Essentials of Psychiatric Mental Health
Nursing Medications.
Escitalopram (Lexapro)
Classified as an SSRI used for depression. A/E neuroleptic malignant syndrome, suicidal thoughts,
Serotonin syndrome
Venlafaxine (Effexor)
Classified as a SNRI that blocks the reuptake of serotonin and NE with minimal effects on other
transmitters. Used to treat depression. A/E neuroleptic malignant syndrome, suicidal thoughts,
Serotonin syndrome
What medication is used for EPS?
Benztropine (Cogentin) OR Trihexyphenidyl (Artane)
What medication has the potentially fatal side effect of agranulocytosis and myocarditis?
Clozapine
Clozapine (Clozaril)
second generation/atypical antipsychotic. Blockades dopamine and serotonin receptors. Relieves
general symptoms of schizophrenia and suicide behavior.
Risperidone (Risperdal)
second generation/atypical antipsychotic and mood stabilizer. Blocks H1 and alphaadrenergic
receptors. Relieves positive and negative symptoms of schizophrenia and improves cognitive
function. A/E neuroleptic malignant syndrome.
Olanzapine (Zyprexa)
second generation/atypical antipsychotic and mood stabilizer. Antagonizes dopamine and serotonin
type 2 in the CNS. Treatment for acute agitation for Bipolar I and schizophrenia. A/E seizures and
suicidal thoughts. Nicotine can decrease medication levels.
Quetiapine (Seroquel)
second generation/atypical antipsychotic and mood stabilizer. Antagonizes dopamine and serotonin.
Treats acute manic episodes and depressive episodes with bipolar disorder. A/E neuroleptic
malignant syndrome and seizures.
Ziprasidone (Geodon)
second generation/atypical antipsychotic and mood stabilizer. Antagonism of dopamine 2 and
serotonin 2. Used for maintenance of bipolar I disorder. A/E neuroleptic malignant syndrome, LOC
Paliperidone (Invega)
second generation/ atypicals work with serotonin and neurophine
, Chlorpromazine (Thorazine)
first generation, watch EPS
Perphenazine (Trilafon)
first generation, watch EPS
Fluphenazine (Prolixin)
first generation, watch EPS
Thioridazine (Mellaril)
first generation, watch EPS
Mesoridazine (Serentil)
first generation, watch EPS
Thiothixene (Navane)
first generation, watch EPS
Haloperidol (Haldol)
first generation, watch EPS
Loxapine (Loxitane)
first generation, watch EPS
Molindone (Moban)
first generation, watch EPS
Perphenazine (Etrafon)
first generation, watch EPS
Trifluoperazine (Stelazine)
first generation, watch EPS
Fluoxetine (Prozac)
SSRI. Used to treat major depressive disorder, OCD, and panic disorder. S/E serotonin syndrome,
anxiety, drowsiness, insomnia, and abnormal dreams.
Sertraline (Zoloft)
SSRI
Paroxetine (Paxil)
SSRI
Citalopram (Celexa)
SSRI
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