D1

ADHD DRUG

• Ritalin and Adderall

• OD (once a day)

• after meals: prevent loss of appetite

• don’t give at bedtime: cause insomnia,

  give 6 hrs prior to bedtime if BID (2x day)

• monitor: BP
  Report height and weight w/ health care professional

• reversal agent: Alprazolam

PSCYHOTIC DRUG

• Typical/ 1st gen drug

  • “-zine” “-dol”

  • conventional

  • Thorazine, Haldol, Prolixin Decanoate, Mellaril

  • cheaper

  • usage: (+) symptoms→ presence of problematic behavior

  • Risk: increase ESP (extra pyramidal syndrome)→overdose

    • notify the physician, DO NOT discontinue! low dosage, shift to another Gen

• Atypical/ 2nd gen/ New gen

  • “-pine” “-done”

  • unconventional

  • Abilify, Clozaril, Risperdal, Zyprexa, Seroquel, Geodon

  • expensive

  • usage: (-) symptoms→ absence of healthy behavior

  • Risk: decrease ESP
    (+) agranulocytosis → severe low WBC (infection)

• Extra Pyramidal Syndrome

  • notify physician, DO NOT discontinue

  • decrease dose, shift to another gen

• Neuroleptic Malignant Syndrome

  • deadly, severe adverse reaction

  • discontinue medication

  • give Baclofen (muscle relaxant), antipyretics

  • hydrate the patient→ increase fluids

• Tardive Dyskinesia

  • lifetime

  • notify the physician

  • give Valbenazine (Ingrezza)

  • start w/ lowest dose

• Precautions:

  • best taken after meals

  • avoid administer in the evening - Insomnia

  • monitor: BP freq. for hypertension

    Signs of hypertensive crisis

BIPOLAR

DEPRESSION

• Everything is low