-
Name 4 TCA meds
- Doxepin
- Imipramine
- Nortriptyline
- Amitriptyline
-
TCA
- for
-what to be aware of
- 1st line for depression
- 2-6 wks to work
- LETHAL IN OD ( 10 day supply)
- Blocks Ach,histamine--> sedation, dry mouth
-
Name 3 MAOI
- Phenelzine sulfate
- Isocarboxazid
- Trancypromine
-
MAOI what to know
Anti depressant
NO Tyramine/ginseng --> HTN crisis ( occip headach, sweat, n/v, tachy)
No aged cheese, processed meat, ferm fish, beer/wine, avocado, pickled food, fig, raisin, bananas, chocolate, liver, soy
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Name SSRI (6)
- Fluoxetine, Paroxetine
- Sertraline
- Citalopram
- Fluvoxamine
-
SSRI what to know
anti depressant
Less side effects but sexual ones
takes a while to work
No grapefruit juice
Dont stop abruptly
Serotonin synd ( tachy, HTN, muscle spasm, hyperreflex)
-
-
SNRI are for , and what to know
Depression
- Side effects go away after 1-2 wks
- energy goes up
- Dont stop abruptly = withdrawl ( vision, dizzy)
-
Whats bupropion for
side effects to know
- depression
- no sexual side effects
- contraindications: sizures, eating disorders
-
Trazadone is for
anti depressant
- sedative properties
- priaprism
-
Name 5 mood stabilizers
- Lithium
- Valproic Acid
- Carbamazepine
- Lamotrigine
- Oxcarbazepine
-
Lithium level
what to be aware of
- Lithium 0.6-1.2
- consistent salt level
- no caffeine
- monitor kid and liver
-
Valproic acid levels
what to be aware of
- valproic acid ( 50-100)
- if lithium doesnt work , for bipolar/mania
- check liver
-
Cabamazepine level
what to be aware of
- 5-12
- anticonvulsant, mania
- good for aggression
- monitor anemia
-
Lamotrigine
mood stabilizer
- anticonvulsant
- Steven Johnsons
-
Oxcarbazepine
whats it for
what to be aware of
mood stabilizer/ anti convulsant
monitor CMP for hypoatremia
-
2 Types of anxiolytics
Benzos ( end in -pam)
Buspirone
-
What to know about benzos
- pam
- addictive
- GABA
- Short term only
- withdrawl=seizure
- NO narcatics/alcohol
-
Buspirone what to know
- no sedative, or addictive properties
- dizzy
- bad for kidney, liver, breastfeeding
-
2 types of antipsychotics
endings
what they work best on
traditional/atypical
- - end in -zine
- -haloperidol
Works best on positive symptoms ( shouldnt be there ex. hallucinations, delusions, bizarre)
- Positive and negative symptoms ( need more of ex. blunt, 0 motiv, no speech)
- agranulocytosis
-
Neroleptic Malignant Syndrome ( NMS)
symptoms
- lead pipe rigidity
- high fever
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