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16 Cards in this Set
- Front
- Back
- 3rd side (hint)
Benadryl
|
Sleep Problems-early insomnia, #1
Acute Anxiety, Mild Agitation (without delirium), Multiple Acute Somatic Sxs, #1 Diphenhydramine |
Sedation>hs dosing, Tolerance ?
Potential AM “hangover;” paradoxical rxn Anticholinergic fx>cardiac concerns (cap on total dose) |
|
Trazodone
|
Sleep Problems-early insomnia, #2
Desyrel SARI class (serotonin antagonist and reuptake inhibitor) |
Potential AM “hangover”
Priapism (rare) Hypotension potential |
|
Melatonin
|
Sleep Problems-early insomnia, #3
|
OTC
Potential AM “hangover” |
|
Celexa
|
Major Depression, #1
Chronic Anxiety, Trauma Sxs/PTSD, Abdominal Pain, #1 Citalopram SSRI class |
Fewest drug-drug interactions
Very mild sedation in some |
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Zoloft
|
Chronic Anxiety, Trauma Sxs/PTSD, Abdominal Pain, #3
Sertraline SSRI class |
Some (few) drug-drug interactions
Greater GI side fx >SI risk in Depression studies? |
|
Propanolol & Clonidine
|
Chronic Anxiety, Trauma Sxs/PTSD, Abdominal Pain, #4
Beta blocker (propanolol) Adrenergic agonist and a guanidine receptor agonist (Clonidine) |
Role acute trauma/somatic sx
Role PTSD Watch for sedation/HTN on w/d |
|
Lexapro
|
Major Depression, #2
Chronic Anxiety, Trauma Sxs/PTSD, Abdominal Pain, #2 Escitalopram SSRI class |
Cousin of above
Fewer drug-drug interactions? Greater sedation (>hs dosing?) |
|
Prozac
|
Major Depression, #3
Fluoxetine SSRI class |
Best data for childhood depression
More drug-drug interactions – rare use with the medically complex |
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Wellbutrin
|
Major Depression, #4
Buproprion Non-tricyclic antidepressant |
Seizure risk higher
Role for ADHD/substance/smoking |
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Seroquel
|
Acute Anxiety, Mild Agitation (without delirium), Multiple Acute Somatic Sxs, #2
Sleep Problems-early insomnia, #4 Quetiapine Atypical antipsychotic |
Divided doses-tid-qid
Sedation (excessive)>”hangover”) Weight gain esp in long term? Lower EPS potential/TD risk |
|
Risperdal
|
Hyperactive/Agitated Delirium (hypothesized high dopaminergic state), #1
Hypoactive/Mixed Delirium (hypothesized cholinergic/dopamine dysregulation; low/normal dopamine level), #1 Acute Anxiety, Mild Agitation (without delirium), Multiple Acute Somatic Sxs, #3 Risperidone Atypical antipsychotic |
Potential sedation/Divided doses?
Weight gain esp in long term? Mod EPS potential/TD risk vs Haldol Liquid/ODT (M tabs) |
|
Haldol
|
Hyperactive/Agitated Delirium (hypothesized high dopaminergic state), #2
Haloperidal Typical antipsychotic |
Greater EPS potential/TD.risk vs newer agents but may work best; Close attention to QTc prolongation, esp with IV form -- EKG, follow QTc, replete K, Mg, Ca
(EPS = Extrapyramidal symptoms, including parkinsonism, akathisia, dystonia, and tardive dyskinesia) |
|
Zyprexa
|
Hyperactive/Agitated Delirium (hypothesized high dopaminergic state), #3
Olanzapine Atypical antipsychotic |
Sedation (excessive)>”hangover”
Watch weight gain esp in long term Lower EPS potential/TD risk? ODT (Zydis) |
|
Thorazine
|
Hyperactive/Agitated Delirium (hypothesized high dopaminergic state), #4
Chlorpromazine Typical antipsychotic |
Lower EPS potential/TD risk?
Anticholinergic; watch use of Benadryl May use IM; Avoid IV due to skin necrosis and cardiovascular collapse |
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Ritalin
|
Hypoactive/Mixed Delirium (hypothesized cholinergic/dopamine dysregulation; low/normal dopamine level), #2
Methylphenidate Psychostimulant |
Potential agitation
|
|
Abilify
|
Hypoactive/Mixed Delirium (hypothesized cholinergic/dopamine dysregulation; low/normal dopamine level), #3
Aripiprazole Atypical antipsychotic |
Watch weight gain esp in long term
Lower EPS potential/TD risk? ODT (Disc melts) |