Psychiatric Medications - generic names

1st Generation AntipsychoticsChlorpromazine, Thioridazine Perphenazine Haloperidol, Fluphenazine
Atypical antipsychoticsClozaril (clozapine), Risperidal (risperidone), Seroquel (quetiapine), Zyprexa (olanzapine)
Mood StabilizersLithium (eskalith)



AntieplecticsTegretol (carbamzepine), Depakote (valproic acid), Lamictal (lamotrigine), Klonopin (clonazepam)
Tricyclic AntidepressantsChlomipramine, Amitriptyline, Imipramine, Nortryptiline, Despiramine
SSRIsProzac (fluoxetine), Paxil (paroxetine), Celexa (citalopram), Zoloft (sertraline), Luvox (fluvoxamine), Lexapro (escitalopram)
MAOIsPhenelzine (sedating), Tranylcipramine (stimulating)
Atypical/Novel AntidepressantsDesyel (trazadone), Wellbutrin (bupropion), Effexor (venalfaxine), Remeron (mirtazapine), Cymbalta (duloxetine)
Antianxiety/AnxiolyticsBenzodiazepines - Diazepam, Alprazolam, Clonazepam, Lorazepam
Antidote for Antianxiety ODFlumazinil
Blocks Dopamine in Basal GangliaTypical antipsychotics - Chlorpromazine, Thioridazine (low) Perphenazine (mid) Haloperidol, Fluphenazine (high)
Common side effects of Typical antipsychoticsEPS, anticholinergic effects, sedation, weight gain high - worse side effects
Antipsychotic that causes agranulocytosisClozapine
Quetapine side effects/usesweight gain, sedation; useful in mania, sleep
Olanzapine side effectsweight gain
Lithium toxicity - early signsATAXIA, n/v/d, thirst, polyuria, slurred speech, muscle weakness
Expected side effects of Lithiumlethargy, weight gain, fine hand tremors, blurred vision
Antiepileptics are used for what?used to help stabilize mood disorders
carbamazepine & oxcarbazepine monitor forCBC - AGRANULOCYTOSIS
Valproate monitor forCBC, LFT, pregnancy, PCOS
Side effects of TCA'santicholinergic 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/sabdominal 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 benefitsno anticholinergic side effects, faster onset than TCAs
MAOI client teachingno foods containing tyramine, no OTC cold meds, no antihypertensive meds (lots of drug-drug) interactions
Tyramine foodsaged 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 MAOIscottage cheese and cream cheese
Side effects of MAOIsOrthostatic hypotension, weight gain, edema, cardiac rate/rhythm, sex dysfunction, sedation, weakness/fatigue, muscle cramps
3rd line treatment of depressionMAOIs
Alternative treatment for depressionElectro-convulsive therapy - 2-3 x's a week for 6-12 treatments
trazadone, nefazodone helps withsleep; 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

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