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90 Cards in this Set

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what med is most commonly used for aggression
Geodon (ziprasidone)
What are some antipsychotic drugs
Geodon, Thorazine, Risperdal, Zyprexa, Mellaril, Haldol
What are 2 very common antipsychotic
Haldol and Mellaril
What is a 1st generation antipsychotic that isn't used much anymore due to the horrible side effects
Thorazine
What are some meds used to help EPS?
Inderal, Benadryl, Cogentin
What are some antidepressants
Prozac, Paxil, Zoloft, Cymbatta, Nardil (Remeron, Sinequan, Tofranil)
What is Geodon used for
Manic phase of Bipolar, Schizophrenia, Aggression
What are the EPS
extrapyramidal syndrome, hypertonia, dystonia, dyskinesia, hypokinesia, tremor, paralysis and twitching.
What should you watch taking with Geodon
Thorazine, Mellaril, Haldol, Tegretol
What might be some side effects of Geodon
dizziness, fast heartbeat, fever, tremor, restless movement in eye, tongue, neck, agitation, muscle pain or twitching, drowsiness, cough, weight gain
What is a severe blood cell reaction that thorazine may cause and what should you tell patients
agranulocytosis, tell patients to immediately report sore throat or other signs of infection
Signs of Tardive dyskinesia
fine, worm-like movements of the tongue, or other uncontrolled movements of the mouth, tongue, cheeks, jaw, or arms and legs
What may cause tardive dyskinesia
antipsychotics, especially first generation like thorazine
What are some side effects of Mellaril
tachycardia, drowsiness, dry mouth, N and V, pallor, RARE EPS, tardive dyskinesia, chronic use may cause NMS (neuroleptic malignant syndrome)
What is NMS
neuroleptic malignant syndrome: shown by hyperpyrexia, muscle rigidity, altered mental status, and evidence of autonomic instability (irregular pulse or blood pressure, tachycardia, diaphoresis, and cardiac dysrhythmias).
Side effects of Haldol
tachycardia, hypo and hypertension, frequent EPS, akathisia, dystonia, tardive dyskinesia, tardive dystonia, NMS, hyperthermia, heat stroke
When should haldol be administered cautiously
to patients that have seizures because it can lower the seizure threshold
What should you watch when taking Cogentin with it
Haldol (or other antipsychotics): hyperthermia, heat stroke, paralytic ileus

and dont take with patients with tardive dyskinesia
What is haldol used for
schizophrenia, hallucinations, psychotic states, and delirium
WHat should you not take Haldol with
CNS depressants
Side effects of haldol
tardive dyskinesia, EPS, akathisia, lethargy, muscle weakness, tremors, weight gain, and depression in long term, NMS
Akathisia
anxiety, dysphoria, and an inability to remain motionless
What group of drugs does prozac belong to
selective serotonin reuptake inhibitors/ SSRIs
WHat is prozac used to treat
DEPRESSION, bulimia nervosa (an eating disorder) obsessive-compulsive disorder, panic disorder, and premenstrual dysphoric disorder (PMDD).
What can you not take Prozac with?
Mellaril, MAOI, Nardil
only antidepressant that is FDA-approved for use in children with depression
Prozac
WHat kind of thoughts may those starting out on antidepressants have
suicidal
What can increase the side effects of Prozac
Alcohol or any medicines that make you drowsy
Some serious side effects of Prozac
seizure (convulsions);

tremors, shivering, muscle stiffness or twitching;

a red, blistering, peeling skin rash;

problems with balance or coordination; or
agitation, confusion, sweating, fast heartbeat.
What type of medicine is Paxil
SSRI- antidepressant
What is Paxil used for
DEPRESSION, panic disorder, social anxiety disorder, PMDD, OCD, PTSD
may cause heart defects or serious, life-threatening lung problems in newborn babies whose mothers take the medication during pregnancy
antidepressants like Paxil, Prozac, ...
What should you not take Paxil with

and what should you tell your MD if you're taking with it
MAOI, Mellaril

Strattera, Risperdol, St. John's Wort, other antidepressants, Thorazine
What is Zoloft used to treat
DEPRESSION AND OCD, panic disorder, anxiety disorder, PTSD, or PMDD
What type of drug is Zoloft
anti depressant SSRI
What should you not take Zoloft with
Nardil, MAOI
What may be some problems with Zoloft
trouble ejaculating, dry mouth, diarrhea, insomnia, nausea, orthostatic hypotension, syncope
What group of drugs does Cymbalta belong to
SSNRIs (selective serotonin and NE reuptake inhibitors)- antidepressant
What is Cymbalta given for
Major depressive disorder and Generalized anxiety disorder
What should you not take with Cymbalta
MAOI, Mellaril, Nardil
What should you not drink when talking Cymbalta
alcohol (may increase the liver damage) and medicines that make you sleepy
Some less serious side effects of Cymbalta
constipation;

drowsiness, dizziness, headache;

sleep problems (insomnia);

weight changes;

feeling anxious or nervous, increased sweating;

sore throat; or

decreased sex drive, impotence, or difficulty having an orgasm.
What type of drug is Nardil
MAOI
What is Nardil for
depression as well as anxiety or phobias mixed with depression
WHat is an enzyme responsible for breaking down certain neurotransmitters (chemical messengers) in the brain
MAO (mono amine oxidase)
Foods to avoid when on Nardil or other MAOIs
Beer (including alcohol-free or reduced-alcohol beer)
Caffeine (in excessive amounts)
Cheese (except for cottage cheese and cream cheese)
Chocolate (in excessive amounts)
Dry sausage (including Genoa salami, hard salami, pepperoni, and Lebanon bologna)
Fava bean pods
Liver
Meat extract
Pickled herring
Pickled, fermented, aged, or smoked meat, fish, or dairy products
Sauerkraut
Spoiled or improperly stored meat, fish, or dairy products
Wine (including alcohol-free or reduced-alcohol wine)
Yeast extract (including large amounts of brewer's yeast)
Yogurt
What meds should you not take with MAOIs
other antidepressants, appetite depressants, nasal decongestants
some side effects of MAOIs
orthostatic hypotension, water retention, weight gain, drowsiness, dizziness, sexual problems
What may stopping Nardil abruptly cause
withdrawal symptomsq
What is lithium used to treat
manic episodes of manic depression (bipolar)
Manic symptoms
hyperactivity, rushed speech, poor judgment, reduced need for sleep, aggression, and anger
Early signs of lithium toxicity
nausea, vomiting, diarrhea, drowsiness, muscle weakness, tremor, lack of coordination, blurred vision, or ringing in your ears
What should you do with lithium
drink lots of water: dehydration can cause toxicity and watch your sodium level
WHat drugs should you watch when taking with lithium
Prozac, Haldol, Thorazine, Risperdal, Geodon, Zyprexa, (any meds for psychiatric disorders)
Anticonvulsants often used to treat mood disorders
Depakote and Tegretol
some lithium side effects
tremor, thirst, increased urination, weight gain, thyroid abnormalities, and electrocardiogram (EKG) changes
What is prescribed as the first line mood stabilizing anti convulsant due to less serious side effects
Depakote
What is tegretol used for
seizures and bipolar
What should you not take if you've had an MAOI in the last 14 days
Tegretol
WHat may stopping catapres suddenly cause
severely high blood pressure, nervousness, and anxiety
What should you know about catapress
may cause severe dizziness, drowsiness, orthostatic hypotension, do not combine with anything that makes you drowsy (alcohol, pain med, sleeping pills, etc)
WHat is used for high blood pressure but may be used to treat Tourettes and alcohol withdrawal
Catapres
What should you not take with Catapres
medicines that make you sleepy and tricyclic antidepressants (like Tofranil)
What group of drugs if Xanax in
benzodiazepines: antianxiety
What is xanax used to treat
anxiety disorders, panic disorders, and anxiety caused by depression
What are some teachings about Xanax
do not take with alcohol or anything that makes you sleepy, it may be habit forming
What is important to know about valium
may cause severe drowsiness, avoid alcohol (drowsy or seizure), habit forming
What class of drugs is valium
benzodiazepines
What is valium used for
to treat anxiety, nervousness and tension from anxiety disorders, some seizure disorders and muscle spasms
What may valium worsen
narrow angle glaucoma
used to treat obsessive ruminations
SSRI- zoloft, paxil, prozac
What should you not take with BuSpar
MAOI, alcohol, grapefruit and grapefruit juice, do not take longer than 4 weeks, things that make you sleepy
What does Buspar treat
Antianxiety med used to treat symptoms of anxiety, such as fear, tension, irritability, dizziness, pounding heartbeat, and other physical symptoms
What drugs may affect BuSpar
meds for psychiatric disorders (thorazine, haldol, mellaril), Tegretol
What is used for ADHD
Dexedrinm, Adderall, Ritalin, Focalin, Concertam, Stratterra
What is used most for ADHD
Addreall
What is adderall
used for ADHD and narcolepsy: has abuse potential
side effects of adderall
children: labile emotions, dry mouth, trouble sleeping, decreased appetite

adults: dry mouth, loss in appetite, bad breath, weight loss, symptoms of depression/anxiety
What should you not take with adderall
SSRI, NRI, SNRI, MAOI, tricyclic depressants
What is stratterra used for
ADHD
What should you not take with Stratterra
MAOI, avoid handling open capsule content
What meds MAY affect Stratterra
Tagamet, Prozac, Paxil, Zoloft, Benedryl
WHat is used to treat alcoholism by causing severe sensitivity
antabuse
WHat may occur if alcohol is ingested while taking antabuse
, thirst, chest pain, vertigo, and low blood pressure may occur when alcohol is ingested during Antabuse therapy. 12 hours/ even cold medicines, alcohol wipes, mouth wash, etc
What is methadone used for
opiate addiction but it causes its own addiction
What is ReVia given for
alcohol dependence and narcotic addiction
What must you be before taking revia
drug free for 7-10 days: it can cause problems if drugs still in system
ReVia side effects for alcohol withdrawal
Dizziness, fatigue, headache, nausea, nervousness, sleeplessness, vomiting
ReVia side effects for narcotic addiction
Abdominal pain/cramps, anxiety, difficulty sleeping, headache, joint and muscle pain, low energy, nausea and/or vomiting, nervousness
Some side effects/issues with ReVia
may cause liver damage, may cause coma if take high amount of narcotics, do not take antabuse, Carry emergency alert card because it blocks med for surgery