Mental Health Exam 4 Drugs

Imipramine

TCA- improves mood and reduces depression

adverse: dry mouth, drowsiness, orthostatic hypotension

indications- depression, bedwetting, chronic pain

considerations: cardiac effects, suicidal ideations

Phenelzine (nardil)

MAOI- antidepressant improves mood and reduces

adverse effects: ortho hypo, weight gain, insomnia

indications: depression/ atypical depression

considerations: HTN crisis, no cheese, meat, fermented food, low tyramine diet

Prazosin (minipress)

alpha-1 adrenergic blocker

adverse effects: orthostatic hypotension, dizziness, headache

indications: HTN, BPH, PTSD-nightmares

Citalopram (celexa)

SSRI

adverse effects: nausea, sexual dysfunction, insomnia

indications: MDD, off label anxiety and panic disorder

considerations: worsening of suicidal, prolonged QT interval, increase heart rhythm problems

Venlafaxine (effexor)

SNRI- antidepressant

adverse effects- nausea, increased bp, sexual dysfunction

indications- MDD, GAD, social anxiety, panic

considerations: monitor bp, do not stop abruptly, suicidal thoughts

Carbamazepine (tegretol)

anticonvulsant

adverse effects: dizziness, drowsiness, nausea

indications: epilepsy, bipolar, trigeminal neuralgia

considerations: monitor cbc, liver function, and sodium levels, cause bone marrow suppression, liver toxicity, and hyponatremia, Steven Johnson syndrom, watch for rash

Clomipramine (anafranil)

TCA

adverse: dry mouth, drowsiness, constipation

indication: OCD, off label depression and panic

considerations: suicidal thoughts, changes in mood, cardiac abnormalities, seizures and heart related effects, don’t stop suddenly

Lithium (lithobid)

mood stabilizer for mania and depression

adverse effects: hand tremors, increased thirst and urination, weight gain

indications: bipolar and MDD

considerations: monitor blood levels bc of narrow therapeutic range, kidney levels, consistent salt intake and fluid intake, dehydration can lead to toxicity

Clozapine (clozaril)

second gen antipsychotic med

adverse effects: sedations, weight gain, orthostatic hypotension

indications: treatment resistant to schizophrenia and reduces suicidal behavior in schizophrenia disorder

consideration: monitor neutrophil count, risk of infection, blood glucose, weight, and lipid levels, myocarditis, constipation

Risperidone (risperdal)

atypical second gen antipsychotic med

adverse effects: weight gain, extrapyramidal symptoms, hyperprolactinemia

indications: schizophrenia, bipolar 1 disorder, irritability with autism disorder

considerations: monitor for extrapyramidal symptoms, blood glucose, lipid levels, neuroleptic malignant syndrome→ high fever, severe muscle stiffness, confusion, and unstable bp

Olanzapine (zyprexa)

atypical second gen antipsychotic

adverse effects: weight gain, drowsiness, hyperglycemia

indications: schizophrenia, bipolar disorder, treatment resistant depression combined with fluoxetine

considerations: monitor weight, blood glucose, and lipid levels, metabolic side effects, neuroleptic malignant syndrome→ high fever, severe muscle stiffness, confusion, and unstable bp