Psych Drugs
Terms
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- Naltrexone, nalmefene, acaprosate, Antabuse
- Drugs that are helpful in treating alcohol cravings and maintaing abstinence
- Atypical drugs
- clozaril
- typical drug
- thorazine, Haldol
- Clozaril se's
- ortho hypo, weight gain, tachy, paridoxical hypersalivation, agranulocytosis (most serious)dc drug when WBC count below 3500
- The only antipsych drug with a ceiling dose-800mg/day
- Mellaril
- Typical anti psychotic se's
- EPS's, Anticholinergic, Acute Dystonic reaction, Akasthesia, Parkinsons syndrome, Tardive dyskinesia, NMS.
- Only two drugs given in a depot form
- Haldol, prolixin
- EPSE's
- rigidity, tremors, drooling, shuffling gait. Very stigmatizing, most common reason for dc drug, give drugs to treat se's, then taper drug and give prn (cogentin)
- Anticholinergic se's
- drowsiness, dry mouth, bluerred vision, ortho hypo, urinary retention, constipation
- Acute dystonic reaction
- spasms of legs, neck, arms, and back, very painful, occours suddenly, im cogentin to treat, resp support available
- Akathesia
- can't sit still, pace, movement relieves the restlessness
- Parkinsons syndrome
- cogwheel rigidity, akathesia, Tx with Cemetrol (needs good renal function) and Amantadine
- Tardive dyskinesia
- Irreversible, involuntary movements, clients cant control lip smacking, tongue protrusion. Asses for often
- NMS
-
fever, muscle rigidity, tremors, tachcardia, diaphoretic, inc CPK
TX-dc all meds, give symptomatic, supportive care. Vent support - TCA's
-
amitryptiline (Elavil)
doxepin (SInequan)
imipramine (Tofranil)
Clomipriamine (Anafril) - Require Theraputic Blood levels
- TCA's
- Have antihistamine/anticholinergic se's
- TCA's
- Antihistamine se's
- sedation, drowsiness, weight gain, hypotension
- SSRI's
-
Prozac (fluoxetine)
Paxil
Celexa
Luvox(OCD)
Zoloft - SSRI se's
- N/D, decreased libido(female), decreased impotence (male), major caude of med dc.
- MAOI's
-
Nardil, parnate
Anticholinergic SE's - What should you avoid with MAOI's
- Tyramine, could cause a hypertensive crisis
- How do you treat a Maoi induced HT crisis
- IM thorazine, or IV phentolamine
- Lithium
- Used to treat bipolar disorder.
- Lithium se's
- weight gain, acne, toxicity is an emergency, NVD, fine hand tremors, confusion, ataxia seizures
- Lithium blood level draws
- weekly, then monthly, then every 3-6 mos for maint
- Anticonvulsants
-
2nd line after lithium
tegretol
depakote - Tegretol SE's
- agranulocytosis
- Depakote SE's
- Liver toxicity, pancreatitis
- Non benzo used for treating Anxiety
- Buspar
- Benzos used for Tx of anxiety
- Paxipam, ativan, Serax, Tranxene, Xanax, Librium, Valiumn; Dalmane, resteril, ambien used for sedative hypnotic effects.
- Benzo Se's
- Drowsiness, fatigue, muscle weakness, fatigue, ataxia, dizziness, anterograde amnesia, blurred vision, tolerance, dependance, rebound insomnia,anxiety, possible wd seziures.
- Anti HTN meds used in TX of anxiety
- Inderol (propranolol) Catapres (Clonidine)
- Anti depressants used in TX of anxiety
- Paxil, Luvox, Anfranil, Desyrel.
- Barbituates used in Tx of anxiety
- Nambutal, Amytal, Seconal.
- Alzheimers TX drugs
- Cognex (1st, causes liver tox), Aricep, Reminal, Excelon DON'T USE BENZOS
- ADHD drug TX
-
Ritalin, Dexadrine(dextroamphetamine), Adderal,
Cylert, Strattera. - Short acting ADHD drug
- Adderal, Ritalin, Dexadrine
- Time released ADHD drug
- Strattera
- SE's of short acting ADHD drugs
- loss of apetite, weight loss, difficulty falling asleep, stomach ache, tep decrease in growth and development (give drug holidays)
- Long acting ADHD drug
-
Cylert
usu not used, 2-4 weeks, can caused liver failure, used when other drugs don't work.