Glossary of Mental Health Clinical Meds - Week 1

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Created by daisy497

Magnesium Hydroxide (Brand name: Milk of Magnesia)
1. Classification: Laxative
2. Uses: Treats constipation
3. Dosage: 30-60 mL/day regular; 10-30 mL/day concentrated
4. Onset: 3-6 hours or less
5. Route: Oral (tablet or liquid)
6. Side Effects: Hypotension, respiratory depression, stomach cramps, diarrhea, electrolyte imbalance
7. Contraindications: renal failure, electrolyte imbalance, intestinal obstruction or perforation, rectal fissures

Polyethylene Glycol (Brand name: MiraLax, Glycolax)
1. Classification: Laxative
2. Uses: Constipation
3. Dosage: 17 g (1 tbsp) in 8 oz water PO qDay
4. Administration: Refrigerate prior to admin: more palatable, fast 3-4 hours before PEG, rapid drinking preferred
5. Route: PO
6. Adverse Effects: abdominal distension, flatulence, nausea, cramps, excessive bowel activity
7. Contraindications: Bowel obstruction, perforated bowel, ulcerative colitis

Clonazepam (Brand name: Klonopin)
1. Classification: Anticonvulsant, Anti-anxiety
2. Uses: Panic Disorder, Seizure control
3. Dosage: Panic Disorder - 0.25 mg PO q12h initially; may increase to 1 mg/day after 3 days; Seizure Control - 0.5 mg PO q8h initially; may increase by 0.5-1 mg every 3 days; no more than 20 mg/day
4. Peak: 1-4 hrs
5. Route: PO
6. Adverse Effects: abnormal coordination, ataxia, depression, dizziness, fatigue, memory impairment
7. Contraindications: significant hepatic impairment, severe respiratory depression
8. Note: withdraw gradually when used for panic disorder

Venlafaxine (Brand name: Effexor XR)
1. Classification: Antidepressant
2. Uses: Depression, Generalized Anxiety, Social Anxiety, Panic Disorder
3. Dosage: Depression - initially 75 mg/day PO divided q8-12h; may increase by less than or equal to 75 mg/day no faster than every 4 days; Moderate - up to 225 mg/day PO divided q8-12h; Severe - up to 375 mg/day PO divided q8-12h
4. Administration: take with food; discontinue gradually if taking longer than 7 days
5. Route: PO
6. Adverse Effects: headache, nausea, insomnia, dizziness, ejaculation disorder, somnolence, dry mouth, sweating
7. Contraindications: Avoid taking in combination with monoamine oxidase inhibitors (MAOs) - can increase risk of serotonin syndrome

Fludrocortisone (Brand name: Florinef)
1. Classification: Corticosteroids
2. Uses: Adrenocortical insufficiency
3. Dosage: 0.1 mg PO qD
4. Peak: within 1.7 hr
5. Route: PO
6. Adverse Effects: Adrenal suppression, psychosis, insomnia, vertigo, acne, osteoporosis, delayed wound healing
7. Contraindications: systemic fungal infection, patients receiving live or attenuated vaccines

Risperidone (Brand name: Risperdal)
1. Classification: Antipsychotics
2. Uses: Schizophrenia, Bipolar mania
3. Dosage: 0.5 mg PO
4. Route: PO (tablet, disintegrating, solution), IM injection
6. Adverse Effects: Somnolence, insomnia, agitation, anxiety, headache, rhinitis
7. Contraindications: Hypersensitivity

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