Monica's Psychotropic Medication List

Front 1

Phenothiazine
1. What is it
2. 2 kinds

Back 1

traditional antipsychotic
1. Most prescribed neuroleptic to control positive symptoms

2. Includes chlorpromazine (aka Thorazine) and Fluphenazine (aka Prolixin or Permitil)

Front 2

What's bad about Haloperidol

Back 2

Haldol
Most severe extrapyrimidal symptoms

Front 3

NMS- Nauroleptic malignant syndrome

Back 3

1. SE of antipsychotics
Rapid onset of motor, mental, and autonomic symptoms, like muscle rigidity, tachycardia, hyperthermia, and altered consciousness
2. FATAL if drugs aren't immediately stopped

Front 4

Tardive Dyskenesia
1. What is it
2. Who gets it
3. What's it similar to
4. What alleviates it

Back 4

1. Extrapyramidal SE
2. More common in females and elderly
3. Similar to Huntingtons
4. Alleviated by giving a benzo

Front 5

Huntingtons Chorea

Back 5

Involuntary jerky movements of the face, arms and trunk
Symptoms look like TD

Front 6

Resperidone
1. What is it
2. Problem

Back 6

1. Popular atypical antipsychotic
2. Slower onset than traditional antipsychotics

Front 7

TCA's
1. How do they work
2. What depression symptoms do they treat?
3. What are other uses (5)

Back 7

1. Block the reuptake of norepinephrine, dopamine and/or serotonin at the nerve synapses
2. Vegetative and somatic symptoms of depression - weight loss, sleep disturbances,etc.
3. Panic Disorder, Agoraphobia, OCD, Bulimia and enuresis

Front 8

Atypical antipsychotics
1. What do they do?
2. How
3. Why better than TCAs

Back 8

1.Treat positive and negative schizophrenia
2. Block dopamine (especially D4)and serotonin

3. No TD, less EPS

Front 9

Anticholinergic SEs
1. What are they
2. How long does tolerance take?

Back 9

1. Blurred vision, urinary retention, constipation, dry mouth, sexual dysfunction, confusion
2. Tolerance within a few weeks to months

Front 10

What are Olanzepine, Respiridone and Quietapine?

Back 10

Atypical antipsychotics

Front 11

Clozapine
1. What is it
2. How does it work
3. Other uses (3)

Back 11

1. Clozaril
Atypical antipsychotic
2. Acts on D4 and other dopamine receptors
3. Alcohol/drug addictions, Bipolar, Motor symptoms of Huntingtons, Parkinsons, and other movement disorders

Front 12

Catecholomine hypothesis

Back 12

Depression is caused by low levels of serotonin
SO, TCA's block reuptake of norepinephrine, serotionin and/or domanine at nerve synapses so it stays in the system

Front 13

Schizo vs Depression re: Serotonin

Back 13

Schizo: Too much serotonin
Depression: Not enough serotonin

Front 14

Tofranil

Back 14

Imipramine
Treats enuresis
TCA

Front 15

Anafranil

Back 15

Clormipramine
TCA
Treats OCD

Front 16

Amitryptyline and Doxepin

Back 16

TCAs

Front 17

SEs of TCAs

Back 17

Anticholinergic SEs
Cardiotoxic - tachycardia, palpitation, hypertension, cardiac arrythmia
Anticholinergic SEs
Confusion, drowsiness, wight gain, fine tremor

Front 18

SSRIs
Selective Serotonin Reuptake Inhibitors
1. What are they
2. What do they treat
3. Why are they better than TCAs (3 reasons)

Back 18

1. New antidepressants
2. Treat melancholic depression
3. Less cardiotoxic
Less likely for cognitive impairment
More rapid onset

Front 19

SEs of SSRIs

Back 19

Gastrointestinal problmes (Nausea and constipation/diahrrea) insomnia, dizziness and tremor

Front 20

Other uses for SSRIs (4)

Back 20

OCD, Bulimia, PTSD and Panic Disorder

Front 21

Prozac

Back 21

Fluoxetine
SSRI

Front 22

Paxil

Back 22

Paroxetine
SSRI

Front 23

Zoloft

Back 23

Sertraline
SSRI

Front 24

MAOIs
Monomine Oxidase Inhibitors
1. When used
2. What does it treat
3. How

Back 24

1. Only used when no response to a TCA or an SSRI
2. Treats atypical depression symptoms (anxiety, hypersomnia)
3. Inhibits the enzyme that helps block dopamine, norepinephrine and serotonin

Front 25

SEs of MAOIs

Back 25

Anticholinergic SEs
Insomnia, agitation, confusion, weight gain, tremor, rash, hypertensive crisis

Front 26

Hypertensive crisis
1. What is it
2. What causes it

Back 26

1. SE of MAOIs
2. Can occur if MAOIs are taken with barbituates, antihistamines, amphetamines or foods with the amino acid tyramine (aged cheese and meats, bananas)

Front 27

Isocarboxadid
Phenelzine
Tranylcypromine

Back 27

MAOIs

Front 28

Buproprion
1. Neuros
2. What is it
3. What does it treat (2 things)

Back 28

Wellbutrin
1. NDRI (Norepinephrine Dopamine Reuptake Inhibitor)
2. New antidepressant
3. Treats major depresion and the depressive phase of bipolar
Treats people who don't respond well to other antidepressants

Front 29

Zyban
1 What is it
2 Neuros

Back 29

Wellbutrin's name when used for smoking cessation
NDRI (Norepinephrine Dopamine Reuptake Inhibitor)

Front 30

Venlafazine
1. What is it
2. Neuros
3 What does it treat (3)
4. Benefits

Back 30

1. Effexor -New antidepressant
2. SNRI (Selective Norepinephrine Reuptake Inhibitor)
3. Depression, OCD and GAD
4. Faster onset, less dangerous re SEs

Front 31

New antidepressants
1. What do they treat
2. Benefits (3)

Back 31

Treats Maj Dep and depressive phase of bipolar
Fewer anticholinergic SEs
Less cardiotoxic than TCA's re: overdose
No sexual dysfunctions

Front 32

Venlazaxine SE

Back 32

Increases blood pressure- need frequent heart monitoring

Front 33

Nefazodone - what is it?

Back 33

Serzone
SARI
Serotonin-2 antagonists/Reuptake Inhibitors

Front 34

Nefazodone SEs

Back 34

(Serzone)
Dry mouth, nausea, dizziness, vision problems and confusion

Front 35

Trazodone

Back 35

Desyrel
SARI
Serotonin-2 antagonists/Reuptake Inhibitors

Front 36

Trazodone SEs

Back 36

Sedation, dizziness, nausea, headache

Front 37

Lithium
1. What does it do?
2. How

Back 37

1. Reduces manic symptoms and mood swings of Bipolar
2. Reuptakes serotonin and norepinephrine

Front 38

Lithium Toxicity
1. Symptoms
2. How to prevent

Back 38

Major danger when dose is too high
Diarrhea, nausea, slurred speech, sedation, loss of coordination, fine hand
tremor, seizures, coma and death
2. Monitor serum levels

Front 39

Anticonvulsant drugs that act as mood stabilizers
1. When would you use it
2. Who does it treat
3. Who is it better for

Back 39

1. Affects serotonin levels
2. Treats people who don't respond to lithium
3. Better than lithium for rapid cyclers and Dysphoric Mania

Front 40

Carbamazapine SEs

Back 40

Dizziness, ataxia, visual disturbances, anorexia, nausea and rash
Tolerance develops quickly
Blood monotoring required

Front 41

Valproic acid

Back 41

Depakote
Anticonvulsant drug that is a mood stabilizer

Front 42

Conazepam

Back 42

Klonipin
Anticonvulsant drug that is a mood stabilizer

Front 43

Carbamazapine
1. What is it
2. Who is it best for (2)
3. How does it work?

Back 43

Tegretol
Anticonvulsant drug that is a mood stabilizer
2. Best for rapid cyclers and people with dysphoric mania
3. Affects serotonin levels

Front 44

Barbituates
1.How do they work?
2. Problems

Back 44

1.Interrupt impulses to the RAS (reticular activating system)

2.Rarely prescribed because of lethal effects
Withrawal symptoms can be life threatening
Frequently involved in suicides and accidental deaths

Front 45

Amorbarbital
Pentobarbital
Secobarbital
Pentobarbital

Back 45

Barbituates

Front 46

Benzodiazepines
1. What's it used for (6)
2. How does it work?

Back 46

Most widely used psychatric medication
1.Useful for anxiety, sleep disturbances, seizures, cerebral palsy, alcohol withdrawal, and disorders involving muscle spasms

2. Stimulates GABA

Front 47

Benzodiazepines: Most common SEs

Back 47

Drowsiness, slurred speech, ataxia

Front 48

1.Alprazolam
2.Oxazepam
3.Triazolam
4.Chordiazepoxide
5.Diazepam

Back 48

Benzos

Front 49

Lorazepam

Back 49

Ativan
Benzo

Front 50

Azapirone
1. What is it?
2. What makes it different (3)

Back 50

1. Anxiolytic
2.
No sedation
Not addictive
Not immediately effective - takes several weeks

Front 51

Beta Blocker

Back 51

Propanolol (Inderal)

Front 52

Beta Blocker Treats (5)

Back 52

High blood pressure, Cardiovascular disorders, migraines, glaucoma, physical symptoms of anxiety (sweating, tremor, etc)

Front 53

How Beta Blockers work

Back 53

Block adrenergic receptors that respond to epinephrine and norepiniphrine - diminishes the exitatory response of epenephrine and norepinephrine

Front 54

1. Propanolol SE
2. When lethal?
3. Stopping abruptly?

Back 54

(Beta blocker)
1. Bradycardia, shortness of breath, nausea, depression and dizziness

2.Lethal for people with respiratory problems

3. Stopping abruptly causes sweating, headache and cardiac arrythmias

Front 55

Narcotic-Analgesics

Back 55

Opioids
Used to treat diahrrea and coughs

Front 56

What opioids do

Back 56

Short lived "rush" of euphoric feelings followed by
tranquility, drowsiness, apathy, decreased activity and impaired attention and momory

Front 57

Atypical antipsychotics and motor symptoms

Back 57

Alleviates motor symptoms of Huntingtons and Parkinsons

Front 58

Dopamine hypothesis

Back 58

Schozo is caused by overactivity of dopampine receptors. SO
Traditional antipsychotics block them

Front 59

Opioid tolerance and withdrawal

Back 59

Users become dependent to avoid withdrawal symptoms
Flu symptoms
Nausea, cramps, fever, joint pain, insomnia

Front 60

Methadone
1. What's it do
2. Addiction/withdrawal
3. How taken

Back 60

1. Opioid used for herioin detox

2. Nearly as addictive but withdrawal symptoms milder

3. Can be taken orally to avoid syringe heroin use

Front 61

Amphetamines
1. What is it?
2. How does it work?

Back 61

1. Psychostimulant used for narcolepsy and ADHD

2. Release norepinephrine and dopamine THEN block their reuptake

Front 62

Methylphenidate
1. Treats
2. Neuro

Back 62

1. Treats ADHD in children and adults

2. Release norepinephren and dopamine THEN block their reuptake

Front 63

1. Amphetamine SEs
2. Prolonged use

Back 63

1. Restlessness, insomnia, poor appetite, tremor, palpitations and cardiac arrhythmia.

2. Prolonged use can lead to a psychotic state that looks like Paranoid schizo

Front 64

Methylphenidate SEs

Back 64

(Ritalin)
Dysphoria, euphoria, irritability, anxiety, decreased appetite, insomnia

Front 65

Drug Holidays

Back 65

Used to prevent growh suprression associated with Ritalin

Front 66

Resperidone
1. How does it work
2. SEs

Back 66

1. Act on D4 and other dopamine receptors
2.
Anticholinergic SEs
Agranolcytosis - need careful blood monitoring
NMS

Front 67

Fluphenazine
1. What is it
2. How does it work

Back 67

1. Traditional antipsychotic
2. Blocks dopamine receptors (especially D2 receptors)

Front 68

Fluphenazine
3. Side Effects

Back 68

Anticholinergic SEs
EPS, especially TD
NMS

Front 69

EPS examples

Back 69

Extrapyramidal SEs
Parkinsonism, akathisis, acute dystonia (muscle spansms in mouth, face and neck)

Front 70

Atypical antipsychotics
4. Problem
5. SEs

Back 70

4. Slower onset than traditional
5. NMS, Anticholinergice effects, lowered seizure threshold, sedation
Agranulocytosis - careful blood monitoring

Front 71

TCA overdose

Back 71

Lethal - small quantities for suicidal clients
Ataxia, impaired concentration, agitation, fever, arrythmia, delirium, seizures and coma

Front 72

Fluoxetine

Back 72

Prozac
SSRI

Front 73

Imipramine

Back 73

TCA
Treats enuresis

Front 74

Clomipramine

Back 74

TCA
OCD

Front 75

Wellbutrin
1. What is it
2. How does it work?

Back 75

1. Buproprion - Newer antidepressant
2. Norepineptrine Dopamine Reuptake Inhibitor (NDRI)

Front 76

Zyban

Back 76

The name Wellbutrin is called when it is used for smoking cessation

Front 77

Effexor
1. What is it
2. How does it work?

Back 77

1. Newer antidepressant
2. SNRI - Serotonin, Norepinephirne Reuptake Inhibitor

Front 78

Effexor
3. Uses
4. Benefits (2)
5. SE

Back 78

3. Depression, OCD and GAD
4. Less dangerous than TCAs, faster onset
5. May increase blood pressure

Front 79

Nefazodone
1. What is it
2. What does it treat
3. SEs

Back 79

1.Serzone - neweer antidepresant
Serotonin-2 antagonists/reuptake inhibitors
2.Treat the depressive phase of Bipolar
3.Sleepiness, dry mouth, nausea, dizziness, blurred vision and confusion

Front 80

Trazodone
1. What is it
2. What does it treat
3. SEs

Back 80

1.Serotonin-2 antagonists/reuptake inhibitors
2. Newer antidepressant that also treats Bipolar depressive phase
3. Sedation, dizziness, nausea and headache

Front 81

Buproprion
1. What is it
2. Benefits (4)
3. Problems (2)

Back 81

1.Newer antidepressant - Wellbutrin
2. Fewer anticholinergic SEs than TCAs, Less cardiotoxic than TCAs, No sexual dysfunction, Good for people who don't respond to other antidepresssants
3. May aggravate preexisting psychosis and seizures

Front 82

Lithium SEs

Back 82

Fine hand tremor, nausea, polyuria and polydipsia

Front 83

Depakote

Back 83

Valproic acid
Anticonvulsant for Bipolar

Front 84

Klonopin

Back 84

Clonazepam
Anticonvulsant for Bipolar

Front 85

Tegretol

Back 85

Carbamazepine
Anticonvulsant for Bipolar

Front 86

Sedatives-Hypnotics (3)
1. They are dose dependent, which means (low doses, moderate and high)

Back 86

Barbiturates, anxiolytics and alcohol
Low doses - reduce arousal and motor activity
Moderate doses - Sedation and sleep
High doses - anasthesia, coma and death

Front 87

Sedative-Hypnotic Withdrawal
1. When does it happen
2. What happens
3. Extreme effects

Back 87

1. Happens with abrupt cessation
2. Tremors, anxiety, nausea, vomiting, paranoia
3. hallucinations, delirium and deadly seizures

Front 88

Cross tolerance

Back 88

Happens with Sed-Hyps
When you become tolerant to one, you can easily develop tolerance for the others

Front 89

Valium

Back 89

Diazepam
Benzo

Front 90

Xanax

Back 90

Alprazolam
Benzo

Front 91

Serax

Back 91

Oxazepam
Benzo

Front 92

Ativan

Back 92

Lorazepam
Benzo

Front 93

Librium

Back 93

Chlrodiazepoxide
Benzo

Front 94

Benzos-problem

Back 94

Relaxed feeling can lead to psychological AND physical dependence

Front 95

Benzo withdrawal

Back 95

1. Severe withdrawal symptoms
2. Rebound hyperexitability happens with abrupt cessation - seizures, depersonalization, panic and stroke

Front 96

Propanolol (Inderal)

Back 96

Beta blocker

Front 97

Percodan

Back 97

Opioid
Narcotic-Analgesic

Front 98

Dilaudid

Back 98

Opioid
Narcotic-Analgesic

Front 99

Heroin

Back 99

Opioid
Narcotic-Analgesic

Front 100

Codeine

Back 100

Opioid
Narcotic-Analgesic

Front 101

Demerol

Back 101

Opioid
Narcotic-Analgesic

Front 102

Opioid
1. SEs
2. Toxicity

Back 102

Decreased visual acuity, increased perspiratino, constipation nausea and vomiting
2. Shallow breathing, muscle rigidity, catalepsy, decreased BP, convulsions and death

Front 103

Methylphenidates contraindicated for people with (6)

Back 103

Anxiety
Anorexia
Severe hypertension
Functional psychosis
Drug/Alcohol abuse
Tourettes/motor tics