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Mental Health Meds and

Question

Answer

What is the clasification of Tofranil


(Imipramine)?

Tricyclic Antidepressant

What is the clasification of Anafranil


(Clomipramine)?

Tricyclic Antidepressant

What is the clasification of Elavil


(Amitriptyline)?

Tricyclic Antidepressant

What is the clasification of Norpramine


Tricyclic Antidepressant
(Desipramine)?
What is the clasification of Sinequan
(Doxepin)?

Tricyclic Antidepressant

What is the clasification of EMSAM?

MAOI

What is the clasification of


Nardil(Phenelzine)?

MAOI

What is the clasification of Parnate


(Tranylcypromine)?

MAOI

What is the clasification of Xanax


(Alprazolam)?

Benzodiazepine

What is the clasification of Valium


(Diazepam)?

Benzodiazepine

What is the clasification of Ativan


(Lorazepam)?

Benzodiazepine

What is the clasification of Klonopin


(Clonazepam)?

Benzodiazepine

What is the clasification of Librium


(Chlordiazepoxide)?

Benzodiazepine

What is the clasification of Serax


(Oxazepam)?

Benzodiazepine

What is the clasification of Lithium


(Lithobid, Eskalith)?

Antimanic

What is the clasification of Geodon


(Ziprasidon HCL)?

Antimanic

What is the clasification of Zyprexa


(Olanzapine)?

Antimanic

What is the clasification of Depakote


(Divalproex)?

Anticonvulsant

What is the clasification of Neurontin


(Gabapentin)?

Anticonvulsant

What is the clasification of Lamictal


(Lamotrigine)?

Anticonvulsant

What is the clasification of Tegretol


(Carbamazepine)?

Anticonvulsant

What is the clasification of Ritalin


(Methylphenidate)?

Psychostimulant

What is the clasification of Cylert


(Pemoline)?

Psychostimulant

What is the clasification of Dexedrine


(Dextroamphetamine)?

Psychostimulant

What is the clasification of Concerta


(Methylphenidate HCL)?

Psychostimulant

What is the clasification of Adderall


(Amphetamine Sulfate)?

Psychostimulant

What is the clasification of Vynase


(Lisdexamphetamine dimesylate)?

Psychostimulant

What is the clasification of Strattera


(Atemoxitine)?

Psychononstimulant

What is the clasification of Invega


(Paliperidone)?

Atypical Antipsychotic

What is the clasification of Abilify


(Aripiprazole)?

Atypical Antipsychotic

What is the clasification of Seroquel


(Quetiapine)?

Atypical Antipsychotic

What is the clasification of Zyprexa


(Olanzapine)?

Atypical Antipsychotic or Antimanic

What is the classification of Risperdal


(Risperidone)?

Atypical Antipsychotic

What is the classification of Clozaril


(Clozapine)?

Atypical Antipsychotic

What is the classification of Cogentin


(Benztropine Mesylate)?

Antiparkinson

What is the classification of Artane


(Trihexyphenidyl)?

Antiparkinson

What is the classification of Symmetrel


Antiparkinson
(Amantadine HCL)?
What is the classification of Benadryl
(Diphenhydramine HCL)?

Antiparkinson

What is the classification of Haldol


(Haloperidol)?

Typical Antipsychotic or Neuroleptic

What is the classification of Prolixin


(Fluphenazine)?

Typical Antipsychotic or Neuroleptic

What is the classification of Thorazine


(Chlorpromazine)?

Typical Antipsychotic or Neuroleptic

What is the classification of Stelazine


(Trifluoperazine)?

Typical Antipsychotic or Neuroleptic

What is the classification of Mellaril


(Thioridizine)?

Typical Antipsychotic or Neuroleptic

What is the classification of Cymbalta


(Duloxetine HCL)?

SSRI

What is the classification of Lexapro


(Escitalopram oxalate)?

SSRI

What is the classification of Prozac


(Fluoxetine)?

SSRI

What is the classification of Celexa


(Citalopram Hydrobromide)?

SSRI

What is the classification of Paxil


(Paroxetine)?

SSRI

What is the classification of Zoloft


(Sertraline)?

SSRI

What is the classification of Luvox


(Fluvoxamine)?

SSRI

Common Side Effects of Atypical


Antipsychotics

Increased Prolactin Levels, Somnolence, Weight Gain


(via appetite stimulation), Sexual Dysfunction, and
Metabolic Syndrome (ex: DM II - Abnormal patterns
of blood Lipids - Enhanced risk of heart disease,
Frische p. 689)

Life Threatening Side Effect of Clozaril Agranulocytosis (decreased WBCs)


Common Side Effects of Typical
Antipsychotics (Neuroleptics)

Akathisia, Akinesia, Pseudo Parkinsonism, Dystonia,


Tardive Dyskinesia

Life Threatening Side Effects of


Typical Antipsychotics (Neuroleptics)

Severe Muscle Rigidity, Altered Consciousness,


Stupor, Hyprexia(> 106 F), Labile Pulse / BP, Coma >
Death. Aka NMS (Neuro Malignant Syndrome)

Common Side Effects of


Antiparkinsons

Dry mouth, Blurred Vision, Constipation, Urinary


Retention, Increased Heart Rate

Acute Common Side Effects of SSRIs

Nausea, Fatigue, HA, Tremor, Nervousness, dry


mouth

Chronic Common Side Effects of


SSRIs

Day time fatigue, Insomnia, Major Side Effects:


Sexual Dysfunction, Weight Gain

Confusion > disorinetation, Restlessness - Agitation,


Tachycardia, Fever > 104 F, Shivering, Sweating,
Life Threatening Side Effects of SSRIs Tremors/muscle Spasms, Rigidity, Coma > Death;
*Hypertension (Joy)/Hypotension (Frische, p 695). aka
Serotonin Syndrome
Common Side Effects of TCAs

Dry mouth, Postural Hypotension, Constipation,


Urinary retention, Blurred Vision, Weight Gain,
Extreme Sedation

Lethal in Overdose and Confusion > disorinetation,


Restlessness - Agitation, Tachycardia, Fever > 104 F,
Shivering, Sweating, Tremors/muscle Spasms,
Life Threatening Side Effects of TCAs
Rigidity, Coma > Death; *Hypertension
(Joy)/Hypotension (Frische, p 695). aka Serotonin
Syndrome
Common Side Effects of MAOIs

Dry mouth, Postural Hypotension, Constipation,


Urinary retention, Blurred Vision, Weight Gain,
Extreme Sedation

Life Threatening Side Effects of


MAOIs

Hypertensive Crisis (is severe hypertension with acute


impairment of an organ system (especially the central
nervous system, cardiovascular system and/or the renal
system)

Common Side Effects of


Benzodiazepines

Drowsiness, loss of coordination, fatigue, mental


slowing or confusion, addiction/dependence

Common Side Effects of Antimanics

Lethargy, Muscle weakness, fine hand tremors,


nausea-vomiting-diarrhea

Life Threatening Side Effects of


Antimanics

Agitation, confusion, blurred vision, slurred speech,


fever, arrhythmias, hypotension, seizures, spasticity,
coma (aka Lithium Toxicity)

Common Side Effects of


Anticonvulsants

Dizziness, Drowsiness, Nausea-vomiting, Sedation,


Insomnia, Ataxia

Life Threatening Side Effects of


Anticonvulsants

Fatal Hepatitis, Fatal cardiovascular complication,


Fatal Pancreatitis

Common Side Effects of


Psychostimulants

Growth effects, Tics, Delayed sleep onset, reduced


appetite, Abdominal Pain, Weight Loss, Jitteriness,
Headache, Anxiety, Irritability, Sadness, Overfocusing

Will lower the effectiveness of


antipsychotics

Tagamet (Cimetidine)

Administration of this may result in


severe hypotension if given to pts
taking Thorazine (Chlorpromazine)

Epinephrine

Akathisia

Pt describes: feeling antsy, inability to sit still, may be


pacing the floor; is not frightened

Anxiety

Pt expresses thoughts of worry or concerns, having


fears (even if unable to state the source of the worry),
often accompanied by somatic symptoms

Agitation

Pt exhibits escalating anger or anxiety, vocalizes


concerns/complaints, Possible demonstrating
destructive behavior

Lethal if taken in overdose

Tricyclic Antidepressants

Surgery is dangerous for persons on


MAOIs because of the potential
Demerol (Meperidine)
inadvertent administration of this
common postoperative pain medication
Persons taking MAOIs must be alerted
that this common OTC medication must Dextromethorphan
be avoided
Administration of this medication can
relieve the symptoms of Dystonia

Benadryl (Diphenhydramine HCL)

This can result in patients taking SSRIs


Serotonin Syndrome
when exposed to polypharmacy
Administration of this medication
requires avoiding foods containing
Tyramine

MAOIs

This medication is associated with


Stevens-Johnson syndrome (a toxic
epidermal rash that is life threatening)

Lamictal

Blood Serum levels of Lithium at this


level indicate toxicity

1.5 - 3.5 mEq/L

Blood Serum levels of Lithium at this


level indicate a therapeutic level

0.4 - 1.0 mEq/L

Patients taking psychostimulants must


be carefully monitored for these side
effects

Height and weight to detect growth suppression

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