| Antieplectics | Tegretol (carbamzepine), Depakote (valproic acid), Lamictal (lamotrigine), Klonopin (clonazepam) |
| Tricyclic Antidepressants | Chlomipramine, Amitriptyline, Imipramine, Nortryptiline, Despiramine |
| SSRIs | Prozac (fluoxetine), Paxil (paroxetine), Celexa (citalopram), Zoloft (sertraline), Luvox (fluvoxamine), Lexapro (escitalopram) |
| MAOIs | Phenelzine (sedating), Tranylcipramine (stimulating) |
| Atypical/Novel Antidepressants | Desyel (trazadone), Wellbutrin (bupropion), Effexor (venalfaxine), Remeron (mirtazapine), Cymbalta (duloxetine) |
| Antianxiety/Anxiolytics | Benzodiazepines - Diazepam, Alprazolam, Clonazepam, Lorazepam |
| Antidote for Antianxiety OD | Flumazinil |
| Blocks Dopamine in Basal Ganglia | Typical antipsychotics - Chlorpromazine, Thioridazine (low) Perphenazine (mid) Haloperidol, Fluphenazine (high) |
| Common side effects of Typical antipsychotics | EPS, anticholinergic effects, sedation, weight gain high - worse side effects |
| Antipsychotic that causes agranulocytosis | Clozapine |
| Quetapine side effects/uses | weight gain, sedation; useful in mania, sleep |
| Olanzapine side effects | weight gain |
| Lithium toxicity - early signs | ATAXIA, n/v/d, thirst, polyuria, slurred speech, muscle weakness |
| Expected side effects of Lithium | lethargy, weight gain, fine hand tremors, blurred vision |
| Antiepileptics are used for what? | used to help stabilize mood disorders |
| carbamazepine & oxcarbazepine monitor for | CBC - AGRANULOCYTOSIS |
| Valproate monitor for | CBC, LFT, pregnancy, PCOS |
| Side effects of TCA's | anticholinergic sie effects (blurred vision, urinary retention, dry moth, constipation) sedation, orthostatic hypotension, sexual dysfunction |
| Do not take MAOI's with? | TCAs (2 weeks between these meds) and SSRIs |
| SSRIs and St. Johns Wort taken together can cause what? | Serotonin Reaction Syndrome |
| Serotonin Reaction Syndrome s/s | abdominal pain, diarrhea, fever (100 - 103), diaphoresis, tachycardia, increased BP, delirium, myoclonus, irritability, hostility, mood changes |
| What class of drugs if 1st line treatment for depression? | SSRIs |
| SSRI benefits | no anticholinergic side effects, faster onset than TCAs |
| MAOI client teaching | no foods containing tyramine, no OTC cold meds, no antihypertensive meds (lots of drug-drug) interactions |
| Tyramine foods | aged cheese and meats, pickled foods, sausage, beer, wine, chocolate, over-ripr fruits, bananas, avocados, soy sauce, dried fruits, caffiene |
| Some cheeses that are ok with MAOIs | cottage cheese and cream cheese |
| Side effects of MAOIs | Orthostatic hypotension, weight gain, edema, cardiac rate/rhythm, sex dysfunction, sedation, weakness/fatigue, muscle cramps |
| 3rd line treatment of depression | MAOIs |
| Alternative treatment for depression | Electro-convulsive therapy - 2-3 x's a week for 6-12 treatments |
| trazadone, nefazodone helps with | sleep; side effect: priapism |
| Bupropion has low incidence of this side effect compared to other antidepresants? | sexual dysfunction side effects |
| Benzodiazepines are contraindicated with what drugs? | CNS depressants, ETOH, opiates - can cause life threatening respiratory depression |
| Benzodiazepines are contraindicated for what clients? | Pregnant, nursing women, those with substance abuse history, use in the elderly can cause falls and broken bones |
| BuSpar (buspirone) | anti-anxiety: GAD, MDD |
