Med List 2 - Psychotropics

Question 1

Amphetamine/Dextroamphetamine (CS-II)

Answer 1

Frequency: 1 a day
Use: ADHD, Narcolepsy

Question 2

Amphetamine/Dextroamphetamine (CS-II) Brand names

Answer 2

Adderall
Adderall XR

Question 3

Methylphenidate (C-II)

Answer 3

Frequency: 1 a day
Tx: ADHD, Narcolepsy

Question 4

Methylphenidate (C-II) Brand names

Answer 4

Ritalin
Ritalin LA
Concerta

Question 5

ADHD Counseling

Answer 5

-Take in AM due to insomnia
-Weight Loss from decreased appetite
-Increased Heart rate
-Dry Mouth
-Headache

Question 6

Escitalopram

Answer 6

Frequency: 1 a day
Tx: Depression
Anxiety

Question 7

Escitalopram counseling:

Answer 7

Headache
insomnia/drowsiness
Sexual dysfunction

Question 8

Escitalopram brand name

Answer 8

Lexapro

Question 9

Fluoxetine

Answer 9

Tx: Depression
OCD, Panic disorder, bipolar disorder, bulimia nervosa, Sarafem: Premenstrual dysphoric Disorder (PDD)

Question 10

Fluoxetine Counseling

Answer 10

Sexual dysfunction
Anorexia
Diarrhea
Asthenia (lack of energy)

Question 11

Fluoxetine brand names

Answer 11

Prozac
Sarafem

Question 12

Duloxetine

Answer 12

Tx: Depression
Anxiety
Diabetic peripheral neuropathic pain
Chronic Musculoskeletal pain (ex. fibromyalgia)
Frequency: once daily

Question 13

Duloxetine counseling:

Answer 13

Insomnia or drowsiness
Take w/food if upset stomach occurs

Question 14

Duloxetine brand names:

Answer 14

Cymbalta

Question 15

Sertraline

Answer 15

Tx: Depression
Panic disorder
OCD
PTSD
PDD
Social phobia
Frequency: once daily

Question 16

Sertraline counseling

Answer 16

Headache
Insomnia > drowsiness
Take w/food if upset stomach occurs
Sex dysfunction

Question 17

Sertraline brand name

Answer 17

Zoloft

Question 18

Bupropion frequency

Answer 18

SR: one tablet PO daily for 3-7 days, then one bid
XL dosing: One 150mg tablet daily 3-7 days; then 300 mg tablet daily

Question 19

Bupropion tx

Answer 19

Wellbutrin
Depression
SAD
Zyban: smoking cessation

Question 20

Bupropion counseling:

Answer 20

Insomnia
Begin 1 week before patient intends to quit smoking

Question 21

Bupropion brand names

Answer 21

Wellbutrin SR
Wellbutrin XL
Zyban

Question 22

Olanzapine

Answer 22

Frequency; once daily
Tx. Bipolar disorder
Schizophrenia
Depression

Question 23

Olanzapine counseling

Answer 23

Drowsiness
Weight gain - up to 40lbs in 40 days
Increase blood sugar and or cholesterol
Movement disorders (muscle restlessness, stiffness, or spasms)
Decreased sex drive

Question 24

Quetiapine

Answer 24

Fx: once daily
Tx: Bipolar disorder
Schizophrenia
Depression

Question 25

Quetiapine counseling

Answer 25

Drowsiness Weight gain Increased BP, tachycardia Increased appetite Dizziness

Question 26

Quetiapine brand name

Answer 26

Seroquel

Question 27

Aripiprazole

Answer 27

Fx: once daily Tx: Bipolar disorder Schizophrenia Treatment-resistant depression (adjunct) Irritability associated w/autistic disorder

Question 28

Aripiprazole counseling

Answer 28

-Drowsiness/Insomnia -Weight gain -Movement disorders

Question 29

Aripiprazole brand

Answer 29

Abilify

Question 30

Lamotrigine

Answer 30

Fx: bid daily Tx; Seizures, bipolar disorder

Question 31

Lamotrigine counseling

Answer 31

Nausea vomiting Drowsiness/dizziness Skin rash (Stevens-Johnson syndrome) - titrate dose to avoid Visual disturbances

Question 32

Lamotrigine brand name

Answer 32

Lamictal

Question 33

Divalproex sodium

Answer 33

Fx: DR: TID ER: once daily Tx: Seizures Bipolar disorder Migraine prevention

Question 34

Divalproex counseling

Answer 34

Drowsiness/dizziness Tremor muscle weakness Upset stomach-may take w/food

Question 35

Divalproex Brand names

Answer 35

Depakote (DR) Depakote (ER)

Question 36

Levetiracetam

Answer 36

Fx: Keppra (BID) XR: once daily Tx: Seizures

Question 37

Levetiracetam counseling:

Answer 37

Drowsiness/Dizziness Asthenia Headache

Question 38

Levetiracetam brand names

Answer 38

Keppra Keppra Xr

Question 39

Trazodone

Answer 39

Fx: Depression: BID, TID Insomnia: once daily at bedtime tx: Depression Non-FDA approved use of insomnia

Question 40

Trazodone counseling

Answer 40

Drowsiness Take w/food to increase absorption

Question 41

Trazodone brand name

Answer 41

Desyrel

Question 42

Zolpidem (C-IV)

Answer 42

Fx: once daily at bed time Tx; insomnia (short term treatment)

Question 43

Zolpidem (C-IV) counseling

Answer 43

Take within 20 minutes of bedtime Get > 8 hrs of rest - may cause next day drowsiness Risk of abnormal sleep behaviors

Question 44

Zolpidem (C-IV) names

Answer 44

Ambien Ambien CR

Question 45

ALL MEDS LISTED

Answer 45

-Report signs/symptoms of worsening depression, behavior changes, and increase in suicidal thoughts during initiation of therapy to a healthcare provider immediately -May need to taper up/down when using high doses; tell patients not to discontinue/adjust dosing without counsel -May take 2-6 weeks to see therapeutic effect of antidepressant -Avoid alcohol