Meds Flashcards
(13 cards)
Prolixin dosing
Tabs: 1 mg, 2.5 mg, 5 mg and 10 mg
Initially: 2.5-10 mg/day PO TID or QID
Maintenance: 1-5 mg PO/IM divided q6-8hr; not to exceed 40 mg/day
Which SSRI is the most sedating?
Paxil.
Which SSRI causes the most GI side effect?
Fluvoxamine
Which SSRI causes the most activation?
Fluoxetine the most short-term weight loss and activation (e.g., anxiety and agitation). More likely to cause insomnia and jitteriness
Common medications associated w/ psychosis? 6
Corticosteroids, appetite suppressants, antidyskinetics (eg. Levodopa, carbidopa, amantadine) and isotretinoin
Side effects of carbamazepine and signs of them
Bone marrow suppression (fever, mouth sores, easy bruising and bleeding)
SIADH in the elderly
Mild anticholinergic effects — risk of glaucoma, urinary retention or constipation
SE of paroxetine
Weight gain (plus sedation)
What can you use for excessive sweating from anti-depressant?
moa?
Off-label treatment with terazosin (Hytrin) may control excessive sweating brought on by antidepressant treatment
Alpha-1 antagonist
Indications for Deplin (L-methylfolate)
Depression, in people w/ lamotrigine
If mutation in MTHFR
15 mg qD
How often do you monitor labs for Clozapine?
Blood tests must be performed weekly during the first 6 months of treatment, every other week for the second 6 months, and every 4 weeks thereafter.
Clozapine side effects
Weight gain, metabolic syndrome, seizures, pulmonary embolus, myocarditis, excessive salivation, constipation, and ileus.
Clozapine blood level target
200-300 mg/dL is a good starting range
Don’t want to be above 600 but can aim to get close to it if needed
How often to monitor labs for lithium?
Creatinine and thyroid function tests are monitored periodically (eg, every 3-6 months) in lithium-treated patients due to risks of hypothyroidism and renal toxicity.
