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22 Cards in this Set

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Divalprox sodium
(Depakote)

Anti-epileptic.
-old generation. sedating, blood serum levels, difficult to manage.

Bipolar mood disorder drug.
-Higher TI than lithium, fewer side effects. Less effective for suicide/relapses
Phenytoin
(Dilantin)

Anti-epileptic
-old generation, sedating, blood serum levels, difficult to manage.
-S/A Dilantin faces (moon face, round face), acne, hirsutism, gingeval hyperplasia. bad mix with alcohol
naseau/vomiting, nystagmus, ataxia, coarsening of features, hepatic failure, lymphadenopathy, osteomalacia
Ethosuximide
(Zarontin)

Anti-epileptic
-S/A GI upset, sedation and headaches, potential idiosyncratic reactions (ie: rash, blood dyscrasias) are rare
Gabapentin
(Neurontin)

Anti-epileptic

New line drug, better tolerated, good seizure control, less sedating

drowsiness, ataxia, weight gain and behavioral changes
Levetiracetam
(Keppra)

Anti-epileptic

New line drug, better tolerated, good seizure control, less sedating

Somnolence, tiredness, dizziness, and upper respiratory infections
Carbidopa/levodopa
Parkinson Disease

increases dopamine
(carbidopa is decoy, uses up enzymes in periphery, so more levodopa can cross BBB)

S/A:
1. dyskineasias, choreothosis, ticks, big metabolic requirements
2. on-off effect (also from dose just wearing out)
3. naseau effects
4. vivid dreams, hallucinations

to battle Parkinson symptoms of S L U D G E (salivation, lacrimation, urinary stasis, dizziness, diaphoresis, defacation, GI upset, emeses)
Benztropine
Parkinson disease

Anti-cholinergic. causes SM to relax, to calm extrapyridmal symptoms (acute dyskinesias caused by anti-psychotic drugs)

S/A: possible heat stroke from losing ability to cool down via sweating. not having signs of overheating
Donepezil
Alzheimer Disease

the cholinesterase inhibitor

makes more ACh available for brain.

S/A: too much ACh in periphery = cog wheel, salivation, tremors, S L U D G E (salivation, lacrimation, urinary stasis, dizziness, diaphoresis, defacation, GI upset, emeses)
Lorazepam
(Ativan)

Anti-anxiety. Long acting (slower onset, longer duration)

potentiates GABA

withdrawl possible, sedation, physical dependence

S/A: headache, drowsy, dizzy, veritgo, lethargy, fall hazard, hangover effect,/daytime sleepys, elderly CNS depression
Alprazolam
(Xanax)

(Ativan)

Anti-anxiety. short-acting (faster onset, shorter duration)

MORE ADDICTING THAN ATIVAN!

potentiates GABA

withdrawl possible, sedation, physical dependence

S/A: headache, drowsy, dizzy, veritgo, lethargy, fall hazard, hangover effect,/daytime sleepys, elderly CNS depression
Buspirone
(Buspar)

Anti-anxiety

non-addicting, well tolerated, minimal sedation, fewer D/D interactions, MAOI (monoamine oxidase inhibitor = treats depression), CNS depressant.

Becoming first line for anxiety
Lithium
bipolar / mood stabilizer
Divalproex sodium
Bi-polar / mood stabilizer
SSRI
Fluoxetine (Prozac)
SNRI
Duloxetine (Effexor)
Trycyclics
imipramine (Tofranil)
MAOIs
isocarboxazid (Marplan)
Buprorion
(Welbutrin)

anti-depressant
Haloperidol
(Haldol)

First gen

Anti-psychotic/neuroleptics
Clozapine
(Clozaril)

Second gen

Anti-psychotic/neuroleptics
Quetiapine
Anti-psychotic/neuroleptics
Digoxin
Inotropix agent

for heart failure
increase squeeze, decreases HR

low K+ increases risk of Dig toxicity