Random Facts
What is neuroleptic malignant syndrome (NMS)
NMS is a life-threatening reaction to antipsychotic medication. It causes a high fever and muscle stiffness.
What is an example of an anticholinergic medication and was it it's use?
- Cogentin
- Benadryl
- Assist with controlling uncontrollable muscle movements, rigidity, balance.
What is akathisia?
Akathisia is an inability to remain physically still.
People with akathisia feel an intense and uncontrollable need to move — mainly, their lower body.
True or false: Extrapyramidal symptoms are more common in first generation antipsychotics than in second generation antipsychotics
True
What is the concern of abruptly stopping antipsychotic medications?
- Seizure
-Withdrawal symptoms
-Rebound psychosis
-Agitation/ irritability
-Disrupted sleep pattern
Why is it not recommended to consume alcohol when taking antipsychotic medications.
CNS depression- leading to intensified side effects like excessive drowsiness, dizziness, impaired judgment, and difficulty concentrating. In some cases, combining alcohol with antipsychotics can also lead to more serious issues like breathing difficulties, low blood pressure, and even seizures.
What is a drug-induced movement disorder in which sudden, uncontrollable movements happen in the face and body because of prolonged use of medication, typically anti-psychotic drugs.
-Tardive Dyskinesia
What is a medication class that is used for treating auditory and visual hallucinations?
Antipsychotic medications
What antipsychotic medication is closely monitored with weekly lab draws?
-Clozapine
-Monitor for change in WBC count
- Monitor for change in blood platelets
-Monitor for infection
What are side effects of anticholinergic medications?
- Dry Mouth, Blurred Vision, Constipation, Urinary retention, Increased heart rate
The symptom that means "Involuntary muscle contractions"
Dystonia
Which antipsychotic class (first or second) is more effective
Both are equally effective
What is the oldest antipsychotic medication?
-Thorazine
What medication is used to decrease drooling?
-Atropine sublingual drops
-Glycopyrrolate
What is a medical condition often related to weight gain from antipsychotic medications.
-Diabetes
Name three second generation antipsychotic medications.
-Olanzapine
-Seroquel
-Invega
-Clozaril
-Risperidone
-Latuda
Name at least two blood tests commonly used to detect side effects of second-generation antipsychotics (Double Points if you get all four!)
Any combination of metabolic panel, fasting blood sugar, lipid panel, or CBC
What should you do if your medications make you drowsy and you have difficulty functioning during the day?
-Speak with your provider,
-Take medications in the evening before bed.
-Recognize that it can take several weeks for your body to adjust to medication changes and typically improvement in energy is noted.
Enlargement of breast tissue in males, often caused by hormonal imbalances, and a side effects of what antipsychotic medication?
-Gynecomastia
-Risperidone
Name three first generation antipsychotic medications.
-Thorazine
- Haldol
-Loxapine
-Perphenazine