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9 Cards in this Set

  • Front
  • Back

Chloropramazine, trifluoperazine

Phenothiazines


Typical antipsychotics, first generation antipsychotics


In large doses- antipsych, in small doses- antiemetic


Considered major tranquillizers


SE: ABCD and EPS and photosensitivity


Can cause decreased WBC (immunosuppression)





Elavil, Tofranil

Tricyclic Antidepressants


Mood elevators


SE: ABCD and euphoria


Must take for 2-4 weeks before effects noticed

Diazepam (valium), lorazepam, clorazepam

Benzodiazepines


Minor tranquelizers


SE: ABCD


Work quickly but should not be taken for more than a few weeks


Administer at bedtime when possible

Nardil, Marplan

MAO inhibitors


SE: ABCD


Patients must avoid food containing tyramine to prevent hypertensive crisis


Teach patient to avoid over the counter drugs

Lithium

Antimanic


SE: like electrolytes (stooling, voiding, paresthesia)


Therapeutic level 0.6-1.2, toxic level >2


Toxic effects- tremors, metallic taste, severe diarrhea


Increase fluids to prevent dehydration


Low Na makes lithium more toxic, high Na makes it ineffective





Prozac

SSRI


SE: ABCD, euphoria, insomnia, give before noon when possible


Watch for suicidal ideation when changing dose in young adults and teenagers

Haldol

Antipsychotic


SE: ABCD, EPS


Toxic effects: NMS can occur with overdose (differentiate EPS and NMS by checking for fever- NMS has extreme fever)- high risk in elderly (older adult dose should be half of adult dose to prevent)


Only antipsychotic that can be given to pregnant women



Clozaril/ Clozapine

Second generation/ atypical/ new antipsychotics


Used to treat severe schizoprenia


SE: extreme reduction of WBCs- high risk for infection

Zoloft

SSRI


Has high potential for drug interactions


Interacts with St. Johns wort to cause serotonin syndrome


Interacts with warfarin to cause increased bleeding