ANTI-ANXIETY> BETA-BLOCKERS: Tenormin (atenolol), Toprol (metoprolol), Corgard (nadolol), Inderal (propranolol) teaching | rise slowly, report any cardiac symptoms promptly, take w meals, med card |
| ANTI-ANXIETY> ANTIHISTAMINE: Atarax (hydrozyzine), Vistaril action | dec histamine |
| ANTI-ANXIETY> ANTIHISTAMINE: Atarax (hydrozyzine), Vistaril SE | hypertensive crisis w MAO |
| ANTI-ANXIETY> ANTIHISTAMINE: Atarax (hydrozyzine), Vistaril NS IMP | effects potentiated w CNS depression |
| ANTI-ANXIETY> ANTIHISTAMINE: Atarax (hydrozyzine), Vistaril teaching | caution driving |
| ANTI-ANXIETY> MISC: BuSpar (buspirone) action | serotonin and dopamine antagonist |
| ANTI-ANXIETY> MISC: BuSpar (buspirone) SE | anticholinergic, tremors, chest pain, tachycardia |
| ANTI-ANXIETY> MISC: BuSpar (buspirone) NS IMP | hold if pregnant/lactating, N, monitor HR |
| ANTI-ANXIETY> MISC: BuSpar (buspirone) teaching | report any seizure activity |
| ANTI-ANXIETY> HYPNOTIC: Ambien (zolpidem), Restoril (temazepam), ProSom (estazolam), Halcion (triazolam), Dalmane (flurazepam), Doral (quazepam), Sonata (zaleplon) action | CNS depressant for SHORT TERM, sleep aid |
| ANTI-ANXIETY> HYPNOTIC: Ambien (zolpidem), Restoril (temazepam), ProSom (estazolam), Halcion (triazolam), Dalmane (flurazepam), Doral (quazepam), Sonata (zaleplon) SE | Somnolence, confusion, C-IV controlled IV med, potential for dependence and OD, GI upset |
| ANTI-ANXIETY> HYPNOTIC: Ambien (zolpidem), Restoril (temazepam), ProSom (estazolam), Halcion (triazolam), Dalmane (flurazepam), Doral (quazepam), Sonata (zaleplon) NS IMP | watch combo w other psychotropic meds, explore other sleep aids, suicide assessment |
| ANTI-ANXIETY> HYPNOTIC: Ambien (zolpidem), Restoril (temazepam), ProSom (estazolam), Halcion (triazolam), Dalmane (flurazepam), Doral (quazepam), Sonata (zaleplon) teaching | caution driving, no ETOH, OTC or suicide contract |
| ANTI-DEPRESSANTS>TRI-CYCLICS: Elavil (amitriptyline),Anafranil(clomipramine),Norpramin(desipramine),Sinequan(doxepin),Tofranil(imipramine,Ludiomil(maprotiline),Asendin(amaoxapine),Vivactil(protriptyline),Surmontil(trimipramine),Pamelor(nortriptyline,protr | inc serotonin & norepinephrine |
| ANTI-DEPRESSANTS>TRI-CYCLICS: Elavil (amitriptyline),Anafranil(clomipramine),Norpramin(desipramine),Sinequan(doxepin),Tofranil(imipramine,Ludiomil(maprotiline),Asendin(amaoxapine),Vivactil(protriptyline),Surmontil(trimipramine),Pamelor(nortriptyline,protr | anticholenergic effects, ortho hypo, cardiac arrythmias, wt gain, photosensitivity, inc suicide risk, sedation |
| ANTI-DEPRESSANTS>TRI-CYCLICS: Elavil (amitriptyline),Anafranil(clomipramine),Norpramin(desipramine),Sinequan(doxepin),Tofranil(imipramine,Ludiomil(maprotiline),Asendin(amaoxapine),Vivactil(protriptyline),Surmontil(trimipramine),Pamelor(nortriptyline,protr | BP lying/standing, cardiac assessment, high OD potential-limit quantity available to pt |
| ANTI-DEPRESSANTS>TRI-CYCLICS: Elavil (amitriptyline),Anafranil(clomipramine),Norpramin(desipramine),Sinequan(doxepin),Tofranil(imipramine,Ludiomil(maprotiline),Asendin(amaoxapine),Vivactil(protriptyline),Surmontil(trimipramine),Pamelor(nortriptyline,protr | inc fluids/fiber, take at HS, exercise, sensible eating, sunscreen, no suicide contract, no ETOH, caution driving |
| ANTI-DEPRESSANTS> TETRA-CYCLIC: Desyrel (traodone), Remeron (mirtazapine) action | |
| ANTI-DEPRESSANTS> TETRA-CYCLIC: Desyrel (traodone), Remeron (mirtazapine) SE | inc suicide risk as depression lifts, takes 7-14 days for effect, sedating, anticholinergic effecgts, photosensitivity, cardiac arythmias, wt gain, ortho hypo |
| ANTI-DEPRESSANTS> TETRA-CYCLIC: Desyrel (traodone), Remeron (mirtazapine) NS IMP | no suicide contract, sunscreen, cardiac assessment, BP lying/standing, seizure assessment |
| ANTI-DEPRESSANTS> TETRA-CYCLIC: Desyrel (traodone), Remeron (mirtazapine) teaching | delayed onset to improve mood, caution driving, inc fiber/fluids, sunscreen |
| ANTI-DEPRESSANTS> SNRI: Effexor (venlafaxine), Effexor (venlafaxine), Cymbalta (duloxetine) action | inc serotonin/norepinephrine |
| ANTI-DEPRESSANTS> SNRI: Effexor (venlafaxine), Effexor (venlafaxine), Cymbalta (duloxetine) SE | HTN, anticholinergic effects |
| ANTI-DEPRESSANTS> SNRI: Effexor (venlafaxine), Effexor (venlafaxine), Cymbalta (duloxetine) NS IMP | serotonin syndrome, inc bleeding risk w ASA, NSAIDS |
| ANTI-DEPRESSANTS> SNRI: Effexor (venlafaxine), Effexor (venlafaxine), Cymbalta (duloxetine) teaching | no tryptophan or St. Johns Wort |
| ANTI-DEPRESSANTS> SNRI: Wellbutrin SR or XL (bupropion) action | inc norepinepherine/dopamine |
| ANTI-DEPRESSANTS> SNRI: Wellbutrin SR or XL (bupropion) SE | lowers seizure threshold, agitation, insomnia, restlessness |
| ANTI-DEPRESSANTS> SNRI: Wellbutrin SR or XL (bupropion) NS IMP | restlessness |
| ANTI-DEPRESSANTS> SNRI: Wellbutrin SR or XL (bupropion) teaching | rise slowly,dose 8 hr apart, no ETOH/drugs, lowering seizure risk |
| ANTI-DEPRESSANTS> SSRI: Prozac/Sarafem (fluoxetine), Paxil (paroxetine), Zoloft (sertraline), Luvox (fluvoxamine), Celexa (citalopram), Lexapro (escitalopram), Symbyax (combo of Prozac and Zyprexa) action | blocks reuptake of serotonin, increasing available serotonin at receptor site, anti anxiety, anti-depressant |
| ANTI-DEPRESSANTS> SSRI: Prozac/Sarafem (fluoxetine), Paxil (paroxetine), Zoloft (sertraline), Luvox (fluvoxamine), Celexa (citalopram), Lexapro (escitalopram), Symbyax (combo of Prozac and Zyprexa) SE | inc suicide risk as depression lifts, Prozac inc blood levels of statins, potentates other meds that use same enzymes (except Celexa), insomnia, N, anorexia, HA, restlessness, dec libido, serotonin syndrome, BP, HR, fever, muscle rigidity, coma, death, ME |
| ANTI-DEPRESSANTS> SSRI: Prozac/Sarafem (fluoxetine), Paxil (paroxetine), Zoloft (sertraline), Luvox (fluvoxamine), Celexa (citalopram), Lexapro (escitalopram), Symbyax (combo of Prozac and Zyprexa) NS IMP | assess for serotonin syndrome, in low dose dec anxiety |
| ANTI-DEPRESSANTS> SSRI: Prozac/Sarafem (fluoxetine), Paxil (paroxetine), Zoloft (sertraline), Luvox (fluvoxamine), Celexa (citalopram), Lexapro (escitalopram), Symbyax (combo of Prozac and Zyprexa) teaching | blsck box warning, give w food for N, do not stop abruptly, prozac is approved by FDA for children |
| ANTI-DEPRESSANTS> MAO INHIBITORS: Nardil (phenelzine), Parnate (tranylcypromine), Marplan (isocarboxazid) action | inhibits enzyme monoamine oxidase which inc norepinephrine, dopamine, serotonin |
| ANTI-DEPRESSANTS> MAO INHIBITORS: Nardil (phenelzine), Parnate (tranylcypromine), Marplan (isocarboxazid) SE | HA, insomnia, wt gain, hypoglycemia, high BP, convulsions, coma |
| ANTI-DEPRESSANTS> MAO INHIBITORS: Nardil (phenelzine), Parnate (tranylcypromine), Marplan (isocarboxazid) NS IMP | can not be taken w any other psychotropic drug, min "wash out" time is 2-5 wks, thyamine free diet, HTN crisis occurs w thyamine foods, narcotics, general anesthesia |
| ANTI-DEPRESSANTS> MAO INHIBITORS: Nardil (phenelzine), Parnate (tranylcypromine), Marplan (isocarboxazid) teaching | compliance w thyamine free diet avoid aged cheese, smoked/processed meats, red wines, yeast, fava beans, bananas, avacado, OTC meds |
| ADDICTION/DEPENDENCE> Suboxone (buprenorphine) action | opioid antagonist and partial agonist-antagonist |
| ADDICTION/DEPENDENCE> Suboxone (buprenorphine) SE | inc IOP, CNS depression, acute abdomen |
| ADDICTION/DEPENDENCE> Suboxone (buprenorphine) NS IMP | avoid w benzodiazepines or delirium tremens (DTs) |
| ADDICTION/DEPENDENCE> Suboxone (buprenorphine) teaching | dissolve under tongue, do not swallow, start 4 hr after last opioid use |
| TYPICAL ANTI-PSYCHOTICS: | Thorazine (chlorpromazine), Prolixin (fluphenazine), Trilafon (perphenazine), Serentil (mesoridazine), Stelazine (trifluoperazine), Mellaril (thioridazine) |
| TYPICAL ANTI-PSYCHOTICS: action | dopamine receptor antagonist |
| Thorazine, Prolixin, Trilafon, Serentil, Stelazine, Mellaril SE | High EPS, moderate anticholinergic |
| Thorazine, Prolixin, Trilafon, Serentil, Stelazine, Mellaril NS IMP | assses I/O, urinary rention, especially elders. vitals. wt. adm meds as needed for EPS, AIMS scale, EKG=cardiotoxicity |
| Thorazine, Prolixin, Trilafon, Serentil, Stelazine, Mellaril teaching | drinke 2-3L fluids qd, sugarless gum for dry mouth, high fiber dieat, good oral hygiene, sunscreen, rise slowly, no alcohol, caution driving |
| Haldol, Navane SE | high EPS, low anticholinergic |
| Haldol, Navane NS IMP | CBC, liver function tests (Haldol), ocular exams periodically (Navane) |
| Haldol, Navane teaching | report EPS, any symptoms immediately |
| long acting Haldol and Proxlixin | NS IMP: given IM q 3-4 wks |
| ATYPICAL PSYCHOTICS | ##################################### |
| Risperdal Cosnta action | maintenance of bipolar 1 or schizophrenia, long acting inj often as adjunctive therapy to lithium or valproate |
| Risperdal Consta SE | NMS, TD, metabolic hyperglycemia, dyslipidemia, inc body wt, orthostatic hypotension, agranulocytosis, priapism |
| Risperdal Consta NS IMP | assess BP lying and standing |
| Risperdal Consta teaching | diet/exercise, rise slowly |
| Clozaril (clozapine) action | serotonin-dopamine antagonists |
| Clozaril SE | agranulocytosis, neutropenia, low EPS, wt gain, high anticholinergic |
| Clozaril NS IMP | assess biweekly WBC, hold if less than 3000mm, check FBS, controls negative and positive symptoms of schizophrenia, aspiration risk, assess BP lying/standing, monitor wt, |
| Clozaril teaching | report symptoms of sore throat, fever, compliance w lab draws, do not stop abruptly, no ETOH/OTC meds, med alert card, diet/exercise, rise slowly |
| Seroquel (quetiapine) action | serotonin-dopamine antagonist |
| Seroquel SE | exacerbated hypothyroidism, high sedation, lowers seizure threshold, inc salivation, orthostatic hypo, low EPS, wt gain, cateracts |
| Seroquel NS IMP | avoid extreme temps, wt gain, FBS for insulin resistance, BP lying/standing |
| Seroquel teaching | No ETOH/OTC meds, eye exam q 6 months, diet/exercise, rise slowly |
| Zyprexa (olanzapine) action | serotonin-dopamine antagonists |
| Zyprexa SE | lowers seizure threshold, low EPS, sedation, insulin resistance |
| Zyprexa NS IMP | take w food, wt gain, FBS, dec seizure threshold, cardiotoxicity, check EKG, BP lying/standing |
| Zyprexa teaching | use sunscreen, diet/exercise, rise slowly |
| Risperdal (risperidone) action | serotonin-dopamine antagonist |
| Risperdal SE | low EPS< may combine w Clozaril or Haldol, wt gain, insulin resistance |
| Risperdal NS IMP | check EKG (cardiotoxicity), ortho hypo, asses BP lying/standing |
| Risperdal teaching | takes 1-2wks to reach effectiveness, educate about diet and exercise, rise slowly |
| Latuda (lurasidone HCL) action | serotonin-dopamine antagonists |
| Latuda SE | angioedema, NMS, TD, inc blood gluecose, ortho hypo |
| Latuda NS IMP | BP lying/standing |
| Latuda teaching | diet/exercise, rise slowly |
| Geodon (ziprasidone), Saphris (aripiprazole) action | serotonin-dopamine antagonist |
| Geodon, Saphris SE | ortho hypo, low EPS, anticholinergic |
| Geodon, Saphris NS IMP | BP lying/standing |
| Geodon, Saphris teaching | diet/exercise, rise slowly |
| Abilify (aripiprazole) action | serotonin-dopamine modulator |
| Abilify SE | ortho hypo, low EPS, wt gain, inc FBS, anticholinergic |
| Abilify NS IMP | BP standing/lying |
| Abilify teaching | diet/exercise, rise slowly |
| MEDICATIONS FOR EPS | ##################################### |
| ANTICHOINERGICS | Cogentin (benztropine), Artane (trihexyphenidyl) |
| anticholinergis for EPS action | restores balance of depamine and acetylcholine in CNS |
| Cogentin, Artane SE | anticholinergic effects, ortho hypo |
| Cogentin, Artane NS IMP | assess for symptoms, BP standing/lying |
| Cogentin, Artane teaching | inc fluids and fiber, rise slowly, report symptoms |
| ANTIHISTAMINE FOR EPS | Benadryl (diphenhydramine) |
| Benadryl SE | inc psychosis |
| Benadryl NS IMP | assess inc psychosis |
| Benadryl teaching | no OTC preps w antihistamines-antagonize psychotropics |
| ANTIPARKINSSONISM MEDS FOR EPS | Symmetrel (amantadine), Parlodel (bromocriptine) |
| ANTIPARKINSSONISM MEDS FOR EPS: action | inc dopamine releases |
| Symmetrel, Parlodel SE | dizzy, confusion, ortho hypo |
| Symmetrel, Parlodel NS IMPL | taper dose, BP lying/standing |
| Symmetrel, Parlodel teaching | caution driving, rise slowly |
| MOOD STABLIZING DRUGS | ##################################### |
| Lithium carbonate (Eskalith, Lithane, Lithobid, canalith, Lithonate, Lithotabs) action | enhance reuptake of norepinephrine and serotonin |
| Lithium carbonate (Eskalith, Lithane, Lithobid, canalith, Lithonate, Lithotabs) SE | dec thyroid func, drowsy, dizzy, HA, dry mouth, thirst, metallic taste, wt gain, hypotension, fine hand tremor, arrhythmias. |
| Lithium carbonate (Eskalith, Lithane, Lithobid, canalith, Lithonate, Lithotabs) NS IMP | theraputic level is 0.6-1.2mEq/l, acute=1.0-1.5mEq/l, toxicity=1.5mEq/l => STOP MED!! |
| Lithium carbonate (Eskalith, Lithane, Lithobid, canalith, Lithonate, Lithotabs) TOXICITY | excessive sweating, polyuria, polydipsia, N/V, progressing to oliguria, slurred speech, coma progressing to death |
| Lithium carbonate (Eskalith, Lithane, Lithobid, canalith, Lithonate, Lithotabs) teaching | draw serum levels 12 hours after last dose, takes 1-2 wks to stabilize mood, do not restrict sodium, maintain 2-3 L of fluid daily |
| ANTICONVULSANTS USED TO STABILIZE MOOD | Depakote, Depakene, Trileptal (valproic acid), Neurontin (gabapentin), Lamictal (lamotrigine), Tegretol (carbamazepine), Topamax (topiramate) |
| Depakote, Depakene, Trileptal, Neurontin, Lamictal, Tegretol, Topamax SE | blood dycrasias, prolong bleeding time, elevated liver enzymes, jaundice, rash |
| Depakote, Depakene, Trileptal, Neurontin, Lamictal, Tegretol, Topamax NS IMP | assess signs of bleeding, bruising, bleeding gums, sore throat, serum blood levels, sedation, life threatening pancreatitis. |
| Depakote, Depakene, Trileptal, Neurontin, Lamictal, Tegretol, Topamax teaching | serum blood levels, do not stop abruptly, med alert card, no ETOH, caution driving |
| STIMULANTS | Ritalin (methylphenidate), Cylert (pemoline), Adderall (dextroamphetamine), Adderall (dextroamphetamine), Desoxyn (methamphetamine), Provigil (modafinil), Concerta (methylphenidate), Vyvanse (lisdexamfamine) |
| STIMULANTS action | CNS stimulant used for ADHD or narcolepsy |
| Ritalin, Cylert, Adderall, Desoxyn, Provigi, Concerta, Vyvanse SE | anorexia, dec appetite, growth retardation in children, insomnia, restlessness, anxiety, GI upset, Leukopenia, anemia, dry mouth |
| Ritalin, Cylert, Adderall, Desoxyn, Provigi, Concerta, Vyvanse NS IMP | 6-8 sm meals/day, periodic interruption of drug, monitor growth, give in am, dec dose, assess for dependency, CBC for liver enzymes, watch for abuse or selling of drug on street, DEA controlled CII-IV |
| Ritalin, Cylert, Adderall, Desoxyn, Provigi, Concerta, Vyvanse teaching | report wt loss, side effects, watch for fatigue, yellowing of eyes |
| Strattera (atomoxetine) action | SNRI inc norepinephrine |
| Strattera SE | anorexia, wt loss, insomnia, restlessness, GI upset, mood swings |
| Strattera NS IMP | Restlessness, watch wt loss, suicidal ideation |
| Strattera teaching | can take w food |
| ANOREXIANT | Adipex-P (phentermine) |
| ANOREXIANT action | suppresses appetite or influences metabolism |
| Adipex-P SE | cardiac symptoms such as SOB, arrhythmias, angina, seizures, may inc BP |
| Adipex-P NS IMP | baseline EKG, monitor vitals, BP, HR, siezure precautions, insomnia, anxiety |
| Adipex-P teaching | Monitor BP, discontinue if adverse effects |
| ANTI-ANXIETY | ##################################### |
| BENZODIAZEPINES for Anti anxiety | Xanax (alprazolam), Valium (diazepam), Ativan (lorazepam), Librium (chlordiazepoxide), Klonopin (clonazepam) |
| BENZODIAZEPINES action | potentiate GABA receptor sites, fast acting for acute short term anxiety |
| Xanax, Valium, Ativan, Librium, Klonopin SE | sedation, confusion, tolerance to drug, paradoxical excitement, ortho hypo, depression |
| Xanax, Valium, Ativan, Librium, Klonopin NS IMP | effects potentiated w elderly, narcotics, barbituates, alcohol, cimetidine, disulfiram; assess BP lying/standing, hold if pregnant/lactating, DEA controlled C-IV |
| Xanax, Valium, Ativan, Librium, Klonopin teaching | caution driving, rise slowly, withdrawal effects w long term use, nicotine/caffeine dec effects |
| BETA-BLOCKERS for anti-anxiety | Tenormin (atenolol), Toprol (metoprolol), Corgard (nadolol), Inderal (propranolol) |
| BETA-BLOCKERS action | tx somatic effects of anxiety by vasodialation |
| Tenormin, Toprol, Corgard, Inderal SE | ortho hypo, bradycardia, WPW syndrome, N/V, paradozical HTN if given w clonidine, potentiates hypoglycemic drugs, dizziness, HA |
| Tenormin, Toprol, Corgard, Inderal NS IMP | BP lying/standing, cardiac assessment d/t inc risk of CHF, caution w COPD, bronchiospasm, contraindicated w asthma |
| Tenormin, Toprol, Corgard, Inderal teaching | rise slowly, report any cardiac symptoms promptly, take w meals, med card |
| ANTIHISTAMINE for anti-anxiety | Atarax (hydrozyzine), Vistaril |
| ANTIHISTAMINE for anti-anxiety: action | dec histamine |
| Atarax, Vistaril SE | hypertensive crisis w MAO |
| Atarax, Vistaril NS IMP | effects potentiated w CNS depression |
| Atarax, Vistaril teaching | caution driving |
| MISC for anti-anxiety | BuSpar (buspirone) |
| BuSpar action | serotonin and dopamine antagonist |
| BuSpar SE | anticholinergic, tremors, chest pain, tachycardia |
| BuSpar NS IMP | hold if pregnant/lactating, N, monitor HR |
| BuSpar teaching | report any seizure activity |
| HYPNOTICS | Ambien (zolpidem), Restoril (temazepam), ProSom (estazolam), Halcion (triazolam), Dalmane (flurazepam), Doral (quazepam), Sonata (zaleplon) |
| HYPNOTICS action | CNS depressant for SHORT TERM, sleep aid |
| Ambien, Restoril, ProSom, Halcion, Dalmane, Doral, Sonata SE | Somnolence, confusion, C-IV controlled IV med, potential for dependence and OD, GI upset |
| Ambien, Restoril, ProSom, Halcion, Dalmane, Doral, Sonata NS IMP | watch combo w other psychotropic meds, explore other sleep aids, suicide assessment |
| Ambien, Restoril, ProSom, Halcion, Dalmane, Doral, Sonata teaching | caution driving, no ETOH, OTC or suicide contract |
| ANTI-DEPRESSANTS> TRI-CYCLICS | Elavil(amitriptyline), Anafranil (clomipramine), Norpramin (desipramine), Sinequan (doxepin), Tofranil (imipramine, Ludiomil (maprotiline), Asendin (amaoxapine), Vivactil (protriptyline), Surmontil (trimipramine), Pamelor (nortriptyline, protriptyline) |
| TRI-CYCLICS for anti-depressant action | inc serotonin and norepinephrine |
| Elavil, Anafranil, Norpramin, Sinequan, Tofranil, Ludiomil, Asendin, Vivactil, Surmontil, Pamelor SE | anticholenergic effects, ortho hypo, cardiac arrythmias, wt gain, photosensitivity, inc suicide risk, sedation |
| Elavil, Anafranil, Norpramin, Sinequan, Tofranil, Ludiomil, Asendin, Vivactil, Surmontil, Pamelor NS IMP | BP lying/standing, cardiac assessment, high OD potential-limit quantity available to pt |
| Elavil, Anafranil, Norpramin, Sinequan, Tofranil, Ludiomil, Asendin, Vivactil, Surmontil, Pamelor teaching | inc fluids/fiber, take at HS, exercise, sensible eating, sunscreen, no suicide contract, no ETOH, caution driving |
| TETRA-CYCLICS for anti-depressants | Desyrel (traodone), Remeron (mirtazapine) |
| Desyrel, Remeron SE | inc suicide risk as depression lifts, takes 7-14 days for effect, sedating, anticholinergic effecgts, photosensitivity, cardiac arythmias, wt gain, ortho hypo |
| Desyrel, Remeron NS IMP | no suicide contract, sunscreen, cardiac assessment, BP lying/standing, seizure assessment |
| Desyrel, Remeron teaching | delayed onset to improve mood, caution driving, inc fiber/fluids, sunscreen |
| SNRIs for anti-depressant | Effexor (venlafaxine), Cymbalta (duloxetine), Pristiq Q (desvenlaaxine) |
| SNRIs for anti-depressant: action | inc serotonin/norepinephrine |
| Effexor, Cymbalta , Pristq Q SE | HTN, anticholinergic effects |
| Effexor, Cymbalta , Pristq Q NS IMP | serotonin syndrome, inc bleeding risk w ASA, NSAIDS |
| Effexor, Cymbalta , Pristq Q teaching | no tryptophan or St. Johns Wort |
| Wellbutrin SR or XL (bupropion) action | inc norepinephrine and dopamine |
| Wellbutrin SE | lowers seizure threshold, agitation, insomnia, restlessness |
| Wellbutrin NS IMP | restlessness |
| Wellbutrin teaching | rise slowly,dose 8 hr apart, no ETOH/drugs, lowering seizure risk |
| SSRIs for antidressants | Prozac/Sarafem (fluoxetine), Paxil (paroxetine), Zoloft (sertraline), Luvox (fluvoxamine), Celexa (citalopram), Lexapro (escitalopram), Symbyax (combo of Prozac and Zyprexa) |
| SSRIs for antidressants: action | blocks reuptake of serotonin, increasing available serotonin at receptor site, anti anxiety, anti-depressant |
| Prozac/Sarafem, Paxil, Zoloft, Luvox, Celexa, Lexapro, Symbyax SE | inc suicide risk as depression lifts, Prozac inc blood levels of statins, potentates other meds that use same enzymes (except Celexa), insomnia, N, anorexia, HA, restlessness, dec libido, serotonin syndrome=BP, HR, fever, muscle rigidity, coma, death, |
| Prozac/Sarafem, Paxil, Zoloft, Luvox, Celexa, Lexapro, Symbyax NS IMP | assess for serotonin syndrome, in low dose dec anxiety |
| Prozac/Sarafem, Paxil, Zoloft, Luvox, Celexa, Lexapro, Symbyax teaching | black box warning, give w food for N, do not stop abruptly, Prozac is approved by FDA for children |
| MAO INHIBITORS for anti-depressants | Nardil (phenelzine), Parnate (tranylcypromine), Marplan (isocarboxazid) |
| MAO INHIBITORS for anti-depressants: action | inhibits enzyme monoamine oxidase which inc norepinephrine, dopamine, serotonin |
| Nardil, Parnate, Marplan SE | HA, insomnia, wt gain, hypoglycemia, high BP, convulsions, coma |
| Nardil, Parnate, Marplan NS IMP | can not be taken w any other psychotropic drug, min "wash out" time is 2-5 wks, thyamine free diet, HTN crisis occurs w thyamine foods, narcotics, general anesthesia |
| Nardil, Parnate, Marplan teaching | dissolve under tongue, do not swallow, start 4 hr after last opioid use |
| ADDICTION/DEPENDENCE | ##################################### |
| Suboxone (buprenorphine) action | opioid antagonist and partial agonist-antagonist. for narcotic and opioid dependency |
| Suboxone SE | inc IOP, CNS depression, acute abdomen |
| Suboxone NS IMP | avoid w benzodiazepines or delirium tremens (DTs) |
| Suboxone teaching | dissolve under tongue, do not swallow, start 4 hours after last opioid use |
| akinesia | muscular weakness or partial loss of muscle mvt |
| akathisia | restlessness, urgent need for movt |
| dystonia | involuntary muscle mvt. spasms of face, arms, legs, neck |
| pseudo-parkinsonism | mimic side effects of parkinsons. temor, shuffling gait, drooling and rigidy |
| oculogyric crisis | rotating of eyeballs |
| tardive dyskinesia | facial, tongue mvt, stiff neck, difficulty swallowing |
| neuroleptic malignant syndrome | severe muscle rigidity, high fever, tachycardia, fluctuations in BP, diaphoresis, rapid deterioration of mental status to stupor and coma |
Created by:
vstein
Popular Nursing sets