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The flashcards below were created by user
brinnjo
on FreezingBlue Flashcards.
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Alprazolam
(Xanax)
Dx: Anxiety, panic, premenstrual dyshporic
- Side Effects
- Dizziness, drowsiness
- Orthostatic hypotension
- Blurred Vision
- Considerations:
- Onset 30 ming, peak 1-2 hour, duration 4-6 hour
- Habit forming
- Memory impairment with long-term use
- Preg Cat D
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Buspirone
(BuSpar)
Dx: Anxiety
- Side Effects:
- Dizziness, headaches
- Stimluation, insomnia, nervousness
- Light-headedness, numbness
- Nausea, diarrhea, constipation
- Tachycardia, palpitations
- Considerations:
- Onset 7-10 days, optimum 3-4 weeks
- Avoid alcohol and CNS depressants
- Preg Cat B
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Chlordiazepoxide
(Librium)
Dx: anxiety, alcohol withdrawlSide Effects
- Dizziness, Drowsiness
- Pain at IM side
- PO: onset 1-2 H, peak .5-4 H
- IM: onset 15-30 min, slow, erratic absorption
- IV: onset 1-5 min, duration 15-60 min
- Abrupt stop can have withdrawl
- Avoid alcohol, other CNS depressants
- Pre Cat D
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Diazepam
(Valium)
Dx: Anxiety, acute alcohol withdrawl, seizures
- Side Effects
- Drowsiness, fatigue, ataxia
- Hypotension
- Paradoxic anxiety- Elderly
- Orthostatic hypotension
- Blurred vision
- Considerations
- PO: onset .5 H
- IM: deep, slowly- inset 15-30 min, duration 1-1.5 H, slow absorption
- IV: large vein, <5mg/min, onset immediate, duration .25-1 H
- Smoking decrease affectiveness
- Avoid alcohol/CNS depressants
- Habit forming
- Preg Cat NA
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Methylphenidate HCl
(Concerta)
Dx: ADHD
- Side Effects
- Headache
- Respiratory Infection
- Abdominal pain
- Cough
- Considerations
- Do not crush
- Contraindicated: anxiety, tension, glaucoma
- Habit forming
- Preg Cat C
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Lorazepam
(Ativan)
Dx: anxiety, irritability, preop, insomnia
- Side Effects
- Dizziness, drowsiness
- Orthostatic hypotension
- Blurred vision
- Considerations
- PO: onset 30 min, peak 1-6 H
- IM: onset 15-30 min, peak 1-1.5 H
- IV: onset 5-15 min, peak unknown
- Habit forming
- Avoid alcohol/CNS depressant
- Preg Cat D
-
Amitriptyline
(Elavil)
Dx: major depression
- Side Effects
- Sedation/drowsiness
- Blurred vision, dry mouth, diaphoresis
- Postural hypotension, palpitations
- Nausea, vomiting, diarrhea
- Constipation, urinary retention
- Increased appetite
- Sexual dysfunction
- Considerations
- Suide risk 10-14 days
- Avoid alcohol
- Sun block required
- Increase fluid
- Heavy smoker-higher dose
- Preg Cat C
-
Doxepin
(Adapin, Sinequan)
Dx: major depression, anxiety
- Side Effects
- Sedation/drowsiness
- Blurred vision, dry mouth, diaphoresis
- Postural hypotension, palpitations
- Nausea, vomiting, diarrhea
- Constipation, Urinary retention
- Anorexia
- Sexual dysfuntion
- Consideration
- Avoid alcohol
- Suicide risk 10-14 days
- Increase fluid
- Heave smoke- higher dose
- Preg Cat C
-
Imipramine
(Tofranil, Tipramine)
Dx: depression, enuresis in children
- Side Effects
- Sedation/drowsiness
- Dry mouth
- Postural hypotension, palpitations
- Diarrhea, urinary retention
- Anorexia
- Considerations
- Small amounts at first because suicide
- Avoid alcohol/CNS depressants
- Preg Cat C
-
Nortriptyline
(Pamelor)
Dx: major depression
- Side Effects
- Sedation/drowsiness
- Blurred vision, dry mouth, diaphoresis
- Postural hypotension, palpitaions
- Nausea, vomiting, diarhea
- constipation, urinary retention
- Increased appetitie
- Sexual dysfunction
- Considerations
- Avoid alcohol/CNS depressants
- Suicide risk 10-14 days
- Increase fluid
- Heavy smoker- larger dose
- Preg Cat C
-
Citalopram
(Celexa)
Dx: Major Depressionn
- Side Effects
- palpitations, bradycardia
- Nausea, vomiting, diarrhea
- Decresed appetite
- Nervousness, insomnia
- Drowsiness
- Considerations
- Take in AM to avoid insomnia
- Potentiate effects of digoxin, coumadin, and valium
- avoid CNS depressants for one week after therapy end
- Take at same time of day
- Preg Cat C
-
Fluoxetine HCl
(Prozac)
Dx: depression/OCD, bulimia, anorexia
- Side Effects
- palpitations, nausea, diarrhea, constipation
- decresed appetite w weight loss
- nervousness, insomnia, urinary retention
- drowsiness, rash, pruritus, excessive sweating
- Fatigue
- Considerations
- Take same time of day
- Can potentiate effects of digoxin, Coumadin, and Valium
- Avoid CNS depresants one week after end of therapy
- Preg Cat B
-
Paroxetine HCl
(Paxil)
Dx: anxiety, depression, OCD/ social anxiety disorder, panic disorder, PTSD
- Side Effects
- palpitations, nausea, vomiting, diarrhea, constipation
- Decreaed appetite, nervousness, insomnia
- Considerations
- Take same time of day
- Avoid CNS depressants one week after end of therapy
- Preg Cat C
-
Sertraline HCl
(Zoloft)
Dx: depression, OCD, panic disorder w/ or w/o agoraphobia, PTSD, anorexia
- Side Effects
- headache, dizziness, tremor, nausea, diarrhea
- insomnia, dry mouth, male sexual dysfunction
- Considerations
- Take same time of day
- Can potentiate effects of digoxin, Coumadin, Valium
- Avoid CNS depressants one week end of therapy
- Preg Cat B
-
Bupropion HCl
(Wellbutrin, Zyban)
Dx: depression, smoking cessation
- Side Effects
- agitation, nausea, vomiting, headache
- dry mouth, tremor
- Considerations
- Missed dose depression: take ASAP and space remaining doses at not less than 4 hour intervals
- Smoking missed dose: omit dose
- Avoid CNS depressant one week after end of therapy
- Preg Cat B
-
Mirtazapine
(Remeron)
Dx: depression
- Side Effects
- drowsiness, dizziness, increased appetite,
- weight gain, constipation, dry mouth
- Considerations
- Do not use within 14 days of MAOI
- Gradual reduction
- Avoid CNS depressant one week after end of therapy
- Preg Cat C
-
Trazodone
(Desyrel)
Dx: majore depression
- Side Effects
- Drowsiness, hypotention, nausea, dry mouth
- Dizziness, priapism
- Considerations
- Take with food
- Avoid CNS depressant for one week after end
- Preg Cat C
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Venlafaxine
(Effexor)
Dx: majore depression/relapse, genral anxiety
- Side Effects
- Abnormal dreams, insomnia, aniety, nervousness
- Dizziness, weakness, headache, abdominal pain
- Nausea, vomiting, diarrhea, anorexia, wt loss
- Sexual dysfunction, sedation
- Considerations
- Take with food
- Avoid CNS depressant one week after end
- Preg Cat C
-
Haloperidol
(Haldol)
Dx: Psychotic states, tourette syndrome
- Side Effects
- Drowsiness, dizziness
- Photosensitivity
- Considerations
- Avoid CNS depressants
- Preg Cat C
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Olanzapine
(Zyprexa)
Dx: psychotic disorder management, main bipolar
- Side Effects
- Somnolence, agitation, hostility, diziness
- Rhinitis, nervousness, joint pain
- Postural hypotension
- Considerations
- Manage dose tightly
- Preg Cat C
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Riperidone
(Risperdal)
Dx: psychotic states
- Side Effects
- drowsiness, dizziness
- Tardive dyskinesia, constipation
- Considerations
- Notify MD if fever, sore throat, bruising/bleeding, tics/spasms, trembling, shuffling gate
- Avoid strenuous exercise in hot weather
- Chek before taking OTC
- Preg Cat C
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Quetiapine
(Seroquel)
Dx: psychotic states
- Side Effects
- Drowsiness, dizziness
- Considerations
- Avoid CNS depressants
- Notify MD if fever, sore throat, bruising/bleeding, tics/spasms, trembling, shuffling gait
- Avoid strenuous exercise in hot weather
- Check before taking OTC meds
- Preg Cat C
-
Ziprasidone HCl
(Geodon)
Dx: psychotic
- Side Effects
- Drowiness, dizziness
- Tardive dyskinesi, constipation
- Considerations
- Avoid CNS depressants
- Notify MD is sore throat, bruising/bleeding, tics/spasms, trembling, shuffling gait
- Avoid strenuous exercise in hot weather
- Check before taking OTC meds
- Avoid breast-feeding
- Preg Cat C
-
Carbamazepine
(Tegretol)
Dx: bipolar, seizures, trigeminal neuralgia, diabetic neuropathy
- Side Effects
- Myelosuppression, dizziness, drowsiness, ataxia
- Diplopia, rash, photosensitivity
- Considerations
- monitor blood levels, CBC during first 2 months
- Eye exams
- Take w/ food or milk
- Urine can be pink to brown
- Avoid CNS depressants
- Pt should wear medical tag
- Preg Cat C
-
Divalproex Sodium
(Depakote)
Dx: seizures, manic episodes w/ bipolar, migrane prophylaxis
- Side Effects
- Sedation, drowsiness, dizziness
- Mental status and behavior changes
- Nausea, vomiting, constipation, diarrhea, heartburn
- Prolonged bleeding time
- Considerations
- Take w/ food
- No crushing
- Monitor blood levels, platelets, bleeding time, and liver function
- Wear meical info
- Preg Cat D
-
Lithium
(Lithobid, Eskalith)
Dx: manic episodes, mood stabilizer
- Side Effects
- Dizziness, impaired vision, fine hand tremors
- Reversible leukocytosis
- Intoxication: vomiting, diarrhea, drowsiness, muscular weakness, ataxia
- Considerations
- Check serum levels
- Take w/ food
- Decrease dose during depressive stages
- Increase H2O
- Avoid caffeine, increased exercise, saunas
- Preg Cat D
-
Temazepam
(Restoril)
Dx: Short term use of insomnia
- Side Effects
- Drowsiness, dizziness, lethargy, weakness
- Euphoria, anorexia
- Considerations
- Avoid uner age 18
- Avoid alcohol
- Don't use more than 10 days
- Preg Cat D
-
Zalepion
(Sonata)
Dx: short term insomnia treatment
- Side Effects
- Headache, myalgia, dizziness, asthenia
- Dyspepsia, eye pain
- Considerations
- Does not prolong sleep time or decrease awakenings
- Take IMMEDIATELY before bedtime
- Avoid alcohol
- Habit-forming
- Preg Cat C
-
Zolpidem Trartrate
(Ambien)
Dx: short term insomnia treatment
- Side Effects
- Headache, drowsiness, Flu like S/S
- Dizziness, nausea
- Considerations
- Dose adjusted down if pt is using CNS depressant to avoid addictive effect
- Side effects increase with prolonged use
- Preg Cat B
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