-
-
Valium
Antianxiety/ Benzo
-
Ativan
Antianxiety/ Benzo
-
Versed
antianxiety/ Benzo
-
-
Haldol
antipyschotic/ Typical
-
Zyprexa
antipsychotic/ atypical
-
Risperdal
antipsychotic/ atypical
-
Abilify
antipsychoti/ atypical
-
nardil
antidepressant/ MAOI
-
Prozac
antidepressant SSRI
-
Zoloft
antidepressant/ SSRI
-
Celexa
antidepressant SSRI
-
Wellbutrin
antidepressant
-
Tegretol
anticonvulsant (mood stabilizing)
-
Depakote/ Depakene
anticonvulsant - mood stabilizing
-
Neurontin
anticonvulsant- mood stabilizing
-
Klonopin
- anticonvulsant/ antianxiety/ benzo
- mood stabilizing
-
-
what is the action of Benzodiazepnes?
thought to potentiate the effects of GABA (a powerful inhibitory NT) thereby producing a calming effect
-
Non Benzo antianxiety agent?
-
action of SSRI?
selectively inhibits the CNS neuronal uptake of serotonin (5HT)
-
action of anticonvulsants and what group does it belong to ?
- treats bipolar disorder, action is unclear
- mood stabilizing
-
-
Xanax, Valium, Ativan are examples of
Benzos or antianxiety agents increasing the effects of GABA producing a calming effect
-
Klonopin
anticonvulsant, antianxiety, benzo, mood stabilizing
-
Prozac, Zoloft are used as
antidepressants SSRI
-
Lithium (Escalith)
- mood stabilizing
- alters Na++in brain, lithium levels needed, controls mania symptomslow Na+ diet, fluids, polyuria
-
Tegretol, Depakote, Depakene, Neurontin are
anticonvulsants (mood stablizing)
-
what are Extrapyramidal symptoms?
acute adverse effects of an antipyschotic drug, most common are tremors, rigidity and dystonic reactions
-
pseudoparkinsonism
tremors, mask like facial expressions, rigidity, drooling loss of assoc movements of arms and some restlessness
-
dystonia
muscle rigidity, abnormal posturing, protrusion of tongue, mandibular movements
-
akathesia
motor restlessness
-
-
MAOI- antidepressants are last line why? and name 2.
- Major SE, GI (tyramine) needs special low tyramine diet
- Nardil
- Parnate
-
typical (older) antipyschotics
Thorazine, Mellaril, Prolixin, Stelazine, Navane, Haldol,
-
Atypical (newer) antipyschotics
- Clozaril
- Zyprxia
- Seroquel
- Resperdal
- can cause EPS
-
considerations for antipyschotics
- produce calming effects w/out sedating
- controls "positive" symptoms
- no tylenol (interacts with drugs that affect liver detoxifcation)
- EPS symptoms, NMS, monitor WBC with Clozaril
-
Antidepressant categories
- Tricyclics- affect reabsorption of Nor Epi and Seratonin (risk of OD)
- SSRI's blocks reabsoprtion of Serotonin (take in AM)
- MAOI (last line) blocks MAO needed to metabolize nor epi, seratonin and dopamine. Low tyramine diet
-
beta blocker for anti anxiety?
Inderal (propanolol)
-
Anti-anxiety
- action: blocks GABA causes sedation
- can be abused, pysical dependance, intentional OD
- Dont stop Benzos abruptly
-
most important pharmacolocig characteristics of antipyschotic drugs are:
- 1. ability to calm aggresive pts
- 2. failure of large doses to produce deep coma
- 3. production or reversible or irreversible effects on the EP system
- 4. lack of notable tendency to produce physical dependance
-
difference of antianxiety and antipyschotic?
antianxiety no EPS
|
|
