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Amitriptyline (Elavil)
TCA. used for depressiona neuropathic pain such as cramping, aching, burning, dartting, and lancinating pain.
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Carbamazepine (Tegretol)
Anticonvulsant. used to relieve neuropathic pain.
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Gabapentin (Neurontin)
Anticonvulsant. Used to relieve neuroptathic pain.
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Methylphenidate (Ritalin)
CNS stimulant. Augments analgesia and decreases sedation
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Hydroxyzine (Vistaril)
Antihistamine. Decreases anxiety, prevents insomnia and relieve nausea.
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Dexamethasone (Dedcadron)
Glucocorticoids. Decrease pain from icp and spinal cord compression.
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Edtidronate (Didronel)
Biphosphonates. Manages hypercalcemia and bone pain
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Imipramine (Tofranil)
TCA. used for depressiona neuropathic pain such as cramping, aching, burning, dartting, and lancinating pain.
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Phenytoin (Dilantin)
Anticonvulsant. Used to relieve neuroptathic pain.
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Dextroamphetamine (Dexedrine)
CNS stimulant. Augments analgesia and decreases sedation
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Prednisone (Deltasone)
Glucocorticoids. Decrease pain from icp and spinal cord compression.
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Pamidronate (Aredia)
Biphosphonates. Manages hypercalcemia and bone pain
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What are 3 adverse effects of TCAs?
Orthostatic hypotension, Sedation and Anticholinergic side effects.
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What are a couple of side effects of anticonvulsants?
Bone marow supression and GI distress.
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What are a couple of side effects with CNS stimulants?
Weight loss and insomnia
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What are a couple of side effects with antihistamines?
Sedation and dry mouth
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What are some side effects of glucocoritcoids?
Adrenal insufficiency (hypotension, weakness), osteoporosis, hypokalemia, glucose intolerance and PUD
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What are some side effects of Biphosphonates?
Flu like symptoms, injection site irritation and Renal failure /UTI
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What are some side effects of NSAIDs
Bone marrow supression and GI distress
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Anticonvulsants are most effective as an adjuvant to pain medications when treating what?
Neuropathic pain
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Colchine (Colgout)
Antigout med. decreases inflam
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What is used for acute gout for clients that can't take NSAIDs ?
Prednisone
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Allopurinol (Zyloprim)
Inhibits uric acid for Gout
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Febuxostat (Uloric)
Inhibits uric acid for Gout
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Probenecid
Inhibits uric acid for Gout
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Allopurinol decreases the metabolism of what med which causes increased levels of the med.?
Warfarin (coumadin)
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Ergotamine (Ergostat)
Ergot alkaloid. Used for Migraines
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Sumatriptan (imitrex) "Triptan"
Serotonin receptor agonists. Used for Migraine HA
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Propanolol (inderal)
Beta blocker. can be used for Migraines
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Divalproex (Depakote ER)
Anticonvulsants. can be used for Migraine HA
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Amitriptyline (Elavil)
TCA. can be used for Migraine headaches
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Verapamil (Calan)
Ca channel blocker. Can be used for Migraine ha
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Estrogens
can be used for Migraine HA
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Caffiene (Cafergot)
Ergot alkaloids. can be used for Migraine HA
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Besides bradycardia and hypotension, what is another side effect of Ca channel blockers?
Verapamil
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What are some nursing intervention for someone taking Colchicine (colgout)
It can cause thrombocytopenia so dont take with asa or alcohol with it
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When should a pt take Ergotamine (ergostat)?
Right on the onset of a Migraine
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Client's trying to prevent Migraines should avoid foods containing ?
Tyramine
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Why is Epinephrine given sometimes with Lidocaine?
To prevent the spread of the lidocaine systemically. Epinephrine is a potent vasoconstrictor which confines Lidocaine to a local spot
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Toxic effects of local anesthetic can cause what?
Seizure activity
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