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
