Dry Mouth

Constipation

Blurred Vision

Urinary Retention

Dry Mucous Membranes

Occasional Delirium

Tardive Dyskinesia

(TD)

Atypical / Novel meds 

treat what?

Negative and Positive effects

Negative are - flat or blunted affect, poverty of thought, few or no thoughts, concrete thinking, emptiness, anhedonia(no joy), amotivation, anergia.

Positive are - delusions, hallucinations, confusion, impared judgement/thinking, agitation, severe anxiety.

Positive symptoms

Delusions, hallucinations, confusion, impared judgement/thinking, agitation

severe anxiety

Anti-Anxiety Med

Buspar - Buspirone

Non-Addictive

Bipolar treatment

resistant or rapid cycling

Valporic Acid

Divalproex Sodium

therapeutic level

0.8-1.4 mEq/L

Exaggeration of common side effects

* May be mistaken for having the flu

anxiety or agitation

Obessional symptoms

Rumination

Irritability

Aggression and /or pronounced suicidality

avoid foods with Tyramine and Tryasine to

prevent a hypertensive crisis/cva

kidney to retain lithium 

leading to toxicity

Benzos

Beta Blockers

Catapres

manic episodes

and/or increase frequency of episodes

Sudden stopping of an anitdepresant

can cause

withdrawl symptoms

- nausea, anxiety, insomnia, flu-like, general malaise, sensations described as "electrical shocks" in limbs or head

antiparkinsonian agents

are used to?

decrease EPS

except TD - no change

increased wt, increased cost, decreased EPS, decreased cardiovascular, increased risk of hyperglycemia, type 2 diabetes, increased triglycerides and cholesterol

- Increased risk with Zyprexa and Clozaril

- Decreased risk with Invega, Resperidol and Seroquel

B52 or 52

Haldol 5mg IM

Ativan 2mg IM

agranulocytosis

Decreased WBC (infections)

seizures, bedwetting, excessive salivation

No TD

Antianxiety or anxiolytic

side effects

Symptom improvement with

antipsychotics

Initally seen in a decrease in arousal, emotional dyscontrol/lability and agitation

* meds dont always alleviate hallucinations

- takes longer to change poor reality testing, hallucinations, delusions and disordered thinking

- with chronic schizophrenia - may take weeks to change

SSRIs

Selective serotonin reuptake inhibitors

do what?

anxiety, sedation

fewer ATCH properties tha TCA's

wt gain rare in acute phase of treatment

* sexual dysfunction- inorgasmia 20-30%of pt's

very low or NO fatality with overdose

causes tolerance and dependence

blocks euphoric effects of opiods

- being prescribed for pain management

- a controversal moderate and long term recovery tool

internal and external restlessness

may be mistaken for anxiety and increase the antipsychotic med, which worsens the restlessness

- can be relieved by antiparkinson meds, but Propanol and Benzos are more successful

muscle cramps of head and neck, acute reactions or oculogyric crisis is treated with IM antiparkinson med

otherwise treated with prophylactically  with oral antiparkinson meds.

prolixin decanoate &

Haldol decanoate

are used for what

as a temporary tool within a recovery plan

* usually alcoholics "test" effects with drinking, not everyonehas negative/severe effects from combining Antabuse with alcohol

what meds are used with opiod

detoxification

Catapres - clonidine hydrochloride

Methadone - methadone hydrochloride

1) pt target symptoms

2) medication side effects

3) pts personal and family Hx of drug/alcohol dependence

toxic side effects of antipsychotic/neuroleptic

medications

NMS - neuroleptic malignant syndrome

fever, increase BP, diaphoresis, tachycardia, muscular rigidity, stupor, possible death

stigma

negative beliefs by family-society

tremors, rigidity, drooling, mask like face, shuffling gait, pill rolling of fingers, cogwheel rigidity

diminished by antiparkinson meds

Nardil

parnate

marplan

emsam patch

prozac

zoloft

paxil

celexa

luvox

lexapro

viibryd

Anitcholernergic can cause confusion and memory disturbances in elderly or brain damaged pts, 

- cardiovascular - can be lethal in overdose