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NR546/NR 546 Alterations in Neurological Functioning: A Psychopharmacology Study Guide

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This comprehensive study guide explores the pathophysiological changes in neurological functioning relevant to psychiatric disorders, with a focus on advanced psychopharmacology principles from the NR546 course. It covers mechanisms of neurotransmitter imbalances, drug interactions affecting the central nervous system, therapeutic interventions for conditions like mood disorders, schizophrenia, and anxiety, and evidence-based strategies for managing side effects and optimizing patient outcomes in mental health practice.

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Chamberlain College of Nursing

Alterations in Neurological Functioning Study
Guide

Course: NR546/NR 546 Advanced
Pharmacology: Psychopharmacology

, Anxiolytic Medications Table
Week 4




THIS ASSIGNMENT SHOULD BE SUBMITTED TO THE WEEK 4
Drug Name/ Indication Associated Half-life (T1/2) Notable side effects
Medication class list diagnosis and Neurotransmitters Metabolism (CYP
targeted symptoms 450 enzyme)
Gabapentin -partial seizures with or -Glutamate Half life (T1/2): Notable side effects:
without secondary -approx. 5-7 hours -sedation (dose-dependent), dizziness
-glutamate, voltage- generalization - GABA -ataxia (dose-dependent), fatigue,
gated calcium Metabolism: nystagmus, tremor
channel blocker (Glu- -Postherpetic neuralgia -peripheral edema
CB) -not metabolized -blurred vision
-restless leg syndrome but excreted intact -vomiting, dyspepsia, diarrhea, dry
-anticonvulsant (extended-release) renally mouth, constipation, weight gain
-additional <12yr old: hostility,
-antineuralgic for -neuropathic pain/chronic emotional liability, hyperkinesia, thought
chronic pain pain, anxiety disorder, weight gain
(adjunctive), and bipolar
-alpha 2 delta ligands disorder (adjunctive)
at voltage-sensitive [not FDA approved]
calcium channels
Pregabalin -diabetic peripheral -Glutamine Half-life (T1/2): Notable side effects:
[Lyrica, Lyrica CR] neuropathy (IR and CR) -approx. 5-7 hours -sedation, dizziness
-norepinephrine -ataxia, fatigue, tremor, dysarthria,
-glutamate, voltage- -postherpetic neuralgia Metabolism: paresthesia, memory impairment,
gated calcium -serotonin coordination abnormal, impaired
channel blocker (Glu- -Fibromyalgia (IR) -not metabolized attention, confusion, euphoric mood,
CB) -dopamine but excreted intact irritability
-Neuropathic pain renally -vomiting, dry mouth, constipation,
-anticonvulsant associated with spinal -substance P weight gain, increased appetite,
cord injury (IR) flatulence

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