Psych Drugs

effexor

(Venlafaxine) Antidepressant SNRI

Anti-anxiety agents i. Benzodiazepines ii. Buspirone iii. Noradrenergic agents

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Antipsychotics i. Phenothiazines ii. High potency agents (Haldol, Prolixin) iii. Atypical/2nd generation

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Phenothiazines

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Anti psychotic Medications (Atypical)

Abilify (Aripiprazole) Geodon (Ziprasidone) Risperdal (Risperidone) Seroquel (Quetiapine) Zyprexa (Olanzapine) Clozaril (Clozapine)

Benzodiazapine, Atypical

Ambien (Zolpidem) Lunesta (Eszopiclone)

naltrexone

An opiate receptor antagonist is used for treatment of alcohol and heroin dependence (blocks pleasurable effects of alcohol and reduced craving); works best in motivated clients

Buspar (Buspirone)

Anti anxiety Medications Mild effect on seratonin and GABA bad 2-4 four weeks till kicks in

Inderal (Propranolol)

Antianxiety Medications -

valium (Diazepam)

Antianxiety Medications - Long acting Benzodiazepine

Ativan (Lorazepam)

Antianxiety Medications - intermediate-acting Benzodiazepine

klonopin (Clonazepam)

Antianxiety Medications - intermediate-acting Benzodiazepine

Cymbalta (Duloxetine)

Antidepressant Medication

Serzone

Antidepressant Medication anxiety + depressant,

Zoloft (Sertraline)

Antidepressant Medication Agitation tolerated better older medically fragile, softer, rapid energy

Lexapro

Antidepressant Medication SSRIs

Luvox

Antidepressant Medication SSRIs High potency

Paxil (Paroxetine)

Antidepressant Medication SSRIs agitation / Anxiety seratonin + nor-epinephrine - dopamine 1st week agitated, Stomach, insomnia, then feel better. start 1/2 then up

Celexa (Citalopram)

Antidepressant Medication SSRIs vegetative symptoms

Prozac (Fluvoxamine)

Antidepressant Medication SSRIs - Inhibits CNS Neuron uptake of serotonin but not of norepinephrine vegetative depression SE restlessness, insomnia, GI upset, diarria, possible to high dosage, need renal function

Anxiety medication other that SSRI and SNRI or Tricyclics or Buspar or Beta-Blockers

Antihistamines used with moderate agitation with kids Hydroxyzine HCL (Atarax) HRoxyzine pamoate (Vistaril) Anticonvulsants Carbamazepine (Tegretol) Gabapentin (Neurontin) Valporic acid (Depakote)

Clozaril (Clozapine)

Antipsychotic Medications Regulates dopamine and increases seotonin, improves suicidal thoughts and negative mood, affects positive and negative symptoms, myocarditis, orthostasis, syncopy, and fallstachycardia, Current use: last resort, agranulocytosis, hyperglycemia, not for elderly with dementia.

Neuroleptics

Antipsychotics (also known as neuroleptics or major tranquilizers) are a class of psychiatric medication primarily used to manage psychosis (including delusions, hallucinations, or disordered thought), in particular in schizophrenia and bipolar disorder, and depression Haldol (Haloperidol) Prolixin (Fluphenazine) Thorazine (Chlorpromazine) Abilify (Aripiprazole) Geodon (Ziprasidone) Risperdal (Risperidone) Seroquel (Quetiapine) Zyprexa (Olanzapine) Clozaril (Clozapine)

Benzodiazapines, typical alcohol contraindicated

Anxiety short term and Bipolar Affective Disorder Xanax (Alprazolam) Klonopin (Clonazepam) anti-convulsant, intemediate-acting Valium (Diazepam) Long-acting Ativan (Lorazepam) intemediate-acting Versed (Midasolam) short acting

Alprazolam (Xanax)

Anxiolytic benzodiazepines

Lorazepam

Ativan benzodiazepines

Antianxiety Medications

Ativan (Lorazepam) Buspar (Buspirone) Inderal (Propranolol) Klonopin (Clonazepam) Valium ((Diazepam)

Ability (Aripiprazole)

Atypical Antipsychotic Medications

Risperdal (Risperidone)

Atypical Antipsychotic Medications

Zyprexa (Olanzapine)

Atypical Antipsychotic Medications, infrequent EPS at lower doses, Side effects: weight gain, drowsiness, insomina, sexual dysfunction, gynecomastia, EPS, Tardive dyskenesia with long term use, wear gloves

Bipolar Affective Disorder (BAD) Medications

Benzodiazapines - xanax, ativan, valium, lowers anxiety and sleep Antipsychotics - Haldol, Geodon (Ziprasidone), Zyprexa (Olanzapine) Lithium Valporic acid Tegretol Neurontin

Anti-depressant Medications

Celexa (Citalopram) - SSRI Cymbalta (Duloxetine) - SNRI Effexor (Veniafaxine) - SNRI- avoid grapefruit Lexapro (Excitalopram) -- SSRI Luvox (Fluvoxamene) - SSRI Paxil (Paroxetine) - SSRI Prozac (Fluoxetine) - SSRI Zoloft (Sertraline) - SSRI- avoid grapefruit Wellbutrin (Bupriopion) - Norepinephrine-dopamine reuptake inhibitors (NDRIs) Trazadone - serotonin modulators

Extrapyramidal Side Effects (EPS) Medication

Cogentin 1st Artaine- po Benadryl 2nd Ativan relax until first 3 start to work Valium relax until first 3 start to work

Mood Stabilizing Medications

Depakote (Valproate) Lamictal (Lamotrigine) Lithium (Lithobid) Tegretol (Carbamazepine)

Anticonvulsants used to treat bipolar disorder

Depakote, Depakene (divalproex sodium, valproic acid, or valproate sodium) Lamictal (lamotrigine) Tegretol (carbamazepine) These medicines differ in the types of bipolar symptoms they treat. Depakote and Tegretol, for example, tend to be more effective in treating mania than depressive symptoms, while Lamictal appears to have stronger antidepressant than antimanic effects. Lamictal also is used more often to prevent future episodes (rather than treat current episodes), while Depakote and Tegretol are more established acute than preventative treatments

SSRI

Depression and anxiety Celexa (Citalopram) (due to the potential for QT interval prolongation) Fluvoxamine Lexapro (Escitalopram) Prozac (Fluoxetine) Luvox (Fluvoxamine) Paxil (Paroxetine) Zoloft (Sertraline)

Artaine

Drug-induced Extrapyramidal Symptoms, Parkinson Disease,

Tricyclics

Elavil (Amitriptiline) Sinequan (Doxepin) Pamelor (Nortriptiline) Trofranil (imi may cause tachycardia

Tricyclic antidepressants (TCAs) MOOD less expensive, moved away from - inhibit the reuptake of norepinephrine and serotonin similar to SSRIs but side effects are mor prominent, photosensitive, weight, sugar,Tricyclics can cause arrhythmias and ECG changes and are very toxic in overdose

Elavil, Anafranil, Sinequan, Tofranil, Asendin, Desipramine, Nortryptyline

High Potency Agents used for Thought disorders, schizophrenia Risk for EPS

Haldol Prolixin Decanote (long term) Best - hip injection, Z-track method Luvox

Anti psychotic Medications (Typical)

Haldol (Haloperidol) Prolixin (Fluphenazine) Thorazine (Chlorpromazine)

Buspirone ( Buspar)

It is primarily used to treat generalized anxiety disorder (GAD). tends to have a delayed onset of action. Unlike benzodiazepines buspirone is not a drug of abuse

Antidepressants

MAOI's Tricyclics SSRI SNRI Novel Agents

Nardil

MAOIs

Parnate

MAOIs

Concerta

Medication for Attention Deficit Disorder (ADD)

Methylphenidate (Ritalin)

Medication for Attention Deficit Disorder (ADD)

MAOI

Nardil, Parnate dizziness, headache, blood pools, insomnia, constipation, peripheral edema, food restrictions, aged cheese, sausage, tyramine rich foods, soy sauce, beer on tap. sauerkraut.

MAOIs - Antidepressants

No Popular Meds Nardil, Parnate, Marplan risk with food hypertension

Remeron

Novel Antidepressant Medication + sleep aid

Effexor

Novel Antidepressant Medication anxiety + depressant,

Trazadone

Novel Antidepressant Medication lower dose 25-50 mg sleep aid

Wellbutrin (Bupropion)

Novel Antidepressant Medication lowers seizure threshold, Bicyclic- no history of head trauma, alcoholism, eating disorder, smoking cessation

Temazepam

Restoril - Hypnotic benzodiazepines

mood disorders medications per study guide

SSRI Prozac, Paxil, MAOI's: Parnat, Nardil, Novel Antidepressants: Wellbutrin, Trazadone SNRI's: Cymbalta Anticonvulsants: Valporic Acid , Depakote, Tegretol, Lamotrigine Lithuim: Anti-Anxiety agents: Ativan, Xanaz, Klonopin, Valium Antipsychotic: Zyprexia, Haldol

Elavil

TCA's

nortryptaline

TCA's

Lithium

Therapeutic level 0.6-1.2, toxicity thirst, nausea, tremers, diarrhea, severe cardiac function, death. Need salts, hydration

Selective Serotonin Reuptake Inhibitors (SSRI)

Treat Depression and anxiety Celexa (Citalopram) Lexapro (Escitalopram) Prozac (Fluoxetine) Luvox (Fluvoxamine) Paxil (Paroxetine) Zoloft (Sertraline) - avoid greatfruit

SNRI (Novel Agents)

Treat anxiety disorders Cymbalta (Duloxetine) Effexor (Venlafaxine)

Selective Serotonin Norepinephrine Reuptake Inhibitors (SNRI)

Treat anxiety disorders Cymbalta (Duloxetine) Effexor (Venlafaxine)

Thorazine (Chlorpomazine)

Typical Antipsychotic Medications

Haldol (Haloperidol)

Typical Antipsychotic Medications High potency

Prolixin (Fluphenazine)

Typical Antipsychotic Medications High potency

Diazepam

Valium benzodiazepines

Anticonvulsant used to treat bipolar disorder

Valporic acid - stomach agitation, with food Tegretol - tablets that can be chewed for when people cant swallow whole Neurontin, not primary

Novel agents for Depression

Wellbutrin (Bupropion), Effexor,Trazadone, Remeron

SSRI sertraline

elderly depressed client, has relatively few side effects