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13 Cards in this Set
- Front
- Back
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benzodiazepine derivative
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Zepams and zolams: very heavy CNS depressant
Includes: chlordiazepoxide, diazepam, alprazolam, clonazepam, lorazepam, oxazepam, midazolam S/E: lethargy, respiratory depression, hypotension, drowsiness, confusion/memory impairment, euphoria, cardiac arrest |
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Non benzodiazepine derivatives
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Includes: buspirone, hydroxyzine
S/E: confusion, hypotension, palpitations, drowsiness, ataxia, leukopenia No abuse potential, takes about 3 weeks to become effective, not acute panic attack medications! Do not take with alcohol, increases s/e, or grapefruit juice |
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MAOI
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Includes: isocarboxazid, tranylcypromine sulfate, phenelzine sulfate
S/E: postural hypotension, hypertensive crisis r/t tyramine ingestion note: *DO NOT EAT TYRAMINE FOODS, Includes: aged cheese, liver, yogurt, yeast, beer, wine, sour cream, pickled products *No stimulants of any kind, ex: caffeine, antihistamines, amphetamines, etc. *Takes 3-4 weeks to work Never take with alcohol *photosensitive; wear sunblock |
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Tricyclics
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Amitriptyline hydrochloride, imipramine, desipramine, doxepin, nortriptyline
S/E: sedation/drowsiness, anti cholinergic effects (dry mouth/secretions, blurred vision, diaphoresis), hypotension, n/v, urinary retention and constipation Note: highest suicide risk 10-14 days, signaled by increased energy, take at night (sedative), photosensitive, wear sunscreen |
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SSRI
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Includes: fluoxetine, paroxitine, citalopram, venlafaxine
S/E: bradycardia/palpitations, n/v, diarrhea/constipation, urinary retention , Insomnia Note: *take in morning to avoid insomnia * takes 4 weeks to work |
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Heterocyclics
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Includes:
Bupropion, trazadone S/E: dry mouth, nausea Note: don't take with alcohol or other CNS depressants during or after 1 week of discontinuation of therapy |
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Lithium
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Class: bipolar med
S/E: dizziness, headache, fine hand tremor, leukocytosis Note:* used for manic episodes *must monitor blood level (0.5-1.5) >2.0 toxic (s/s: vomiting, diarrhea, drowsiness, weakness, ataxia) |
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Carbamazepine
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Class: bipolar and seizure med
S/E: dizziness, drowsiness, ataxia, CHF, aplastic anemia, thrombocytopenia Note: drowsiness decreases over time |
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Divalproex sodium
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Class: bipolar and seizure med
S/E: sedation, pancreatitis, indigestion, thrombocytopenia, hepatotoxic Note: monitor LFT's and platelets, take with food or milk, avoid hazardous activities |
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High potency traditional antipsychotics
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Includes: haloperidol, fluphenazine
S/E: sedative effect, some hypotension, extra pyramidal side effects (akinesia, akathisia, acute dystonia, tardive dyskinesia) Given IM, z track method |
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Medium potency traditional antipsychotics
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Perphenazine
S/E: ortho static hypotension, dry mouth, constipation |
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Low potency traditional antipsychotics
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Chloropromazine
S/E: sedative effect, hypotension, irreversible retinitis pigmentosus at high levels >800 mg/day Note: photosensitive, wear sunscreen, not addictive |
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Atypical antipsychotics
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Risperdone, quetiapine, ziprasidone, apriprazole, clozapine, olanzapine
S/E: ortho static hypotension, sedation, weight gain Note: quetiapine- low risk of dyskinesia and NMS; risperdone - high risk of tardive dyskinesia and NMS, (doses > 6mg) |
