Therapeutics 2 Exam1

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Author:
Anonymous
ID:
190206
Filename:
Therapeutics 2 Exam1
Updated:
2012-12-20 07:11:02
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Medications
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Description:
Medications for exam 1
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  1. Hydroxazine
    Anti-Anxiety

    • Vistaril
    • Anticholinergic
    • Non-Controlled
    • Sedating
  2. Buspirone
    Anti-Anxiety

    • Buspar
    • Well Tolerated
    • Delayed Onset of Action
  3. Flumazenil
    Benzo Overdose

    Romazicon
  4. Diazepam
    Anti-Anxiety

    • Benzo
    • Fastest Acting
  5. Chlorpromazine
    Schizo

    • Thorazine
    • FGA
  6. Thioridazine
    Schizo

    • Mellaril
    • FGA
  7. Loxapine
    Schizo

    • Loxitane
    • Few Side effects
    • Dose 10-80mg
    • MAX 250
  8. Clozapine
    Schizo

    • Clozaril/FazaClo
    • SGA
    • Start 12.5-25mg QD, increase 25-50mg day
    • Target- 300mg
    • TITRATE
    • Monitor CBC Weekly/Bi-weekly/Q 4weeks (6 month interval)
    • Contra: Smoking, Benzo, TCA

    Agranulocytosis, Seizures, Myocarditis, Resp Dep
  9. Olanzapine
    Schizo

    • Zyprexa
    • Psychotic dose- 5-10mg
    • Manic dose- 10-15mg
    • Post Injection Delirium
    • Relprevv- Long acting IM. 
    • Oral Target                               Dose
    • 10                                       210/2:405/4::150/2:300/4
    • 15                                       300/2::210/2 405/4
    • 20                                       300/2-
  10. Risperidone
    Schizo/Bipolar

    • Risperdal
    • 1mg BID increase 1-2mg/week
    • Interacts with HTN meds
    • #1
  11. Paliperidone
    Schizo

    • Invega
    • Active Metabolite of Risperidone
  12. Quentapine
    Schizo

    • Seroquel
    • XR version adjunctive for depression
    • Best effect at 600-800mg day
    • Sedating
  13. Ziprasidone
    Schizo

    • Geodon
    • Initial dose 20mg BID WITH FOOD
    • Cardiovascular Issues
    • Obtain baseline EKG and K/Ca/Mg levels
  14. Aripiprazole
    Schizo

    • Abilify
    • Adjunctive for depression
  15. Asenapine
    Schizo

    • Saphris
    • Acute disorder/Mixed mania
    • Sublingual
    • 5mg BID Schizo
    • 10mg BID Manic
  16. Lurasidone
    Schizo

    • Acute
    • 40mg-80mg QD
    • Few Side effects
    • 40-80mg/day
    • Contra with renal impairment
  17. Doxepin
    Depression/Sleep

    • Silenor
    • Old TCA
  18. Estazolam
    Sleep

    • ProSom
    • Benzo
    • Fast Acting
  19. Zolpidem
    Sleep

    • Ambien/Zolpmist
    • All short term except CR
  20. Zaleplon
    Sleep

    • Sonata
    • Short Term
  21. Eszopiclone
    Sleep

    • Lunesta
    • For long term use.
    • Copper Taste
  22. Ramelteon
    Sleep

    • Rozerem
    • Melatonin Agonist
  23. Lithium
    Bipolar

    • Eskalith/Lithobid
    • Mood Stabilizer
    • Interacts with ACE/ARB/NSAID/Diuretics
    • Toxicity causes tremors and memory issues
    • Pregnancy D
  24. Valproate
    Bipolar

    • Depakote, Depa-
    • Anticonvulsant
    • First choice combined with lithium for rapid cycling
    • 500-750mg/day max 60mg/kg/day
    • Serum concentration between 60 and 125mcg/ml
    • 200mcg=toxicity
    • Minor increase in LFTs
    • Pancreatitis
  25. Carbamazepine
    Bipolar

    • Carbatrol, Tegretol, Equetro
    • Second option
  26. Lamitrogine
    Bipolar

    • Lamictal
    • Maintenance therapy
  27. Phenelzine
    Depression

    • Nardil
    • MAOI
    • Dietary Restrictions
  28. Depression MAOIs
    • Postural Hypotension
    • Diarrhea
    • Headache
    • Sexual Dysfunction
    • Sedation
    • Insomnia
    • Lethal Overdose
  29. Tricyclic Antidepressants
    • Inhibits S and NE reuptake
    • Sedation
    • Anticholinergic ADRs
    • Sexual Dysfunction
    • Lethal Overdose
    • INEXPENSIVE, Efficacious.
  30. Amitriptyline
    Depression

    • Elavil
    • TCA
    • 3 amine
  31. SSRIs
    • Efficacious
    • Safe in overdose
    • once weekly formulations
    • Sexual disfunction
    • drug drug interactions
    • Withdrawal symptoms
  32. Citalopram
    Depression

    • Celexa
    • SSRI
  33. Escitalopram
    Depression

    • Lexapro
    • SSRI
  34. Fluoxetine
    Depression

    • Prozac, Sarafem
    • SSRI
  35. Fluvoxamine
    Depression

    • Luvox
    • SSRI
  36. Praroxeteine
    Depression

    • Paxil, Pexeva
    • SSRI
  37. Sertraline
    Depression

    • Zoloft
    • SSRI
  38. SNRIs
    • Not sedating
    • Increase BP
    • Safe with overdose. 
    • Few drug interactions except duloxetine
  39. Desvenlafaxine
    Depression

    SNRI
  40. Duloxetine
    Depression

    SNRI
  41. Venlafaxine
    Depression

    SNRI
  42. Nefazodone
    Depression

    • Serzone
    • Triazalopyridine
    • 100mg BID
  43. Trazodone
    Depression

    • Desyrel, Oleptro
    • Triazolopyridine
    • 150mg/day
  44. Triazolopyridines
    • Expensive
    • No sexual Disfunction
    • Safe in overdose
    • No withdrawal
  45. Mirtazapine
    Depression

    • Remeron
    • Tetracyclic
    • Almost no side effects besides weight gain and sedation
  46. Buproprion
    Depression

    • Wellbutrin
    • Causes insomnia
    • Treats smoking

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