Week 4/5 - CNS and Mental Health / Infectious Disease

Sertraline

SSRI - depression/anxiety

Zoloft

adverse: gi upset

note: 4-6 weeks, for full effect

Escitalopram

SSRI - depression/anxiety

Lexapro

adverse: sexual dysfunction

note: dont stop abruptly

Citalopram

SSRI - depression

Celexa

adverse: qt prolongation

note: dose related cardiac risk; avoid high does

Fluoxetine

SSRI - depression/anxiety

Prozac

adverse: insomnia

note: long half life; effects persist after stopping

Paroxetine

SSRI - depression/anxiety

Paxil

adverse: weight gain/sedation

note: avoid abrupt stopping

Venlafaxine

SNRI - depression/anxiety

Effexor XR

adverse: increased bp

note: monitor bp

Duloxetine

SNRI - depression/neuro pain

Cymbalta

adverse: nausea

note: no opening/crushing caps

Bupropion

atypical antidepressant - depression, smoking cessation

Wellbutrin

adverse: seizures (dose related)

note: avoid in ppl with seizures/ EDs

Mirtazapine

atypical antidepressant - depression

Remeron

adverse: weight gain/sedation

note: can improve sleep

Amitriptyline

TCA - depression/neuro pain

Elavil

adverse: anticholinergic effects

note: may cause drowsiness

Nortriptyline

TCA - depression

Pamelor

adverse: dry mouth and sedation

note: monitor for anticholinergic effects

Trazodone

antidepressant - depression/insomnia

Desyrel

adverse: sedation

note: take at bedtime

Quetiapine

atypical antipsychotic - schizophrenia, bipolar disorder

Seroquel

adverse: sedation/metabolic effects

note: monitor glucose/weight

Olanzapine

atypical antipsychotic - schizophrenia, bipolar disorder

Zyprexa

adverse: weight gain

note: high risk for metabolic syndrome

Risperidone

atypical antipsychotic - schizophrenia, bipolar disorder

Risperdal

adverse: elevated prolactin

note: monitor for movement disorders

Aripiprazole

atypical antipsychotic - schizophrenia, bipolar disorder

Abilify

adverse: akathisia

note: report restlessness

Lurasidone

atypical antipsychotic - schizophrenia, bipolar depression

Latuda

adverse: sedation

note: take with food

Haloperidol

typical antipsychotic - psychosis

Haldol

adverse: extrapyramidal symptoms (drug induced movements)

note: monitor for movement disorders

Ziprasidone

atypical antipsychotic - schizophrenia, bipolar disorder

Geodone

adverse: qt prolongation

note: take with food

Lithium

mood stabilizer - bipolar disorder

Lithobid

adverse: tremor, thyroid

note: monitor blood routinely

Valproic acid

anticonvulsant/mood stabilizer - seizures/bipolar

Depakote

adverse: weight gain, hepatoxicity

note: monitor hepat/o

Lamotrigine

anticonvulsant - seizures

Lamictal

adverse: rash

note: report rash immediately

Carbamazepine

anticonvulsant - seizures

Tegretol

adverse: low sodium

note: monitor sodium

Topiramate

anticonvulsant - seizures, migraine

Topamax

adverse: cognitive slowing

note: stay hydrated

Levetiracetam

anticonvulsant - seizures

Keppra

adverse: mood changes

note: report behavior changes

Gabapentin

anticonvulsant - seizures, neuro pain

Neurontin

adverse: dizziness

Note: causes drowsiness

Pregabalin

anticonvulsant - neuro pain

Lyrica

adverse: dizziness/weight gain

note: dont stop abrubtly

Clonazepam

benzodiazepines - anxiety, seizures

Klonopin

adverse: sedation

note: risk of dependence

Diazepam

benzodiazepines - anxiety, muscles spams

Valium

adverse: sedation

note: avoid alcohol

Lorazepam

benzodiazepines - anxiety

Ativan

adverse: sedation

note: may impair coordination

Aprazolam

benzodiazepines - anxiety

Xanax

adverse: sedation

note: risk of dependence

Buspirone

anxiolytic - anxiety/panic disorders

Buspar

adverse: dizziness

note: no sedation/dependence caused

Zolpidem

sedative hypnotic - insomnia

Ambien

adverse: sleep walking

note: take immediately before bed

Eszopiclone

sedative hypnotic - insomnia

Lunesta

adverse: bitter taste

note: take right before bed

Methylphenidate

CNS stimulant - ADHD

Ritalin

adverse: insomnia

note: may decrease appetite

Amphetamine/Dextroamphetamine

CNS stimulant - ADHD

Adderall

adverse: insomnia

note: risk of dependence

Atomoxetine

Norepinephrine reuptake inhibitor - ADHD

Strattera

adverse: gi upset

note: not a stimulant

Donepezil

cholinesterase inhibitior - alzheimers

Aricept

adverse: nausea

note: take at bedtime if GI upset occurs

Memantine

NMDA antagonist - alzheimers

Namenda

adverse: dizziness

note: used for moderate to severe cases

Benztropine

anticholinergic - parkinsons SYMPTOMS

Cogentin

adverse: dry mouth

note: may cause confusion in elders

Trihexyphenidyl

anticholinergic - parkisons disease

Artane

adverse: dry mouth

note: avoid if suffering from glaucoma

Pramipexole

Dopamine agonist - parkinsons disease

Mirapex

adverse: sleepiness

note: may cause sleep attacks

Ropinirole

dopamine agonist - parkinsons disease

Requip

adverse: nausea/sleepiness

note: avoid driving

Selegiline

MAO-B inhibitor - parkinsons disease

Eldepryl

adverse: insomnia

note: avoid tyramine rich foods (aged foods)

Rivastigmine

cholinesterase inhibitor - alzheimers disease

Exelon

adverse: nausea

note: take with food

Lisdexamfetamine

CNS stimulant - ADHD

Vynase

adverse: insomnia

note: disk of dependence

Modafinil

Wakefulness agent - narcolepsy

Provigil

adverse: headache

note: may reduce effectiveness of hormonal contraceptives

Varenicline

smoking cessation agent - nicotine dependence

Chantix

adverse: nausea/mood swings

note: monitor mood

Disulfiram

alcohol deterrent - alcohol dependence

Antabuse

adverse: flushing reaction with alcohol

note: avoid all alcohol

Naltrexone

opioid antagonist - opioid/alc dependence

Revia

adverse: nausea

note: avoid all opioid meds

Acamprosate

alcohol cessation agent - alcohol dependence

Campral

adverse: diarrhea

note: take 3 times daily

Hydroxyzine

antihistamine - anxiety/itching

Vistaril

adverse: drowsiness

note: may cause sedation

Prochlorperazine

antiemetic - nausea,vomitting

Compazine

adverse: drowsiness

note: avoid alcohol

Chlorpromazine

antipsychotic - psychosis

Thorazine

adverse: sedation, hypotension

note: may cause sun sensitivity

Amoxicillin

penicillin antibiotic - bacterial infections

Amoxcil

adverse: rash

note: fully use prescription

Amoxiccilin/Clavulanate

penicillin + beta lactamase inhibitor - bacterial infections

Augmentin

adverse: diarrhea

note: take with food

Cephalexin

cephalosporin - bacterial infections

Keflex

adverse: gi upset

note: fully use prescription

Cefidinir

cephalosporin - bacterial infections

Omnicef

adverse: diarrhea

note: separate from iron containing products

Ceftriaxone

cephalosporin - severe bacterial infections

Rocephin

adverse: biliary sludging (mixture of bile acids)

note: usually administered via injection

Azithromycin

macrolide - respiratory and STI infections

Zithromax

adverse: QT prolongation

note: take consistently

Clarithromycin

macrolide - respiratory infections

Biaxin

adverse: metallic taste

note: many drug interactions

Doxycycline

tetracycline - acne, infections

Vibramycin

adverse: photo sensitive

note: use sunscreen, avoid exposure

Minocycline

tetracycline - acne, infections

Minocin

adverse: dizziness

note: take with glass of water

Ciprofloxacin

Fluoroquinolone - UTIs, GI inections

Cipro

adverse: tendon rupture

note: stop exercise if tendon pain

Levofloxacin

Fluoroquinolone - Respiratory and urinary inections

Levaquin

adverse: qt prolongation

note: report tendon pain or arrhythmia

Metronidazole

nitroimidazole - anaerobicc infection

Flagyl

adverse: metallic taste

note: avoid alcohol within 48 hrs

Clindamycin

Lincosamide - anaerobic infections

Cleocin

adverse: C. difficile risk

note: report severe diarrhea

Nitrofurantoin

Nitrofurantoin antibiotic - UTIs

Macrobid

adverse: nausea

note: take with food

Sulfamethozaole/Trimethoprim

Sulfonamide combo - UTIs, skin infections

Bactrim

adverse: rash

note: stay hydrated

Fluconazole

azole antifungal - fungal infections

Diflucan

adverse: liver enzyme elevation

note: monitor for drug interactions

Itraconazole

azole antifungal - fungal infections

Sporanox

adverse: liver toxicity

note: take with food

Terbinafine

antifungal - nail/skin infections

Lamisil

adverse: liver enzyme elevation

note: monitor liver function

Nystatin

antifungal - oral thrush

Mycostatin

adverse: gi upset

note: swish and swallow for oral infections

Acyclovir

antiviral - herpes infections

Zovirax

adverse: kidney toxicity

note: stay hydrated

Valacyclovir

antiviral - herpes infections

Valtrex

adverse: headache

note: stay hydrated

Oseltamivir

antiviral - influenza

Tamiflu

adverse: nausea

note: start within 48 hrs of symptom

Tenofovir

antiretroviral - HIV, hep B

Viread

adverse: kidney toxicity

note: monitor kidney

Emtricitabine

antiretroviral - HIV

Emtriva

adverse: skin discolor

note: usually used as combo

Efavirenz

antiretroviral - HIV

Sustiva

adverse: CNS effects

note: take at bedtime to reduce dizziness

Dolutegravir

antiretroviral - HIV

Tivicay

adverse: insomnia

note: take same time daily

Abacavid/Dolutegravir/Lamivudin

antiretroviral - HIV

Triumeq

adverse: hypersensitivity reaction

note: Screen for HLA-B*5701 prior to use

Ritonavir

antiretroviral - HIV

Norvir

adverse: gi upset

note: many drug interactions

Atovaquone

antiprotozoal - pneumocystis pneumonia (fatal lung infection)

Mepron

adverse: gi upset

note: take with food

Mefloquine

Antimalarial - malaria PREVENTION

Lariam

adverse: neuropsychiatric effects

note: avoid in history of depression