week 6 counseling points

lorazepam

• Indication(s): Commonly used for alcohol withdrawal syndrome

• BBW: Use with opioids can result in sedation, respiratory depression, coma and death; risk for abuse, misuse, and addiction; to avoid withdrawal taper off slowly

• Note(s): Antidote is flumazenil

diazepam

• Indication(s): Commonly used for alcohol withdrawal syndrome

• BBW: Use with opioids can result in sedation, respiratory depression, coma and death; risk for abuse, misuse, and addiction; to avoid withdrawal taper off slowly

• Note(s): Antidote is flumazenil

midazolam

BBW: Respiratory depression, respiratory arrest

flumazenil

Indication(s): Benzodiazepine reversal, procedural sedation or general anesthesia; benzodiazepine overdose

fosphenytoin

• Warning(s): Extravasation risk

• Note(s): Fosphenytoin IV should not exceed 150 mg PE/min; if given faster hypotension and cardiac arrhythmias may occur. Dose related toxicity: Nystagmus, ataxia, diplopia; prodrug of phenytoin.

valproate sodium

BBW: Hepatic failure; risk of fetal harm; pancreatitis

phenytoin

• Warning(s): Extravasation risk

• Note(s): Phenytoin IV should not exceed 50 mg/min;

levetiracetam

Warning(s): Psychiatric reactions including psychosis, somnolence, fatigue

phenobarbital

• Warning(s): Habit-forming, respiratory depression, fetal harm

• Side effect(s): Physiological dependence, tolerance, residual sedation (hangover effect)

lacosamide

Warning(s): Prolonged PR interval and increased risk of arrhythmias;