Drug List 1 Flashcards

(150 cards)

1
Q

Alprazolam (Xanax)
Class?

A

Benzodiazepines

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2
Q

Alprazolam (Xanax)
Treats?

A

anxiety disorders, panic disorders, and anxiety caused by depression

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3
Q

Alprazolam (Xanax)
Mechanism?

A

Bind to GABA A receptor to increase inhibitory effects of GABA and makes muscles more relaxed

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4
Q

Alprazolam (Xanax)
Side effects

A

common: drowsiness, feeling light-headed

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5
Q

Alprazolam (Xanax)
Precautions?

A

can cause addiction, overdose, or death
fatal side effects when paired with alcohol, opioid medicine, or other drugs that cause drowsiness or slowing of breath

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6
Q

Amantadine (Symmetrel)
Class?

A

Antiparkinson and antiviral
Adamantanes

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7
Q

Amantadine (Symmetrel)
Treats?

A

Parkinson’s and effects caused by drugs
used to prevent influenza A

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8
Q

Amantadine (Symmetrel)
Mechanism?

A

inhibits glutamate activity in basal ganglia

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9
Q

Amantadine (Symmetrel)
Side effects?

A

hallucinations, confusion, depression
orthostatic hypotension

dizziness, falls, dry mouth, swelling in legs or feet, nausea, constipation, sleep problems

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10
Q

Amantadine (Symmetrel)
Precautions?

A

do not receive nasal flu vaccine while using
do not drink alcohol
avoid driving or operating machinery
may fall asleep suddenly
avoid getting up too fast from sitting or lying down
avoid diet pills, caffeine pills, or stims (ADHD meds)

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11
Q

Amitriptyline (Elavil)
Class?

A

Tricyclic antidepressants

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12
Q

Amitriptyline (Elavil)
Treats?

A

depression
off-label: insomnia, migraine prevention, ADHD, eating disorder, bipolar disorder, anxiety, psychotic disorders, and some type of pain

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13
Q

Amitriptyline (Elavil)
Mechanism?

A

Block reuptake of serotonin and norepinephrine neurotransmitters therefore increasing concentration at synaptic cleft

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14
Q

Amitriptyline (Elavil)
Side effects?

A

Sedation (main problem)
anticholinergic effects (dry mouth, constipation, urinary retention, confusion, tachycardia)
cardiac arrythmias and orthostatic hypotension
seizures
high potential for lethal overdose

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15
Q

Amitriptyline (Elavil)
Precautions?

A

recent heart attack
used an MAO inhibitor in past 14 days

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16
Q

Aripiprazole (Abilify)
Class?

A

Atypical antipsychotics

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17
Q

Aripiprazole (Abilify)
treats?

A

antipsychotic that treats schizophrenia

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18
Q

Aripiprazole (Abilify)
mechanisms?

A

Weak dopamine D2 receptor antagonists
Strong serotonin receptor antagonists

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19
Q

Aripiprazole (Abilify)
Side effects?

A

blurred vision, drooling, muscle stiffness, uncontrolled muscle movements, shaking, anxiety, feeling restless, weight gain, many others…

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20
Q

Aripiprazole (Abilify)
Precautions?

A

not approved with dementia
avoid driving and doing other tasks or actions that need alertness

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21
Q

Bupropion (Wellbutrin)
Class?

A

Antidepressant

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22
Q

Bupropion (Wellbutrin)
Treats?

A

depression and seasonal affective disorder, supports smoking cessation

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23
Q

Bupropion (Wellbutrin)
Mechanism?

A

inhibitor of reuptake of dopamine and norepinephrine

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24
Q

Bupropion (Wellbutrin)
Side effects?

A

dry mouth, sore throat, stuffy nose, ringing in ears, blurred vision, sleep problems, headache, dizziness, muscle or joint pain, tremors, sweating

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25
Bupropion (Wellbutrin) Precautions?
seizures, eating disorder, stopped using alcohol, seizure meds, or sedatives Do not use for 14 days after MAO inhibitors
26
Buspirone (BuSpar) Class?
azapirone (anxiolytic)
27
Buspirone (BuSpar) Treats?
anxiety PTSD
28
Buspirone (BuSpar) mechanism?
stimulatrs 5-hydroxytryptamine (serotonin) receptors in brain Serotonin receptor agonist
29
Buspirone (BuSpar) Side effects?
headache, dizziness, drowsiness, insomnia, nausea, nervous or excited
30
Buspirone (BuSpar) Precautions?
MAO inhibitor in past 14 days
31
Carbamazepine (Tegretol) Class?
First generation Antiepileptic (anticonvulsant)
32
Carbamazepine (Tegretol) Treats?
seizures can treat bipolar
33
Carbamazepine (Tegretol) Mechanism?
decrease neuronal excitability by decreasing sodium entry into neurons decrease sodium entry into neurons slow down firing rate of neurons
34
Carbamazepine (Tegretol) Side effects?
Dizziness, drowsiness, water retention, cardia arrhythmias, Congestive heart failure
35
Carbamazepine (Tegretol) Precautions?
dont take if you have history of bone marrow suppression taken MAO in past 14 days may cause severe or life-threatening skin rash (especially in Asian ancestry) tell doctor right away if you become pregnant
36
Chlorpromazine (Thorazine) Class?
Traditional antipsychotic
37
Chlorpromazine (Thorazine) Treats?
Schizophrenia manic-depression
38
Chlorpromazine (Thorazine) Mechanism?
strong dopamine receptor antagonists (blockers) strong affinity for dopamine type 2 (D2) postsynaptic receptors in limbic system
39
Chlorpromazine (Thorazine) Side effects?
increased risk for movement disorders and motor side effects with long-term use sedation, anticholinergic potential tardive dyskinesia (extrapyramidal) Neuroleptic Malignant Syndrome (potential for high dose)
40
Chlorpromazine (Thorazine) Precautions?
dont use with older adults with dementia dont take with large amounts of alcohol or sleeping meds
41
Clonazepam (Klonopin) Class?
Benzodiazepine
42
Clonazepam (Klonopin) Treats?
panic disorder (anxiety) can also treat seizure
43
Clonazepam (Klonopin) Mechanism?
effect GABA receptors also act on GABA at spinal cord level which may lead to relaxation of skeletal muscles (GABA is an inhibitory neurotransmitter)
44
Clonazepam (Klonopin) Side effects?
sedation feeling tired or depressed, drowsiness, dizziness, memory problems, problems with walking or coordination
45
Clonazepam (Klonopin) Precautions?
can cause addiction, overdose, or death do not stop med suddenly DO NOT drink alcohol avoid driving or hazardous activity falls, accidents, or severe injuries
46
Clozapine (Clozaril) Class?
Atypical Antipsychotic
47
Clozapine (Clozaril) Treats?
schizophrenia
48
Clozapine (Clozaril) Mechanism?
Weak dopamine D2 receptor antagonists Strong serotonin receptor antagonists
49
Clozapine (Clozaril) Side effects?
movement disorders at high levels but less than typical antipsychotic meds increase risk of seizure at high doses tardive dysnkinesia metabolic: weight gain orthostatic hypotension sedation anticholinergic effects
50
Clozapine (Clozaril) Precautions?
AVOID alcohol avoid tea, coffee, cola, energy drinks, or other caffeine no driving can cause falls, accidents, or severe injuries avoid getting up too fast may increase risk of death with dementia
51
Diazepam (Valium) Class?
Benzodiazepine
52
Diazepam (Valium) Treats?
anxiety can be alcohol withdrawl
53
Diazepam (Valium) Mechanism?
bind and increase inhibitory effects of GABA causing sleepiness and calmness
54
Diazepam (Valium) Side effects?
drowsiness, tired, muscle weakness, balance or muscle movement difficulty
55
Diazepam (Valium) Precautions?
Can cause addiction, overdose, or death fatal side effects with use of opioid meds, alcohol, or other sleepy drugs, drugs that slow breathing do not use with: myasthenia gravis sleep apnea liver disease Do not use if pregnant
56
Fluoxetine (Prozac) Class?
Selective Serotonin Reuptake Inhibitor (SSRI) antidepressant
57
Fluoxetine (Prozac) Treats?
depression (major-depressive) OCD, bulimia nervosa, panic
58
Fluoxetine (Prozac) Mechanism?
inhibit reuptake of serotonin is selective for serotonin (5-hydrozytryptamine)
59
Fluoxetine (Prozac) Side effects?
nausea, vomiting, diarrhea or constipation may cause serotonin syndrome (potentially fatal) due to excessive serotonin accumulation causes sweating, agitation, restlessness, shivering, tachycardia, motor abnormalities reversible if drug is stopped
60
Fluoxetine (Prozac) Precautions?
do not use with MAO inhib or 14 days after use caution when operating machinery impairs judgement, thinking, or motor skills
61
Flurazepam (Dalmane) Class?
Benzodiazepine
62
Flurazepam (Dalmane) Treats?
insomnia
63
Flurazepam (Dalmane) Mechanism?
increase inhib effect of GABA on CNS, leads to decreased excitation and enhances relation and sleepiness
64
Flurazepam (Dalmane) Side effects?
drowsiness, dizziness, and lightheaded loss of coordination falling or staggering
65
Flurazepam (Dalmane) Precautions?
Can cause addiction, overdose, or death do not use if pregnant, or breastfeeding have to be older than 18
66
Haloperidol (Haldol) Class?
Traditional antipsychotic
67
Haloperidol (Haldol) Treats?
schizophrenia
68
Haloperidol (Haldol) Mechanism?
strong affinity for dopamine type 2 (D2) postsynaptic receptors in limbic system strong dopamine receptor antagonists High potency
69
Haloperidol (Haldol) Side effects?
increased risk of movement disorders and motor side effects drowsiness, headache, dizziness, uncontrolled muscle movements, feeling restless or anxious, insomnia, breast enlargement, irregular menstrual periods
70
Haloperidol (Haldol) Precautions?
not approved for older adults with dementia, parkinson's disease, CNS conditions
71
Levodopa and Carbidopa (Sinemet) Class?
Dopaminergic antiparkinson
72
Levodopa and Carbidopa (Sinemet) Treats?
Parkinson's
73
Levodopa and Carbidopa (Sinemet) Mechanism?
Carbidopa prevents breakdown of levodopa i the periphery, which allows more levodopa to reach the brain
74
Levodopa and Carbidopa (Sinemet) Side effects?
jerky twisting muscle movements (dyskinesia), headache, dizziness, low BP, sleep problems, strange dreams, muscle contractions, arrhythmias, behavioral changes, freezing of gait,
75
Levodopa and Carbidopa (Sinemet) Precautions?
risk of falls from freezing of gait Do not take if used MAO inhib in past 14 days do not use if you have narrow-angle glaucoma
76
Lithium (Lithobid) Class?
antimanic agent
77
Lithium (Lithobid) Treats?
Bipolar disorder
78
Lithium (Lithobid) Mechanism?
may influence neuronal excitability by competing with other cations like calcium, sodium, and potassium
79
Lithium (Lithobid) Side effects?
lithium toxicity, ataxia, tremor, rigidity, myoclonus (sudden involuntary twitching or jerking)
80
Lithium (Lithobid) Precautions?
watch for lithium toxicity do not use if pregnant (talk to doc first) do not breast-feed Avoid becoming overheated or dehydrated during exercise and in hot weather be cautious with driving
81
Lorazepam (Ativan) Class?
Benzodiazepine
82
Lorazepam (Ativan) Treats?
insomnia caused by anxiety can also treat nausea from cancer treatments and aid in alcohol withdrawal
83
Lorazepam (Ativan) Mechanism?
increase inhib effect of GABA on CNS, leads to decreased excitation and enhances relation and sleepiness
84
Lorazepam (Ativan) Side effects?
sedation dizziness, weakness, feeling unsteady
85
Lorazepam (Ativan) Precautions?
can cause addiction, overdose, or death do not use if pregnant/breastfeeding do not use if you have narrow-angle glaucoma, severe respiratory insufficiency, myasthenia gravis, or allergic to benzos
86
Gabapentin (Neurontin) Class?
Second-generation Antiepileptic (anticonvulsant)
87
Gabapentin (Neurontin) Treats?
seizures can treat nerve pain from shingles, and restless leg syndrome
88
Gabapentin (Neurontin) Mechanism?
decrease release of glutamate from presynaptic neurons glutamate is excitatory nt decrease leads to decrease in neuronal activity
89
Gabapentin (Neurontin) Side effects?
Sedation, fatigue, dizziness, ataxia
90
Gabapentin (Neurontin) Precautions?
avoid driving fall risk avoid taking antacid within 2 hours before dont drink alcohol
91
Nortriptyline (Aventyl, Pamelor) Class?
Tricyclic antidepressants
92
Nortriptyline (Aventyl, Pamelor) Treats?
depression
93
Nortriptyline (Aventyl, Pamelor) Mechanism?
block reuptake of all 3 amines: serotonin, norepinephrine, dopamine
94
Nortriptyline (Aventyl, Pamelor) Side effects?
Sedation, anticholinergic, cardiac arrhythmias, orthostatic hypotension, seizures, high potential for lethal overdose
95
Nortriptyline (Aventyl, Pamelor) Precautions?
less selective so tend to have more interactions with other drugs and are more harmful during overdose
96
Paroxetine (Paxil) Class?
Selective Serotonin Reuptake Inhibitors (SSRI)
97
Paroxetine (Paxil) Treats?
depression
98
Paroxetine (Paxil) Mechanism?
inhibit reuptake of serotonin is selective for serotonin (5-hydrozytryptamine)
99
Paroxetine (Paxil) Side effects?
nausea, vomiting, diarrhea or constipation are most common serotonin syndrome (sweating, agitation, restlessness, shivering, tachycardia, tremors, clonus, rigidity)
100
Paroxetine (Paxil) Precautions?
dont take with pimozide or thioridazine dont use within 14 days of MAO DO NOT stop this medication without doctor's advice don't breastfeed while using med
101
Phenelzine (Nardil) Class?
Monoamine Oxidase Inhibitor (MAOI)
102
Phenelzine (Nardil) Treats?
atypical depression in adults when other meds have not been effective can treat bipolar depression
103
Phenelzine (Nardil) Mech?
Inhibits MAO which is an enzyme the breaks down neurotransmitters, thus leaving them in the synaptic cleft longer
104
Phenelzine (Nardil) Side effect?
CNS excitation restlessness, irritability, agitation, sleep loss anticholinergic effects hypertensive crisis if taken with fermented foods like tyramine
105
Phenelzine (Nardil) Precautions?
many drugs, foods, and beverages that can cause dangerously high BP don't use if: pheochromocytoma, congestive heart failure, severe kidney disease, history of liver problems or abnormal liver function
106
Phenobarbital (Luminal, Solfoton) Class?
barbiturate
107
Phenobarbital (Luminal, Solfoton) Treats?
prevent seizures, short term sedative
108
Phenobarbital (Luminal, Solfoton) Mech?
bind to other sites on GABA A and enhance inhib of GABA
109
Phenobarbital (Luminal, Solfoton) Side effects?
may cause a severe allergic reaction weak or shallow breathing unusual pain in body red blood cell disorder severe skin reaction hangover effect, drunk feeling, restless, dizziness or spinning sensation, drowsy
110
Phenobarbital (Luminal, Solfoton) Precautions?
dont use if have liver disease, severe asthma, COPD, family history of porphyria, history of addiction to drugs VERY ADDICTIVE and strong chance of abuse
111
Phenytoin (Dilantin) Class?
First-generation Antiepileptic aka Anticonvulsant (barbiturate)
112
Phenytoin (Dilantin) Treats?
seizures
113
Phenytoin (Dilantin) Mech?
increase activity of CNS inhibitory neurons at synapses that use GABA
114
Phenytoin (Dilantin) Side effects?
sedation is primary hyperactivity in kids nystagmus (uncontrollable eye movements) ataxia (degenerative disease of neuro)
115
Phenytoin (Dilantin) Precautions?
overdose can be lethal (small TI) Do not stop taking unless discussion with doctor don't take if you have liver problems, allergies to similar meds, currently taking Rescriptor
116
Risperidone (Risperdal) Class?
atypical antipsychotic
117
Risperidone (Risperdal) Treats?
schizophrenia and bipolar disorder can treat symptoms of irritability in autistic kids
118
Risperidone (Risperdal) Mech?
Strong sertonin receptor antagonists blocks serotonin receptors in the limbic system weak block dopamine (D2)
119
Risperidone (Risperdal) Side effects?
increased risk of abnormal movement patterns Extrapyramidal side effects (tardive dyskinesia) Neuroleptic malignant syndrome sedation orthostatic hypotension Anticholinergic effects
120
Risperidone (Risperdal) Precautions?
not approved for people with dementia avoid getting too cold, hot, or dehydrated may impair thinking or reactions
121
Secobarbital (Novosecobarb, Seconal) Class?
Barbiturate (sedative)
122
Secobarbital (Novosecobarb, Seconal) Treats?
insomnia
123
Secobarbital (Novosecobarb, Seconal) Mech?
Binds to other sites on GABA A and enhance inhib of GABA
124
Secobarbital (Novosecobarb, Seconal) Side effects?
drowsiness, hangover effect, headache, dizziness, memory problems, dry mouth, upset stomach, restless or excited
125
Secobarbital (Novosecobarb, Seconal) Precautions?
do not use if you have severe liver disease, severe breathing problems, poryphyria makes birth control less effective can cause problems with pregnancy and breastfeeding
126
Triazolam (Halcion) Class?
benzodiazepine
127
Triazolam (Halcion) Treats?
insomnia
128
Triazolam (Halcion) mech?
increase inhibitory effects of GABA A on CNS
129
Triazolam (Halcion) Side effects?
can slow breathing drowsiness, loss of coordination (fall risk), dizziness, light-headed anterograde amnesia
130
Triazolam (Halcion) Precautions?
CAN Cause addiction, overdose or death can cause issues if recently taken opioid meds or alcohol Do not stop meds do not breastfeed within 28 weeks of use if pregnant can fuck up your baby
131
Valproic Acid (Depakene) Class?
First generation Antiepileptic (anticonvulsant) barbiturates
132
Valproic Acid (Depakene) Treats?
seizures bipolar disorder and prevent migraines
133
Valproic Acid (Depakene) Mech?
limit sodium entry into rapidly firing neurons decrease firing rate of neurons
134
Valproic Acid (Depakene) Side effects?
GI distress temporary hair loss impaired platelet function tremors, problems walking blurred vision changes in appetite or weight gain
135
Valproic Acid (Depakene) Precautions?
do not use with liver disease avoid drinking alcohol and driving
136
Venlafaxine (Effexor XR) Class?
Serotonin-norepinephrine reuptake inhibitor (SNRI)
137
Venlafaxine (Effexor XR) Treats?
depression and generalized anxiety
138
Venlafaxine (Effexor XR) Mech?
blocks reuptake of serotonin and norepinephrine allowed to remain in synaptic cleft for longer period of time
139
Venlafaxine (Effexor XR) Side effects?
nausea, vomiting, diarrhea or constipation serotonin syndrome feel anxious
140
Venlafaxine (Effexor XR) Precautions?
dont take with narrow-angle glaucoma if used an MAO recently dont drink alcohol ask to use an NSAID
141
Zaleplon (Sonata) Class?
Nonbenzodiazepine sedative and hypnotic also an anxiolytic
142
Zaleplon (Sonata) Treats?
insomnia
143
Zaleplon (Sonata) Mech?
bind to GABA A in brain
144
Zaleplon (Sonata) Side effects?
hangover effect, light-headed, problems with coordination, numbness, tingling, prickly skin
145
Zaleplon (Sonata) Precautions?
anterograde amnesia activities in sleep with no memory can result in serious injury or death not approved for <18 yr-old dont take in pregnant or breastfeeding falls are common in elderly Misuse can cause addiction, overdose, or death dont drink alcohol
146
Zolpidem (Ambien) Class?
Nonbenzodiazepine sedative and hypnotic also an anxiolytic
147
Zolpidem (Ambien) Treats?
insomnia
148
Zolpidem (Ambien) Mech?
bind to GABA A in brain
149
Zolpidem (Ambien) Side effects?
Complex motor behaviors (sleep walking, sleep driving, sleep eating) very common daytime drowsiness, dizziness, light headed headache diarrhea
150
Zolpidem (Ambien) Precautions?
Never use larger amounts or for longer than prescribed do not take if you have consumed alcohol during the day or just before bed increase in risk of falls dont breastfeed baby within 23 hours of taking med