SSRI/SNRI
What are some examples of SSRIs
citalopram (Celexa)
escitalopram (Lexapro)
parosetine (Paxil)
Sertaline (Zoloft)
What are the typical antipsychotics?
haloperidol (Haldol)
fluphenazine (Prolixin)
chlorpromazine (Thorazine)
perphenazine (Trilafon)
Maintenance Level of Lithium
0.6 to 1.2 mEq/L
This medication is used for opioid and/or alcohol addiction. Decreases pleasurable feelings and cravings. Must avoid alcohol containing products and monitor hepatic/renal function
Naltrexone (Vivitrol)
most widely used stimulants to treat ADHD
Methylphenidate (Ritalin) and the mixed amphetamine salts (Adderall)
What are some examples of SNRIs
duoxetine (Cymbalta)
venlafazine (Effexor)
What are some Atypical Antipsychotics
ariprazole (Abilify) - only 3rd gen
risperidone (Risperdal)
olanzapine (Zyprexa)
quetiapine (Seroquel)
Lithium Toxicity Levels
Early: 1.5 mEq/L - diarrhea, vomiting, drowsiness, muscle weakness, loss of appetite, coarse hand tremors
Severe: >2.5 mEq/L - convulsions, oliguria, possible death
Methadone
Buprenorphine
first drug approved for adults with ADHD; not a stimulant
atomoxetine (Strattera)
Side Effects of SSRIs
Dry mouth, Dizziness, Dysfunction (Sexual), Drowsiness, Sweating, Nausea/Indigestion
What are the extra pyramidal side effects
acute dystonia -sudden sustained contraction
akathisia - motor restlessness
pseudoparkinsonism - hand tremor, arm swing
tardive dyskinesia - rhythmic movements
AntiSeizure Meds used as mood stabilizers for Bipolar Disorder
Valproic Acid (Depakote)
Lamotrigine (Lamictal)
Carbamazepine (Tegretol)
Gabapentin (Neurotin)
Opioid antagonist - can reverse and block the effects of opioids; antidote for overdose
Naloxone (Narcan)
Side Effects of Stimulants
appetite suppression, abdominal pain, headaches, sleep problems, itchy skin, mood changes, nausea
Agitation, Hallucinations, Hyperthermia, Labile BP, nausea, vomiting due to excess serotonin in the body
serotonin syndrome
What medications are used to treat EPS?
Antidyskinetics - restore neurotransmitter levels
•Benadryl (Diphenhydramine)
•Cogentin (Benztropine)
Important things to evaluate/monitor while on valproic acid
AST, ALT, CBC, PT/INR
can cause prolonged bleeding
This drug is used for alcohol relapse prevention. Patient must avoid alcohol products and watch for respiratory arrest, CV suppression, seizures
Disulfiram (Antabuse)
promote activity of GABA and result in a calming effect; used for anxiety and panic disorders
diazepam (Valium)
Alprozalam (Xanax)
Lorzepam (Ativan)
Clonazepam (Klonopin)
What 2 things can you not take with antidepressants
alcohol & caffeine
Which antipsychotics are safe to take during pregnancy?
atypical or typical?
typical are safe
atypical cross the placenta
–Avoid grapefruit juice
–If taking oral contraceptives need additional/alternate b.c.
–Do not abruptly stop medication
–Report increase in suicidal thoughts
Other medications that can help treat alcohol withdrawals
-benzodiazepines
-Catapress(clonidine) also used to help with mild to moderate withdrawals- antihypertensive treatment
reduces anxiety without strong sedative-hypnotic properties; blocks serotonin
Buspirone (Buspar)