Psych Mental health ATI medications
Questions and Answers
1. Alprazolam (Xanax) - ANS-Benzodiazepine sedative hypnotic anxiolytic
2. First-line treatment for generalized anxiety disorder and panic disorder
Other Uses:
Seizure disorders
Insomnia
Muscle spasm
Alcohol withdrawal (for prevention and treatment of acute manifestations)
Induction of anesthesia
Amnesic prior to surgery or procedures
Other medications:
Diazepam
Lorazepam
Chlordiazepoxide
Clorazepate
Oxazepam
Clonazepam
Amitriptyline - ANS-TCA
3. Other medications
Imipramine
Doxepin
Nortriptyline
Amoxapine
Trimipramine
Uses: Depressive disorders
Other uses
Neuropathic pain
Fibromyalgia
Anxiety disorders
Insomnia
Bipolar disorder
Amoxapine - ANS-TCA
, 4. Uses: Depressive disorders
ADHD in children and adults
Other uses
Neuropathic pain
Fibromyalgia
Anxiety disorders
Insomnia
Bipolar disorder
Atypical anxiolytic/nonbarbiturate anxiolytics: medications - ANS-Buspirone (Buspar)
5. Benzodiazepine sedative hypnotic anxiolytics: medications - ANS-Lorazepam (Ativan)
Alprazolam (Xanax)
Clonazepam (Klonopin)
Diazepam (Valium)
Chlordiazepoxide
Clorazepate
Oxazepam
6. Buspirone (Buspar) - ANS-Atypical anxiolytic/nonbarbiturate anxiolytics
7. Exact mechanism is unknown. Binds to serotonin and dopamine receptors. There is less
potential for dependency than with other anxiolytics. use of buspirone does not result in
sedation or potentiate the effects of other CNS depressants. it carries no risk for abuse.
Therapeutic uses:
Panic disorder
Obsessive-compulsive and related disorders
Social anxiety disorder
Generalized anxiety disorder
Complications of SSRIs (very common complaint) - ANS-Sexual dysfunction:
Anorgasmia, impotence, decreased libido
Client education
>Warn the client of possible adverse effects, and notify the provider if they
become intolerable
>Instruct the client on ways to manage sexual dysfunction, which can include
lowering the dosage, discontinuing the medication temporarily and using adjunct
medications to improve sexual function.
>Inform the client that the provider can prescribe atypical antidepressant with
fewer sexual dysfunction adverse effects, such as bupropion (Wellbutrin)
Weight changes
Occurrence of weight loss early in therapy that can be followed by weight gain
with long-term treatment
Questions and Answers
1. Alprazolam (Xanax) - ANS-Benzodiazepine sedative hypnotic anxiolytic
2. First-line treatment for generalized anxiety disorder and panic disorder
Other Uses:
Seizure disorders
Insomnia
Muscle spasm
Alcohol withdrawal (for prevention and treatment of acute manifestations)
Induction of anesthesia
Amnesic prior to surgery or procedures
Other medications:
Diazepam
Lorazepam
Chlordiazepoxide
Clorazepate
Oxazepam
Clonazepam
Amitriptyline - ANS-TCA
3. Other medications
Imipramine
Doxepin
Nortriptyline
Amoxapine
Trimipramine
Uses: Depressive disorders
Other uses
Neuropathic pain
Fibromyalgia
Anxiety disorders
Insomnia
Bipolar disorder
Amoxapine - ANS-TCA
, 4. Uses: Depressive disorders
ADHD in children and adults
Other uses
Neuropathic pain
Fibromyalgia
Anxiety disorders
Insomnia
Bipolar disorder
Atypical anxiolytic/nonbarbiturate anxiolytics: medications - ANS-Buspirone (Buspar)
5. Benzodiazepine sedative hypnotic anxiolytics: medications - ANS-Lorazepam (Ativan)
Alprazolam (Xanax)
Clonazepam (Klonopin)
Diazepam (Valium)
Chlordiazepoxide
Clorazepate
Oxazepam
6. Buspirone (Buspar) - ANS-Atypical anxiolytic/nonbarbiturate anxiolytics
7. Exact mechanism is unknown. Binds to serotonin and dopamine receptors. There is less
potential for dependency than with other anxiolytics. use of buspirone does not result in
sedation or potentiate the effects of other CNS depressants. it carries no risk for abuse.
Therapeutic uses:
Panic disorder
Obsessive-compulsive and related disorders
Social anxiety disorder
Generalized anxiety disorder
Complications of SSRIs (very common complaint) - ANS-Sexual dysfunction:
Anorgasmia, impotence, decreased libido
Client education
>Warn the client of possible adverse effects, and notify the provider if they
become intolerable
>Instruct the client on ways to manage sexual dysfunction, which can include
lowering the dosage, discontinuing the medication temporarily and using adjunct
medications to improve sexual function.
>Inform the client that the provider can prescribe atypical antidepressant with
fewer sexual dysfunction adverse effects, such as bupropion (Wellbutrin)
Weight changes
Occurrence of weight loss early in therapy that can be followed by weight gain
with long-term treatment
