Pharm Flashcards
NERVOUS SYSTEM
Benzodiazepines
Alprazolam
Diazepam
Lorazepam
Chlordiazepoxide
Sedation
Dependency/Withdrawal - Short term
Antidote is Flumazenil
Atypical Anxiolytics
Buspirone
No Sedation - No Dependency - Long term
Full effects take weeks
Take with meals
SSRIs
Paroxetine
Sertraline
Fluoxetine
Insomnia
Watch for Serotonin Syndrome (Agitation, Hallucinations, Fever, Diaphoresis,
Tremors)
Do Not Take With St. John’s Wort
Full Effects take months
Atypical Antidepressants
Bupropion
Trazodone (Major Side Effect - Sedation)
Depression & Smoke Cessation
Insomnia, headache, GI Distress, Weight Loss, Agitation, Seizures
TCAs
Amitriptyline
Imipramine
Sedation, orthostatic hypotension Anticholinergic Effects (Urinary Retention,
Constipation, Dry Mouth, Blurry Vision, Photophobia)
MAOIs
Phenelzine
Tranylcypromine
HTN Crisis
Do not eat foods with tyramine
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Mood Stabilizers
Lithium
Side Effects: GI Upset, Fine Hand Tremors (Coarse in Tox), Polyuria, Weight
gain, Kidney Tox, Electrolyte imbalances
Monitor Plasma Levels: Tox over 1.5 mEq/L
Toxicity (Coarse hand tremors, confusion, hypotension, seizures, tinnitus
No diuretics, Anticholinergics or NSAIDs
Contraindicated in Renal Disease
Closely monitor NA, Drink 2-3 L of water
Antiepileptics (Bipolar Disorder)
Carbamazepine (Blood Issues (Anemia, Thrombocytopenia & Leukopenia),
Vision Issues & Rash)
Valproic Acid (GI Upset, Hepatotoxicity, Pancreatitis, Thrombocytopenia)
Antipsychotics
Chlorpromazine
Haloperidol
EPS, NMS, Agranulocytosis, Anticholinergic Effects, Sedation
Monitor Vitals 1-2 hours
Benztropine can control EPS
Dantrolene can control NMS
Atypical Antipsychotics
Risperidone (IM q 2 weeks for non-compliance)
Clozapine (Agranulocytosis)
Olanzapine
Diabetes, Weight Gain, Increased Cholesterol, Sedation, Anticholinergic
Effects
Avoid Alcohol
ADHD Meds
Methylphenidate
Amphetamine
Insomnia, Dysrhythmias, Decreased Appetite, Weight Loss
Do not give at night
Give Immediately Before/After Meals
Monitor Child’s Weight
Alcohol Abuse (Withdrawal)
*Withdrawal Starts Within 4-12 Hours of Last Drink
*Peaks at 24-48 Hours
Benzodiazepines - Stabilizes vitals, Decrease Seizures
Carbamazepine - Decreases Seizures
Clonidine - Decreases BP & HR
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Beta Blockers - Decreases BP, HR, & Cravings
Alcohol Abuse (Abstinence)
Disulfiram - Vomit
Naltrexone - Decreases Cravings
Acamprosate - Decreases Abstinence Symptoms
Opioid & Nicotine Withdrawal
Opioid
Methadone - Used for Withdrawal & Long-Term
Nicotine
Bupropion
Nicotine Replacements - Gum, Patch, Nasal Spray
Varenicline - Reduces Cravings/Withdrawal; monitor for depression
Cholinergics
Neostigmine
Pyridostigmine
Edrophonium (Used to Diagnose MG vs. Cholinergic Crisis)
Myasthenia Gravis, Reverses Nerve Blocks
Increased Salivation, Diarrhea, Nausea/Vomiting, Sweating, Bradycardia
Antidote is Atropine
Anti Parkinson’s (Dopamine Agonist)
Levodopa/Carbidopa
N/V, Drowsiness, Tics, Orthostatic Hypotension, Darkening of urine/sweat
Do not take with High Protein Meals, can take with other meals
Anti Parkinson’s (Anticholinergic)
Benztropine
Anticholinergic Effects (Dry mouth, Dry Eyes, Blurry Vision, Urinary Retention)
Antiepileptics
Phenytoin
Lamotrigine
Carbamazepine
Valproic Acid
Gingival Hyperplasia, double vision, rash, ataxia
Narrow Therapeutic Range - Monitor Levels
Decreases Oral Contraceptives
Anti Glaucoma (Beta Blockers)
Timolol
Glaucoma
Hold Gentle Pressure on Nasolacrimal Duct for 30-60 Seconds
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