psychotropics

vernerl01
Mind Map by vernerl01, updated more than 1 year ago
vernerl01
Created by vernerl01 about 5 years ago
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psychotropics
1 psychosis means: loss of contact with reality/delusional/schizo
1.1 antipsychotics 1st and 2nd gene
1.1.1 Chlorpromazine(Thorazine), Haloperidol (Haldol) blocks D2 receptors
1.1.2 Aripiprazole (Abilify), Quetiapine(Seroquel), Risperiodone (Risperdal)
1.1.2.1 blocks D2 receptors and serotonin
2 antidepressants
2.1 tricyclic antidep (tcas)
2.1.1 elevates mood, amitriptyline, blocks nerepiephrine uptake and serotonin uptake so that more is available in the brain
2.1.1.1 adverse effects: orthostatic hypotension, sedation, dry mouth, constipation, blurred vision, seizures, hepatic failure, leukopenia, thrombocytopenia,
2.2 selective serotonin reuptake inhibitors (ssris)
2.2.1 MOA: blocks serotonin uptake--fluoxetine, sertraline, paroxetine, citalopram side effects: sex dys, nausea, insomnia, do not use with maois and grapefruit juice
2.3 serotonin norepinephrine reuptake inhibitors (snris)
2.3.1 Venlaflaxine (Effexor): side effects--dry mouth, suicidal tendency, urinary retention, steven johnsons, cannot mix with maois
2.4 monoamine oxidase inhibitos (maois)
2.4.1 Isocarboxazid, Phenelzine, Selegiline, Tranylcypromine
2.4.1.1 MOA: inactivates norepinephrine, dopamine, epiephrine, serotonin
2.4.1.1.1 only prescribed if other antidepr do not work, as it puts pts at risk for hypertensive crisis and cannot eat --aged cheeses, yeast, fish, meat, choc, some veggies, alcoholic drinks, fruits, st johns wort, or ginseng side effects: suicidal tendencies
3 anti anxiety medications
3.1 benzodiazepines: MOA: enhances inhibiting effects of GABA, rapid onset
3.1.1 Alprazolam (xanax), Chlordiazepoxide (Librium), Clonazepam (Klonopin), Clorazepate (Tranxilium), Clotiazepam (Veratran), Diazepam, Lorazepam, Oxazepam
3.1.1.1 side effects: also can be used to prevent seizures and alcohol withdrawal--sedation, dizziness, ataxia, confusion, dry mouth, blurred vision, orthostatic hypertension--od then respiratory depression
4 mood stabilizers
4.1 bipolar disorders/manic depressive disorders
4.1.1 lithium- valproic acid, carbmazepine Adverse reactions: sedation, dizziness, tremors, nausea, vomiting, diarrhea, unsteadiness, headache, wt gain, hematological changes--dry mouth, increased urination, need hydration
4.1.1.1 on lithium-monitor drug level due to narrow therapeutic range,
5 ADD/ADHD -treats stimulants -amphetamine, methylphenidates
5.1 tachy, hypertension, wt loss, growth slowed and sleep disturbed
5.2 nonstimulant meds:
5.2.1 antidepres/nortriptyline--clonidine (a2 adrenergic antagonists)--side effects termors, tachy, hypertension, insomnia
6 sleep hypnotics
6.1 clonazepam, diazepam, diphenhydramine, doxylamine + diphenhydramine, eszopiclone, lorazepam, melatonin, promethazine, triazolam, zaleplon, zopidem
6.1.1 withdrawal symptoms: rebound anxiety, adverse CNS depression
6.1.1.1 zopidem (Ambien) side effects: risk for delusions, hallucinations, short term use one month
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