Mental Health Meds and

Question Answer
What is the clasification of Tofranil
(Imipramine)?
Tricyclic Antidepressant
What is the clasification of Anafranil
(Clomipramine)?
Tricyclic Antidepressant
What is the clasification of Elavil
(Amitriptyline)?
Tricyclic Antidepressant
What is the clasification of Norpramine
(Desipramine)?
Tricyclic Antidepressant
What is the clasification of Sinequan
(Doxepin)?
Tricyclic Antidepressant
What is the clasification of EMSAM? MAOI
What is the clasification of
Nardil(Phenelzine)?
MAOI
What is the clasification of Parnate
(Tranylcypromine)?
MAOI
What is the clasification of Xanax
(Alprazolam)?
Benzodiazepine
What is the clasification of Valium
(Diazepam)?
Benzodiazepine
What is the clasification of Ativan
(Lorazepam)?
Benzodiazepine
What is the clasification of Klonopin
(Clonazepam)?
Benzodiazepine
What is the clasification of Librium
(Chlordiazepoxide)?
Benzodiazepine
What is the clasification of Serax
(Oxazepam)?
Benzodiazepine
What is the clasification of Lithium
(Lithobid, Eskalith)?
Antimanic
What is the clasification of Geodon
(Ziprasidon HCL)?
Antimanic
What is the clasification of Zyprexa
(Olanzapine)?
Antimanic
What is the clasification of Depakote
(Divalproex)?
Anticonvulsant
What is the clasification of Neurontin
(Gabapentin)?
Anticonvulsant
What is the clasification of Lamictal
(Lamotrigine)?
Anticonvulsant
What is the clasification of Tegretol
(Carbamazepine)?
Anticonvulsant
What is the clasification of Ritalin
(Methylphenidate)?
Psychostimulant
What is the clasification of Cylert
(Pemoline)?
Psychostimulant
What is the clasification of Dexedrine
(Dextroamphetamine)?
Psychostimulant
What is the clasification of Concerta
(Methylphenidate HCL)?
Psychostimulant
What is the clasification of Adderall
(Amphetamine Sulfate)?
Psychostimulant
What is the clasification of Vynase
(Lisdexamphetamine dimesylate)?
Psychostimulant
What is the clasification of Strattera
(Atemoxitine)?
Psychononstimulant
What is the clasification of Invega
(Paliperidone)?
Atypical Antipsychotic
What is the clasification of Abilify
(Aripiprazole)?
Atypical Antipsychotic
What is the clasification of Seroquel
(Quetiapine)?
Atypical Antipsychotic
What is the clasification of Zyprexa
(Olanzapine)?
Atypical Antipsychotic or Antimanic
What is the classification of Risperdal
(Risperidone)?
Atypical Antipsychotic
What is the classification of Clozaril
(Clozapine)?
Atypical Antipsychotic
What is the classification of Cogentin
(Benztropine Mesylate)?
Antiparkinson
What is the classification of Artane
(Trihexyphenidyl)?
Antiparkinson
What is the classification of Symmetrel
(Amantadine HCL)?
Antiparkinson
What is the classification of Benadryl
(Diphenhydramine HCL)?
Antiparkinson
What is the classification of Haldol
(Haloperidol)?
Typical Antipsychotic or Neuroleptic
What is the classification of Prolixin
(Fluphenazine)?
Typical Antipsychotic or Neuroleptic
What is the classification of Thorazine
(Chlorpromazine)?
Typical Antipsychotic or Neuroleptic
What is the classification of Stelazine
(Trifluoperazine)?
Typical Antipsychotic or Neuroleptic
What is the classification of Mellaril
(Thioridizine)?
Typical Antipsychotic or Neuroleptic
What is the classification of Cymbalta
(Duloxetine HCL)?
SSRI
What is the classification of Lexapro
(Escitalopram oxalate)?
SSRI
What is the classification of Prozac
(Fluoxetine)?
SSRI
What is the classification of Celexa
(Citalopram Hydrobromide)?
SSRI
What is the classification of Paxil
(Paroxetine)?
SSRI
What is the classification of Zoloft
(Sertraline)?
SSRI
What is the classification of Luvox
(Fluvoxamine)?
SSRI
Common Side Effects of Atypical
Antipsychotics
Increased Prolactin Levels, Somnolence, Weight Gain
(via appetite stimulation), Sexual Dysfunction, and
Metabolic Syndrome (ex: DM II - Abnormal patterns
of blood Lipids - Enhanced risk of heart disease,
Frische p. 689)
Life Threatening Side Effect of Clozaril Agranulocytosis (decreased WBCs)
Common Side Effects of Typical
Antipsychotics (Neuroleptics)
Akathisia, Akinesia, Pseudo Parkinsonism, Dystonia,
Tardive Dyskinesia
Life Threatening Side Effects of
Typical Antipsychotics (Neuroleptics)
Severe Muscle Rigidity, Altered Consciousness,
Stupor, Hyprexia(> 106 F), Labile Pulse / BP, Coma >
Death. Aka NMS (Neuro Malignant Syndrome)
Common Side Effects of
Antiparkinsons
Dry mouth, Blurred Vision, Constipation, Urinary
Retention, Increased Heart Rate
Acute Common Side Effects of SSRIs
Nausea, Fatigue, HA, Tremor, Nervousness, dry
mouth
Chronic Common Side Effects of
SSRIs
Day time fatigue, Insomnia, Major Side Effects:
Sexual Dysfunction, Weight Gain
Life Threatening Side Effects of SSRIs
Confusion > disorinetation, Restlessness - Agitation,
Tachycardia, Fever > 104 F, Shivering, Sweating,
Tremors/muscle Spasms, Rigidity, Coma > Death;
*Hypertension (Joy)/Hypotension (Frische, p 695). aka
Serotonin Syndrome
Common Side Effects of TCAs
Dry mouth, Postural Hypotension, Constipation,
Urinary retention, Blurred Vision, Weight Gain,
Extreme Sedation
Life Threatening Side Effects of TCAs
Lethal in Overdose and Confusion > disorinetation,
Restlessness - Agitation, Tachycardia, Fever > 104 F,
Shivering, Sweating, Tremors/muscle Spasms,
Rigidity, Coma > Death; *Hypertension
(Joy)/Hypotension (Frische, p 695). aka Serotonin
Syndrome
Common Side Effects of MAOIs
Dry mouth, Postural Hypotension, Constipation,
Urinary retention, Blurred Vision, Weight Gain,
Extreme Sedation
Life Threatening Side Effects of
MAOIs
Hypertensive Crisis (is severe hypertension with acute
impairment of an organ system (especially the central
nervous system, cardiovascular system and/or the renal
system)
Common Side Effects of
Benzodiazepines
Drowsiness, loss of coordination, fatigue, mental
slowing or confusion, addiction/dependence
Common Side Effects of Antimanics
Lethargy, Muscle weakness, fine hand tremors,
nausea-vomiting-diarrhea
Life Threatening Side Effects of
Antimanics
Agitation, confusion, blurred vision, slurred speech,
fever, arrhythmias, hypotension, seizures, spasticity,
coma (aka Lithium Toxicity)
Common Side Effects of
Anticonvulsants
Dizziness, Drowsiness, Nausea-vomiting, Sedation,
Insomnia, Ataxia
Life Threatening Side Effects of
Anticonvulsants
Fatal Hepatitis, Fatal cardiovascular complication,
Fatal Pancreatitis
Common Side Effects of
Psychostimulants
Growth effects, Tics, Delayed sleep onset, reduced
appetite, Abdominal Pain, Weight Loss, Jitteriness,
Headache, Anxiety, Irritability, Sadness, Overfocusing
Will lower the effectiveness of
antipsychotics
Tagamet (Cimetidine)
Administration of this may result in
severe hypotension if given to pts
taking Thorazine (Chlorpromazine)
Epinephrine
Akathisia
Pt describes: feeling antsy, inability to sit still, may be
pacing the floor; is not frightened
Anxiety
Pt expresses thoughts of worry or concerns, having
fears (even if unable to state the source of the worry),
often accompanied by somatic symptoms
Agitation
Pt exhibits escalating anger or anxiety, vocalizes
concerns/complaints, Possible demonstrating
destructive behavior
Lethal if taken in overdose Tricyclic Antidepressants
Surgery is dangerous for persons on
MAOIs because of the potential
inadvertent administration of this
common postoperative pain medication
Demerol (Meperidine)
Persons taking MAOIs must be alerted
that this common OTC medication must
be avoided
Dextromethorphan
Administration of this medication can
relieve the symptoms of Dystonia
Benadryl (Diphenhydramine HCL)
This can result in patients taking SSRIs
when exposed to polypharmacy
Serotonin Syndrome
Administration of this medication
requires avoiding foods containing
Tyramine
MAOIs
This medication is associated with
Stevens-Johnson syndrome (a toxic
epidermal rash that is life threatening)
Lamictal
Blood Serum levels of Lithium at this
level indicate toxicity
1.5 - 3.5 mEq/L
Blood Serum levels of Lithium at this
level indicate a therapeutic level
0.4 - 1.0 mEq/L
Patients taking psychostimulants must
be carefully monitored for these side
effects
Height and weight to detect growth suppression