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9 Cards in this Set
- Front
- Back
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Haloperidol, Fluphenazine, Thioridazine
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Classical (Typical) Antipsych
Da blocker (+) Sx SE: hyperprolactinemai, EPS, tardive dyskinesia (perminant, unethical LT) No dry mouth! |
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Clozapine
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Atypical Anti-psych
Agranulocytosis w/ rare blood d/o Dec EPS/prolactinemia Also hits some (-)sx w/ (+) Yes: sedation & postural hypotension 1st gen, heavily used. |
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Olanzapine
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Atypical
Best seller! Causes most wt gain No prolactin |
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Risperadone
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Atypical -- AVOID
INC PROLACTIN & some EPS inc Tx (+) and (-) sx Da blocker |
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Ariprazole (Abilify)
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Atypical
DA partial ag If overactive, will tone them down. NO postural hypotension, prolactin, or dry mouth*** YES sedation |
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Quetapine
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Typical
No prolactin Yes: sedation, postural hypotension, wt gain Has mixed results clinically, b/c pt quit taking it. |
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Lorazepam (Ativan)***
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Sedative
BZ (anxiolytic, muscle relaxant, hypnotic) Rapid onset, short duration Dec risk of haloperidol EPS TX for agitated pt (common in all ER)*** TX Neuroleptic Malignant Syndrome (w/ Dantrolene + Bromocriptine) |
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What is a lethal combo?
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Mixing atypical antipsch + BZ
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General
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Lost of off-lable use
All atypicals = wt gain (watch to metab syndrom...use metformin)*** |
