- Amphetamine mixture - Dextroamphetamine - Dexmethylphenidate - Methylphenidate

- Ataxia - Decreased cognitive function - Sedation - Cute toxicity - Paradoxical response - Have with meals - Smoking decreased efficacy - Avoid kava-kava and Valerian - Extravasation can occur with Diazepam

- therapeutic range 0.8-1.4 - can cause hypothyroidism, kidney problems - Check TSH, BUN, Creatinine - Mantain sodium intake - Blood work 12 hours after the last dose. - NO diuretics and NO NSAIDs

- Blurry vision - Ataxia - Twitching - Hypotension - Polyuria - Blurry vision - Decreased LOC

- Anticonvulsant, mood stabilizer, Bipolar - Blood Dyscrasias ( anemia, leukopenia, thrombocytopenia) decreased WBC and Platelets. - Skin rash

- Anticonvulsant - mood stabilizer - Rash (Steven's Johnson) can cause organ failure, dizziness, headache, sedation.

- Atypical - For depression and to quit smoking - Insomnia - Headache - GI distress - agitation - seizures - HX of head trauma? NO BUPROPION it lowers the seizure threshold.

- Anticonvulsant, mood stabilizer, Bipolar - Blood Dyscrasias ( anemia, leukopenia, thrombocytopenia) decreased WBC and Platelets. - Skin rash - Used for alcohol withdrawal as it decreases risk for seizures

- Adderall - ADHD - Insomnia, decreased appetite, weight loss - Monitor the child's weight and do not give at night

- nausea, vomiting, sweating, palpitations, and hypotension

- For ADHD but it, not a stimulant. SNRI - Appetite suppression and growth suppression

MEDS Flashcards by Lidia Espino

ANTIPSYCHOTICS 1ST GEN

Chlorpromazine
Haloperidol
Loxapine
Fluphenazine

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ANTIPSYCHOTICS 2ND GEN

Clozapine
Risperidone
Olazapine
Quetiapine
Ziprazidone

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DRUGS USED FOR ALCOHOL ABSTINENCE

Disulfiram - BAD REACTION
Naltrexone - Suppresses craving
Acamprosate - decreased abstinence symptoms

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DRUGS USED FOR ADHD

Amphetamine mixture
Dextroamphetamine
Dexmethylphenidate
Methylphenidate

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SIDE EFFECT ANTIPSYCHOTIC 2ND GEN

Weight gain
AGRUNOLOCYTOSIS
Lipids
Glucose
Weight
Metabolic syndrome

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ANXIOLYTICS / BENZOS

Ataxia
Decreased cognitive function
Sedation
Cute toxicity
Paradoxical response
Have with meals
Smoking decreased efficacy
Avoid kava-kava and Valerian
Extravasation can occur with Diazepam

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DRUGS USED FOR NICOTINE/OPIOID ABSTINENCE

Methadone (opioid)
Bupropion (smoking)
Nicotine replacement
Verenicline ( reduces cravings and withdrawal symptoms, monitor for depression/suicidal thoughts)

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SIDE EFFECTS LITHIUM

therapeutic range 0.8-1.4
can cause hypothyroidism, kidney problems
Check TSH, BUN, Creatinine
Mantain sodium intake
Blood work 12 hours after the last dose.
NO diuretics and NO NSAIDs

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SIDE EFFECTS VALPROIC ACID (syrup too)

Gi distress
Drowsiness
Tremors
Alopecia
weight gain
HEPATOTOXICITY can be fatal
Monitor liver function tests ASL, ALT
hyperammonemia, pancreatitis.

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LITHIUM TOXICITY

Blurry vision
Ataxia
Twitching
Hypotension
Polyuria
Blurry vision
Decreased LOC

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SIDE EFFECTS VALPROIC ACID (syrup too)

Gi distress
Drowsiness
Tremors
Alopecia
weight gain
HEPATOTOXICITY can be fatal
Monitor liver function tests ASL, ALT
check PTT
hyperammonemia, pancreatitis.

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CARBAMAZEPINE

Anticonvulsant, mood stabilizer, Bipolar
Blood Dyscrasias ( anemia, leukopenia, thrombocytopenia) decreased WBC and Platelets.
Skin rash

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LAMOTRIGINE

Anticonvulsant
mood stabilizer
Rash (Steven’s Johnson) can cause organ failure, dizziness, headache, sedation.

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BUPROPION

Atypical
For depression and to quit smoking
Insomnia
Headache
GI distress
agitation
seizures
HX of head trauma? NO BUPROPION it lowers the seizure threshold.

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BUSPIRONE

Anxiety, panic, OCD, PTSD
Dizziness, nausea, headache
NO sedation, NO dependency
Takes 1-4 weeks for full effect

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Flumazenil

Antidote for benzos

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CARBAMAZEPINE

Anticonvulsant, mood stabilizer, Bipolar
Blood Dyscrasias ( anemia, leukopenia, thrombocytopenia) decreased WBC and Platelets.
Skin rash
Used for alcohol withdrawal as it decreases risk for seizures

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METHYLPHENIDATE

Adderall
ADHD
Insomnia, decreased appetite, weight loss
Monitor the child’s weight and do not give at night

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DISULFIRAM

nausea, vomiting, sweating, palpitations, and hypotension

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NALOXONE

Antidote for opioid

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BENZO ANTIDOTE

Flumazenil

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ATOMOXETINE

For ADHD but it, not a stimulant. SNRI

- Appetite suppression and growth suppression

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HIGH VS. LOW POTENCY ANTIPSYCHOTICS

High potency high EPS but low sedation and dry

Low potency low EPS high dry and sedation

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BUSPIRONE AND BRUXISM?

Low dose Buspirone can be used to treat the side effect of bruxism from SSRI

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TOURETTE PHARMACOLOGICAL

- antipsychotics

BUSPIRONE

- Anxiety, panic, OCD, PTSD - Dizziness, nausea, headache - NO sedation, NO dependency - Takes 1-4 weeks for full effect - DOES NOT increase suicidal ideation - xerostomia - insomnia - no grapefruit juice

CHLORPROMAZINE

- 1 gen antipsych - orthostatic hypotension - palpitations - tachycardia - constipation - sedation - photosensitivity

CLOZAPINE

- agranulocytosis - Fever is a bad sign. Check WBC, Neutrophils - Sedation - Weight gain - Hypersalivation - Seizures - Constipation - Myocarditis is a great risk, usually within 30 days. Chest pain, palpitations, tachycardia, dyspnea, tachypnea, fever, fatigue.

NALOXONE

- Antidote for opioids

Amitriptyline (ECG Cnages)

TCA

Imipramine

TCA

Doxepin

TCA

Clomipramine

TCA

Amoxapine

TCA

Venlafaxine

SNRI

Duloxetine

SNRI

Desvenlafaxine

SNRI

Atomoxetine

SNRI

Phenelzine

MAOI

Isocarboxazid

MAOI

Tranylcypromine

MAOI

Selegiline

MAOI

Chlorpromazine

1ST GEN ANTIPSYCHOTIC

Haloperidol

1ST GEN ANTIPSYCHOTIC

Loxapine

1ST GEN ANTIPSYCHOTIC

Fluphenazine

1ST GEN ANTIPSYCHOTICS

Clozapine

2ND GEN ANTIPSYCHOTICS

Risperidone

Atypical antipsychotic

Olazapinee

2ND GEN ANTIPSYCHOTICS - MAJOR weight gain - Smoking reduces it to 50%

Quetiapine

2ND GEN ANTIPSYCHOTICS

Ziprasidone

2ND GEN ANTIPSYCHOTICS

What does anorexia lower?

- heart rate - blood pressure - estrogen or testosterone - body temp - bone density - menstrual periods

5150

- 3 days | - DTO, DTS, GD

5250

- 14 days | - on the 4th day a hearing on the units decided of 14 days should be upheld

PCH

provable cause hearing | this one is on the unit to maintain the 5250

Writ

habeas corpus | appeal to the PCH

Riese

hearing at a mental health court to force meds | LPS conservatorship

Classic conditioning?

Pavlov

Behaviorisms (boy with the hammer)

Watson

Operant conditions (rat with lever)

Skinner

Anhedonia

Lack of plessure

Avolition

Lack of motivation

Alogia

Lack of speech

Affect

Mood

THIOTHIXENE

1st Gen antipsychotic

TOPIRAMATE

ANTICONVULSANT can reduce cravings for alcohol might help with nightmares

Tacrine

Cholinesterase | Dementia med

Aripiprazole

3rd Gen antipsychotic

ZIPRASIDONE

- Atypical antipsychotic - QT elongation - Monitor cardiac, Monitor pulse - EKG - Give with 350-500 cal.

TCA S/S

- Anticholinergic - MI is a contraindication - Sedating give HS

SSRI S/S

- Discontinuation syndrome - Sexual dysfunction - Serotonin syndrome

Discontinuation Syndrome

Flue like pins and needles nausea dizziness

Serotonin Syndrome

``` Hyperreflexia'myoclonus tremors - Labile blood pressure - Ataxia - Diaphoresis - Fever ```

SNRI

Hypertension

Trazadone

Antidepressant used for sleeping

Mirtazapine

other

Desipramine

TCA

Nortriptyline

TCA

Zolpidem

- Ambien | - For sleep

Temazepam

- Benzo used for sleep

ECT meds

- Atropine | - Succy

ECT how many days?

- 3x a week | 12x in 30 days

Mirtazapine

other anti-depressants | monitor for granulocytosis

BUN

7-20

ANC

1500-8000

Platelet

150-450k

AST

10-40

ALT

7-56

MEDS TO TREAT EPS

ABC - Amantadine - Benztropine - Diphenhydramine - Trohexphenideal

MEDS decreased with smoking

- Clozapine - Olazopine - Mirtazepine

MEDS Flashcards

(90 cards)