Medications for Final Exam

Question 1

anxiety meds

Answer 1

Buspar plus Benzos: Xanax, Valium, Ativan

Question 2

depression meds

Answer 2

MAOI’s, TCA’s, SSRI’s, SSNRI’s, Atypycals - Wellbutrin, Buspar, Trazadone

Question 3

Muscle relaxers

Answer 3

Anectine

Question 4

Benzodiazepines

Answer 4

Xanax, Valium, Ativan

very addictive

Question 5

Benzo s/e

Answer 5

Avoid abrupt discontinuation. Avoid combining with alcohol. Drowsiness, confusion. Prolonged use may produce psychological and physical dependence (except BuSpar) CNS depression

Question 6

MAOI’s

Answer 6

NO POPULAR MEDS - NPO, Nardil, Parnate, Marplan

Question 7

MAOI s/e

Answer 7

USED FOR SEVERE CASES WHEN OTHER DRUGS FAIL, dry mouth, drowsiness, weight gain, blurred vision, constipation, dizziness upon standing. May interact with certain drugs and foods to cause extremely high blood pressure-hypertensive crisis. Anticholinergic, NO OTHER MEDS OR TYRAMINES (AGED FOODS, CHEESES, WINES) monitor for impaired renal/ hepatic Fx

Question 8

SSRI’s

Answer 8

Prozac, Zoloft, Paxil

Question 9

SSRI s/e

Answer 9

MONITOR RENAL Fx, dry mouth, nausea, diarrhea tremors, insomnia due to CNS stimulation, somnolence (sleepy or drowsy)—-sometimes requiring bedtime dosing, HIGH FEVER = SERATONIN SYNDROME, sexual disfunction, GI bleed/upset, hyponatremia, weight loss, bruxism (clinching, grinding teeth), DONT MIX WITH OTHER PSYCH MEDS

Question 10

Wellbutrin s/e

Answer 10

Headache, dry mouth, GI distress,
constipation, increased heart rate, nausea,
restlessness, insomnia, Suppression of appetite resulting in weight loss, seizures, DO NOT USE W/ MAOI

Question 11

Buspar s/e

Answer 11

no grapefruit juice!!! take w/ food

Question 12

(Trazodone) Desyrel s/e

Answer 12

sedation and…. priapism!!!

Question 13

What is best drug for suicide

Answer 13

Ssri

Question 14

Haldol side effects

Answer 14

Muscle stiffness, tiredness

Question 15

What is haldol used for

Answer 15

To sedate pts during acute breaks in hospital, and oral treatment for schizophrenia

Question 16

Remember

Answer 16

Schizophrenia drugs make you fat except abilify

Question 17

Chlorpromazine (Thorazine) What is it?

Answer 17

Antipsychotic : Non addictive Fast acting

Typical- 1st generation

Question 18

Amitripyline (Elavil) What is it?

Answer 18

Antidepressant: Non Addictive - Slow Acting

Trycyclic Antidepressant

Question 19

What class are:

Clozapine (Clozaril)
Risperidone (Resperdal)

And name some side effects

Answer 19

Atypical Antipsychotics Second generation agents; newer, fewer side effects.

fast acting

hypotension
insomnia
sedation
sexual dysfuntion
weight gain

Question 20

What class are:

Doxepin (Adapin Sinequan)
Protriptyline (Vivactil)
Clomipramine (Anafranil)

Answer 20

Tricyclic Antidepressants

Non addicting

Slow acting

Question 21

What class are:

Buspar
Visaril
Atarax

Answer 21

Non- benzodiazepines

Buspar is safer to use that any other antianxiety meds

Non Addictive

Question 22

What class are:

Citalophram (Celexa)
Fluvoxamin (luvox)
Seraline (Zoloft)
Fluxetine (Prozac)
Paroxeline ( Paxil, Pexeva)
Escitalopram (Lexapro)

Answer 22

SSRI

Slow acting

Used for depression

Question 23

What class are:

Imipramine (Tofranil)
Trimipramine (Surmontil
Desipramine (Norpramin)
Nortriplyine (Pamelor)

Answer 23

Tricyclic antidepressants

Tricyclic and tetracyclic antidepressants ease depression by affecting naturally occurring chemical messengers (neurotransmitters), which are used to communicate between brain cells.

They’re effective, but they’ve generally been replaced by antidepressants that cause fewer side effects.

Question 24

What class are:
Phenelzine (Nardil)
Tranylcypromine (Parnate)

Answer 24

MAOI

Remember hypertensive crisis

Question 25

What class is Abilify

Answer 25

Atypical antipsychotic

Little or no weight gain or increase in glucose, HDL, LDL, or triglyceride level

Question 26

What class is Quetiapine ( Seroquel) and what are its side effects?

Answer 26

Atypical antipsychotic

weight gain
headache
drowsiness
orthostasis

Question 27

What class is Zyprexa in and what are its side effects?

Answer 27

Atypical antipsychotic

significant weight gain
drowsiness
insomnia
agitation restlessness
parkinsinism

Question 28

What class is Palperidone ( Invega)

Answer 28

Atypical antipsychotic

fast acting

Question 29

Tegretol
Depakote
Lithium
Triliptal
Lamictal

are anticonvulsants, why else are they used?

Answer 29

For Mood stabilizers in Bipolar disorder

Non addictive

Question 30

Knowledge about lithium:

Answer 30

lithium is used as mood stabilizing drug in clients with bipolar or manic depressive disorder

it works by altering electrical conductivity

lithium represents a potential threat to all body functions that are regulated by electrical currents such as cardiac contractility, cerebral contractility, and nerves.

Question 31

What disturbances can lithium cause in the body?

Answer 31

disturbances in fluid balance that caused by lithium include polyuria, edema

induced cardiac dysrhythmias

Question 32

Long term use of lithium increases

Answer 32

the risk of kidney and thyroid disease

Question 33

lithium has the lowest therapeutic index of all psychiatric drugs

Answer 33

the therapeutic index represents the ratio of the lethal dose to the effective dose and thus indicates the safety of the drug

the blood level of lithium needs to be monitored on a regular basis to be sure that the drug is not accumulating

Question 34

What are the adverse effects of lithium

Answer 34

Adverse effects of lithium include:
 tremor 
 ataxia
 confusion 
 convulsions
 nausea 
 vomiting
 diarrhea 
 arrhythmias 
 polyuria 
 polydipsia 
 edema 
 goiter and hypothyroidism