Psych Drugs

Front 1

Amitriptyline

Back 1

Elavil
(TCA)

for depression, migraine prophylaxis

Front 2

Imipramine

Back 2

Tofranil
(TCA)

for depression, panic disorder, enuresis

Front 3

Nortriptyline

Back 3

Aventyl
(TCA)

for depression, panic disorder, smoking cessation

Front 4

Citalopram

Back 4

Celexa
(SSRI)

for depression

Dose: 20 mg daily, increase 20 mg at > 1 wk intervals
Effective dose: 20-40 mg daily

Front 5

Escitalopram

Back 5

Lexapro
(SSRI)

for depression, GAD

Dose: 10 mg daily, increase 10 mg at > 1 wk intervals
Max 20 mg daily

Front 6

Fluoxetine

Back 6

Prozac
(SSRI)

for depression, OCD, bulimia, panic disorder

Dose: 20 mg daily
Max dose: 80 mg daily

Front 7

Fluvoxamine

Back 7

Luvox
(SSRI)

for depression

Dose: 50 mg qhs, increase 50 mg q4-7 days
Effective dose: 100-300 mg daily
Max: 300 mg daily

Front 8

Paroxetine

Back 8

Paxil
(SSRI)

for depression, GAD, OCD

Dose: 20 mg daily, increase 10 mg/day > 1 wk intervals
Effective dose: 20-50 mg daily
Max: 50 mg daily

Front 9

Paroxetine (paxil) inhibits what CYP450?

Back 9

2D6

avoid thioridazine, MAOIs, barbiturates, cimetidine, phenytoin, theophylline, TCAs, risperidone, warfarin

Front 10

Sertraline

Back 10

Zoloft
(SSRI)

for depression, OCD, PTSD, panic disorder

Dose: 50 mg daily, increase after 1 wk
Effective dose: 50-200 mg daily
Max: 200 mg daily

CI: pregnancy

Front 11

Duloxetine

Back 11

Cymbalta
(SNRI)

for depression, GAD, neuropathic pain

Dose: 20 mg BID
Max: 60 mg daily

CI: renal/hepatic insufficiency, alcohol use, inhibitor of CYP1A2, pregnancy

Front 12

Venlafaxine

Back 12

Effexor
(SNRI)

for depression, GAD, panic disorder,

Dose: 37.5 mg BID, increase 75 mg daily q4 days
Effective dose: 150-225 mg daily
Max: 375

CI: renal/hepatic insufficiency (decrease dose), pregnancy, serotonin syndrome with triptans

Front 13

Bupropion

Back 13

Wellbutrin
(NE/DA reuptake inhibitor)

for depression, smoking cessation

Dose: 100 mg BID, increase to 100 mg TID after 4-7 days
Effective dose: 300-450 mg/day
Max: 450 mg/day

CI: seizure d/o, eating d/o, alcohol w/d, MAOIs, children

Front 14

Nefazodone

Back 14

Nefazodone
(5HT2 antagonist)

for depression

Dose: 100 mg BID, increase 100-200 mg/day at > 1 wk
Effective dose: 150-300 mg BID
Max: 600 mg/day

SE: liver failure (monitor LFTs)
CI: kids, liver dysfunction

Front 15

Trazadone

Back 15

Trazarel

for depression (rare), insomnia

Dose: 50-100 mg qhs
Max: 150 mg/day

SE: priapism, CYP3A4 metabolism

Front 16

Lamotrigine

Back 16

Lamictal
(antimanic agent)

for bipolar,

Dose: 25 mg daily, increase to 50 mg daily after 3-4 wks
Target: 200 mg daily (after 5-7 wks)

SE: stevens-johnson syndrome
CI: pregnancy

Front 17

Lithium

Back 17

Eskalith
(antimanic agent)

for bipolar, acute mania

Acute mania: 300-600 mg BID-TID
Bipolar: 9000-1200 mg/day

Monitor: renal fnx, thyroid fnx

Front 18

What is the therapeutic serum level of Lithium?

Back 18

0.6-1.2 mEq/L

Diuretics/NSAIDs increase levels

Front 19

Topiramate

Back 19

Topamax
(antimanic, anticonvulsant)

for bipolar, alcohol dependence

Dose: 25-50 mg/day
titrate prn to max 400 mg/day

Monitor: renal function, weight loss, bicarb

Front 20

Valproic acid

Back 20

Depakote
(antimanic, anticonvulsant)

for mania, bipolar

Mania: 250 mg PO TID

SE: hepatic failure (children <2), monitor LFTs

Front 21

Chlorpromazine

Back 21

Thorazine
(typical antipsychotic)

Front 22

Haloperidol

Back 22

Haldol
(typical antipsychotic)

Front 23

Aripiprazole

Back 23

Abilify
(atypical antipsychotic)

Front 24

Clozapine

Back 24

Clozaril
(atypical antipsychotic)

Front 25

Olanzapine

Back 25

zyprexa
(atypical antipsychotic)

Front 26

Quetiapine

Back 26

Seroquel
(atypical antipsychotic)

Front 27

Risperidone

Back 27

Risperdal
(atypical antipsychotic)

Front 28

Ziprasadone

Back 28

Geodon
(atypical antipsychotic)

Front 29

Clonazepam

Back 29

Klonopin
(long acting benzo)

Front 30

Diazepam

Back 30

Valium
(long acting benzo)

Front 31

Lorazepam

Back 31

Ativan
(medium acting benzo)

Front 32

Alprazolam

Back 32

Xanax
(short acting benzo)

Front 33

Oxazepam

Back 33

Serax
(short acting benzo)

Front 34

Triazolam

Back 34

Halcion
(short acting benzo)

Front 35

Buspirone

Back 35

BuSpar
(anxiolytic)

Front 36

Zaleplon

Back 36

Sonata
(hypnotic)

Front 37

Zolpidem

Back 37

Ambien
(hypnotic)

Front 38

Acamprosate

Back 38

Campral
(maintenance of alcohol abstinence)

Front 39

Naltrexone

Back 39

ReVia, Depade, Vivitrol
(alcohol dependence)

Front 40

Suboxone

Back 40

buprenorphine + naloxone
(opioid dependence)

Front 41

Tx for neuroleptic malignant syndrome

Back 41

-D/C antipsychotic
-Dantrolene (muscle relaxant)
-Ativan/Valium
-Bromocriptine or Amantadine (D2 agonist)
-cool pt, give fluids and alkalinze urine to avoid renal fx

Front 42

What antipsychotic causes the most weight gain and DM?

Back 42

olanzapine (zyprexa)