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17 Cards in this Set
- Front
- Back
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alprazolam (Xanax) |
Benzodiazepine, anxiolytic
Indications: generalized anxiety disorder, short term relief of anxiety, panic disorders, anxiety associated with depression
Usual dose: orally, no more than 4 mg/day
Adverse effects: confusion, ataxia, headache
Contraindications: narrow angle glaucoma, pregnancy
Interactions: alcohol, oral contraceptives
Administration: oral and tablet |
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diazepam (Valium) |
Benzodiazepine, anxiolytic
Indications: anxiety, management of alcohol withdrawal, reversal of status epilepticus, preoperative sedation, adjunct relief of skeletal muscle spasms
Usual dose: 2-10 mg 2-4 times/day
Adverse effects: headache, confusion, slurred speech
Contraindications: hepatic dysfunction
Interactions: alcohol, oral contraceptives
Administration: oral, rectal, injectable |
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lorazapam (Ativan) |
Benzodiazepine, anxiolytic
Indications: agitated patients going in mechanical ventilation, alcohol withdrawal, panic disorders
Usual dose: 2-6 mg/day divided in 2-3 doses
Adverse effects: confusion, ataxia, headaches
Contraindications: pregnancy, narrow angle glaucoma
Administration: can be given IV, but is irritating to muscle and must be diluted |
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amitryptyline (Evavil, Endep) |
TCA
Indications: was depression, but now insomnia and neuropathic pain
Usual dose: 10-300 mg/day
Adverse effects: dry mouth, constipation, blurred vision, urinary retention, dysthymias
Contraindications; pregnancy, recent heart attack
Interactions: anticholinergics, MAOIs, carbamazepine
Administration: very potent anticholinergic effects |
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doxepin (Sinequan) |
Antidepressant, anxiolytic
Indications: depression, anxiety
Usual dose: 75-150 mg/day
Adverse effects: anticholinergic, drowsiness, ataxia, tardive dyskinesia, tremors
Contraindications: suicidal thoughts, glaucoma, children under 12
Interactions: drugs metabolized by P450 2D6, MAOIs, cimetidine, tolazamide |
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nortriptyline (Aventyl, Pamelor) |
TCA
Indications: depression, mood problems
Usual dose: orally, 1-4 times daily
Adverse effects: drowsiness, dizziness, anticholinergic, weight gain, trouble urinating
Contraindications: glaucoma, liver problems, recent heart attack, pregnancy
Interactions: blood thinners, anticholinergics
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selegiline (Ensam) |
MAO-B inhibitor
Indications: major depression
Usual dose: 6mg/24 hours
Adverse effects: back pain, hypotension, weight gain, impulse control disorders
Contraindications: meperidine, allergy
Interactions: tyramine containing foods, meperidine
Administration: this refers to the patch only |
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trazodone (Desyrel) |
2nd generation, triazolopyridine
Indications: depression, insomnia
Usual dose: 25-600mg/day
Adverse effects: strong sedative qualities
Contraindications: allergy
Interactions: alcohol, CNS depressants
Administration: can impair cognitive function in older adults; has been associated in rare cases with transient non sexual priapism |
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bupropion (Wellbutrin) |
2nd generation
Indications: depression, aid in smoking cessation
Usual dose: 209-450mg/day bid
Adverse effects: dizziness, confusion, tachycardia, agitation, tremor, dry mouth
Contraindications: allergy, seizure disorder, MAOIs
Interactions: azole, antifungals, CNS depressants
Administration: oral form only |
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citalipram (Celexa) |
SSRIs
Indications: depression, OCD
Dose: by mouth, short half life
Adverse effects: anxiety, dizziness, drowsiness, insomnia
Contraindications: allergy, MAOIs, certain antipsychotics
Interactions: highly protein bound drugs, St. John’s wort
Administration: commonly associated with discontinuation syndrome
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duloxetine (Cymbalta) |
SSNRI
Indications: depression, generalized anxiety disorder, diabetic peripheral neuropathy, fibromyalgia
Dose: 20-40mg/day or 60mg/day bud
Adverse effects: dizziness, drowsiness, headache, GI upset, anorexia, hepatoxicity
Contraindications: allergy, concurrent MAOI use, glaucoma
Interactions: SSRIs, triptans, alcohol
Administration: available only for oral use
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fluoxetine (Prozac) |
SSRI
Indications: depression, bulimia, OCD, panic disorder, premenstural dysphoric disorder
Dose: 10-20mg/day, but up to 80 mg/day
Adverse effects: anxiety, dizziness, drowsiness, insomnia
Contraindications: allergy, concurrent MAOI therapy
Interactions: MAOIs, benzodiazepines, blood thinners
Administration: considered the prototypical SSRI |
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haloperidol (Haldol) |
Antipsychotics
Indications: long term treatment of psychosis, nausea
Dose: 0.5-5.5mg bid-tid PO, IM, IV
Adverse effects: extraprymidal symptoms, amenorrhea, weight gain, rash, tardive dyskinesia
Contraindications: hypersensitivity, Parkinson’s, depressants
Interactions: CNS depressants, grapefruit juice
Administration: manufacturer states not to give thru IV but has been done safely before |
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chlorpromazine (Thorazine) |
Antipsychotics
Indications: hallucinations, schizophrenia, bipolar disorder, nausea, hiccups, tetanus, anxiety
Dose: 2-4 times a day
Adverse effects: EPS, lightheadedness, insomnia, weight gain
Contraindications: Parkinson’s, glaucoma
Interactions: anticholinergic, dopamine increasing drugs, seizure activity
Administration: do not use in older adults with dementia |
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clozapine (Clozaril) |
Atypical antipsychotics
Indications: psychotic illness (schizophrenia)
Dose: no more than 900 mg/day
Adverse effects: agranulotosis, sedation, increased appetite, EPS, tardive dyskinesia
Contraindications: allergy, myloproliferative disorders
Interactions: alcohol, CNS depressants, antihypertensives
Administration: patients beginning this require weekly monitoring of WBC count for 6 months
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risperidone (Risperdal) |
Atypical antipsychotics
Indications: schizophrenia
Dose: 1-6 mg/day
Adverse effects: EPS, tardive dyskinesia, sedation, anticholinergic
Contraindications: allergy
Interactions: CNS depressants, alcohol, antihypertensives
Administration: oral and injectable form |
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ziprasidone (Geodon) |
Antipsychotics
Indications: schizophrenia and bipolar disorder
Usual dose: by mouth
Adverse effects: EPS, seizures, blistering, unusual bleeding
Contraindications: allergy
Interactions: blood pressure meds, diuretics, levodopa, carbamazepine |
