Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
14 Cards in this Set
- Front
- Back
|
Selective Serotonin Reuptake Inhibitors (SSRI’s)-Adverse Reactions
|
Initial nausea, loose bowel movements
insomnia ° Toxic effects (rare): serotonin syndrome ° Concern regarding increased suicidal potential as yet unproven through longterm studies sexual dysfunction |
|
|
SSRI-meds
|
Celexa, Prozac, Luvox, Paxil, Zoloft, Lexapro
|
|
|
Atypical Antidepressants
|
Wellbutrin, Zyban, Desyrel
|
|
|
Wellbutrin-SE
|
induced seizure if more than 300mg. Some nausea.
NO-weight gains, sexual dysfunctions. |
|
|
Dual-Action Reuptake Inhibitors – SNRIs (Serotonin and Norepinephrine)- meds
|
Effexor, Remeron, Duloxetine
|
|
|
AntiConvultsant
Antiepileptic Drugs (AEDs)-Bipolar meds |
Tegretol, Depakene, Lamictal, Neurontin, Topamax
PRN MAY BE USED IN 10-14 DAYS: BENZODIAZEPINES& ANTIPSYCHOTICS |
|
|
Tegretol -SE
|
°Agranulocytosis and aplastic anemia are most serious side
effects. °Blood levels should be monitored throughout first 8 weeks because drug induces liver enzymes that speed its own metabolism. Dosage may need to be adjusted to maintain serum level of 6-8mg/L. °Sedation is most common problem; tolerance usually develops. °Diplopia, incooridination, and sedation can signal excessive levels. |
|
|
Depakene- SE
|
°Baseline live function test should be performed and results
monitored at regular intervals. Hepatitis, although rare, has been reported, with fatalities in children. °Signs and symptoms to watch for include fever, chills, right upper quadrant pain, dark urine, malaise, and jaundice. °Common side effects include tremors, gastrointestinal upset, weight gain, and rarely, alopecia. |
|
|
Lamictal SE
|
°Life-threatening rash reported in 3 out of every 1000 individuals
(Steven-Johnson syndrome). °Use caution when renal, hepatic, or cardiac function is impaired. °Dizziness, diplopia, headaches, ataxia, and somnolence are amoung frequent side effects. |
|
|
Neurontin SE
|
°Most serious adverse effects are difficulty in breathing, swelling
of the lips, rash, slurred speech, drowsiness, and diarrhea. °Fatigue, somnolence, dizziness, ataxia, diplopia, hypertension are the more frequent side effects. °Used off label; not presently FDA approved for bipolar disorder. |
|
|
Topamax SE
|
°Used in acute mania or in combination with other drugs.
°Adverse effects include weight loss, congnitive side effects, fatigue, dizziness, and paresthesia. °Used off label; not presently FDA approved for bipolar disorder. |
|
|
Atypical 2nd generation Antipsychotic Agents Meds
|
Clozaril, Risperdal, Zyprexa, Seroquel, Geodon, Abilify
|
|
|
MAOI adverse reactions
|
insomnia, orthostatic hypotension, peripheral edema, sedation, weight gain, sexual dysfunction, no tyramine foods (smoke, preserved, baked)
|
|
|
Tricyclic antidepressants (TCA) SE
|
orthostasis, lethal in overdose, CHF effects(tachycardia, dysruthmias, ECG changes, heart failure)
Anticolinergic SE- dry mouth, blurred vision, constipation, urinary retention, tachycardia, possible confusion. |
