[Mental Health Medication Exam 2023

MENTAL HEALTH MEDICATION EXAM 2023TITLE] Ativan (Lorazepam) - ANSWER Antianxiety, benzodiazepines - anxiety disorder Ativan (Lorazepam) side effects - ANSWER Depression, lethargy, apathy, fatigue, light-headedness, disorientation, restlessness, constipation, dry mouth, nausea Valium (Diazapam) - ANSWER Anxiolytics, Antianxiety, Benzodiazepine type -anxiety disorder Valium (Diazapam) side effects - ANSWER Transient, mild drowsiness initially, sedation, depression, lethargy, apathy, fatigue, light-headedness, disorientation, restlessness, confusion, changes in libido, drug dependence with withdrawal syndrome. Xanax (Alprazolam) - ANSWER Anxiolytics, Benzodiazepine type - anxiety disorder Xanax (Alprazolam) side effects - ANSWER Depression, lethargy, apathy, fatigue, light-headedness, disorientation, restlessness, constipation, dry mouth, nausea Anxiolytics/ Antianxiety Benzodiazepine type Food interactions - ANSWER -use with alcohol causes sedation -use with caffeine leads to decreased effectiveness of the medication Buspar (Buspirone) - ANSWER Antianxiety, non-benzodiazepine -anxiety disorder Buspar (Buspirone) side effects - ANSWER Dizziness, headache, nervousness, insomnia, lightheadedness, nausea, dry mouth, vomiting, abdominal/gastric distress, diarrhea Celexa (Citalopram) - ANSWER Antidepressant, SSRIs -major depression Celexa (Citalopram) side effects - ANSWER Nausea, dry mouth, sweating, somnolence, dizziness, insomnia, ejaculatory disorders Lexapro (Escitalopram) - ANSWER Antidepressants, SSRIs -anxiety disorder -depression Lexapro (Escitalopram) side effects - ANSWER Nausea, dry mouth, sweating, somnolence, dizziness, insomnia, ejaculatory disorders Paxil (Paroxetine) - ANSWER Antidepressants, SSRIs -anxiety disorder -depression Paxil (Paroxetine) side effects - ANSWER Somnolence, dizziness, insomnia, tremor, nervousness, headache, nausea, dry mouth, constipation, diarrhea Prozac (Fluoxetine) - ANSWER Antidepressants, SSRIs -anxiety disorder - major depression Prozac (Fluoxetine) side effects - ANSWER Headache, nervousness, insomnia, drowsiness, anxiety, tremor, dizziness, light-headedness, nausea, vomiting Zoloft (Sertraline) - ANSWER Antidepressants, SSRIs -anxiety disorder -depression Zoloft (Sertraline) side effects - ANSWERHeadache, nervousness, drowsiness, anxiety, tremor, dizziness, insomnia, diarrhea, dry mouth Desyrel (trazodone hydrochloride) - ANSWER Antidepressants, SARIs -depression Desyrel (trazodone hydrochloride) side effects - ANSWER Anger, hostility, agitation, nightmares/vivid dreams, hallucinations, delusions, hypomania, confusion, disorientation, nausea, vomiting, diarrhea, flatulence, constipation, hypertension, hypotension, SOB, decreased libido allergic skin conditions, edema Nefazodone (Serzone) - ANSWER Antidepressants, SARIs -depression Nefazodone (Serzone) side effects - ANSWER Headache, nervousness, insomnia, drowsiness, anxiety, tremor, dizziness, light-headedness, nausea, vomiting, diarrhea Elavil (Amitriptyline) - ANSWER Antidepressants, TCAs -major depression or severe depression -anxiety disorder w/t major depression -PTSD Elavil (Amitriptyline) side effects - ANSWER Sedation, anticholinergic effects BUDCAT, confusion, disturbed concentration, dry mouth, constipation, orthostatic hypotension Marplan (isocarboxiazid) - ANSWER ANTIDEPRESSANTS, MAOI type -atypical depression & depression unresponsive to other drug regimens Marplan (isocarboxiazid) side effects - ANSWER Dizziness, vertigo, headache,, overactivity, hyperreflexia, tremors, muscle twitching, mania, hypomania Nardil (Phenelzine) - ANSWER Antidepressants, MAOI type -atypical depression & depression unresponsive to other drug regimens Nardil (Phenelzine) side effects - ANSWER Dizziness, vertigo, headache, overactivity, hyperreflexia, tremors, muscle twitching, mania, hypomania Antidepressants MAOI type FOOD INTERACTIONS - ANSWER- Use with alcohol can result in neurotoxicity - Use with foods high in tryptophan and trymine can lead to hypertensive crisis (fatally elevated blood pressure) Wellbutrin (Bupropion) - ANSWER Antidepressants, Selective NE/DA Reuptake inhibitors -depression Wellbutrin (Bupropion) side effects - ANSWER Sedation and anticholinergic effects, confusion, disturbed concentration, dry mouth, constipation, dry mouth, constipation, nausea, agranulocytosis, neutropenia HETEROCYCLIC ANTIDEPRESSANTS food interactions - ANSWER -use with coffee or tea results in precipitation -use with alcohol leads to sedation -use with ascorbic acid increases elimination of antidepressant Abilify (Ariprazole) - ANSWER Antipsychotics/Neuroleptics Atypical Antipsychotics - positive and negative symptoms of schizo Abilify (Ariprazole) side effects - ANSWER Headache, anxiety, insomnia, light-headedness, tremor, asthenia, orthostatic hypotension, nausea, vomiting constipation, diarrhea, rhinitis, cough, seizures, malignant neuroleptic syndrome Clozaril (Clozapine) - ANSWER Antipsychotics/Neuroleptics Atypical Antipsychotics - positive and negative symptoms of schizo -refractory schizo Clozaril (Clozapine) side effects - ANSWER Weight gain, sedation, salivation, seizures, danger of agranulocytosis, sexual dysfunction, Requires monthly testing of WBC Effexor (Venlafaxine) - ANSWER Antipsychotics/Neuroleptics, Atypical Antipsychotics -May be a successful antidepressant for those who have not experienced response to SSRIs -anxiety disorder Effexor (Venlafaxine) side effects - ANSWER May not cause side effects associated with SSRIs Invega (Paliperidone) - ANSWER Antipsychotics/Neuroleptics, Atypical Antipsychotics -Positive and negative symptoms of schizophrenia Invega (Paliperidone) side effects - ANSWER Insomnia, agitation, anxiety, headache, nausea, vomiting, neuroleptic malignant syndrome Risperdol (Risperadone) - ANSWER Antipsychotics, Atypical Antipsychotics - positive and negative symptoms of schizo Risperdol (Risperadone) side effects - ANSWER Insomnia, agitation, anxiety, headache, nausea, vomiting, neuroleptic malignant syndrome Zyprexa (Olanzapine) - ANSWER Antipsychotics, Atypical Antipsychotics - positive and negative symptoms of schizo Zyprexa (Olanzapine) side effects - ANSWER Excessive weight gain, somnolence, dizziness, neuroleptic malignant syndrome, constipation, postural hypotension, fever Artane (Trihexypenidyl) - ANSWER Used to treat side effects of antipsychotic drugs/ Anticholinergics -Used to treat parkinsonism and dystonia; may reduce akathisia Cogentin (Benztropine) - ANSWER Used to treat side effects of antipsychotic drugs/ Anticholinergics -Used to treat parkinsonism and dystonia; may reduce akathisia Klonopin (Clonazepam) - ANSWER Used to treat side effects of antipsychotic drugs/ Benzodiazepines Klonopin (Clonazepam) side effects - ANSWER Should not be used for pts with substance abuse; use with caution with clozapine b/c risk of respiratory depression and arrest Lamictal (Lamotrigine) - ANSWER Mood Stabilizers...anticonvulsant -BIPOLAR DEPRESSION only Lamictal (Lamotrigine) side effects - ANSWER Dizziness, ataxia, nausea, potentially life threatening Stevens-Jonson syndrome and toxic epidermal necrolysis with multiorgan failure Lithium Carbonate - ANSWER Mood stabilizers -bipolar disorder -alleviates acute mania that follows depression Lithium Carbonate side effects - ANSWER Adverse effects related to serum levels; in acute treatment, blood should be drawn twice a week, 8-12 hr after previous dose; in long term management, blood should be drawn every 2 months; lethargy; slurred speech; muscle weakness; fine hand tremor; nausea, vomiting, diarrhea, thirst, polyuria Lithium Carbonate therapeutic range and toxicity range - ANSWER moderate to severe toxicity (2.0-2.5 mEq/L) pulmonary complications life threatening toxicity (2.5 mEq/L) death -finish this card! Lithium Carbonate food interactions - ANSWER -increased caffeine intake can increase lithium elimination -sudden decrease in caffeine intake may cause lithium toxicity from change in urination -use with sodium increases lithium elimination, while a low sodium diet may lead to lithium retention and toxicity Tegretol (Carbamazapine) - ANSWER Mood stabilizers -Bipolar disorder -acute mania Tegretol (Carbamazapine) side effects - ANSWERDizziness, drowsiness, unsteadiness, nausea, vomiting, fatal, hepatitis, fatal massive hepatic necrosis Haldol (Haloperidol) - ANSWER Antipsychotics/Neuroleptics, Traditional Antipsychotics Haldol (Haloperidol) side effects - ANSWER Drowsinessm pseudoparkinsonism, dystonia, akathisia, neuroleptic malignant syndrome, refractory dysrhythmias, suppressionof cough reflex and potential for aspiration, anaphylactoid reactions