Carbamazepine: seizures - ANSWERi. CBC Q 3-4 month
ii. Auto induces metabolism
iii. Dermatologic reactions
iv. Stevens Johnson
v. Toxic epidermal necrosis
vi. Aplastic anemia
vii. agranulocytosis
Teach for seizures - ANSWERi. Prevent
ii. Safety
iii. Quality of life
iv. Don't abruptly stop
Topiramate: seizures - ANSWERi. Kidney stones
ii. Weight loss
iii. Monitor sweating and temp with exercise
iv. Low sodium bicarb=hyperchloremic metabolic acidosis
Pregnant - ANSWERi. Valproate=XX (Seizures) no use 1st trimester AKA Depakote
ii. Keppra better (Seizures)
iii. PCN and Cephalosporins good (INFECTION)
Tricyclic antidepressants symptoms - ANSWERi. Anticholinergic: this class has the
most
1. dry mouth
2. sedation
3. constipation
4. increased appetite
5. blurred vision
6. tinnitus
7. euphoria
8. mania
,Tricyclic precautions - ANSWERii. Antiarrhythmic: stop VF, decrease contraction,
increase blood flow
iii. Toxic= myocardial irritation
iv. CAUTION with heart history
Tricyclic medications - ANSWERi. Elavil
ii. Asendin
iii. Anafranil
iv. Adapine
v. Sinequan
vi. Tofranil
vii. Pamelor
viii. Vivactil
Nadal/ phenelzine - ANSWERis a MOIA drug inhibit monoamine oxidase
Nardal - ANSWERi. Treat: atypical depression and Parkinson's
ii. Caution: tyramine rich foods=fermented
iii. Causes hypertensive crisis
iv. Do not take: Imitrex/ sumatriptan
v. 2 weeks to clear system
vi. Last line medication when all others have failed
MOIA drugs - ANSWERi. Marplan
ii. Nadal
iii. parnate
hypertensive crisis - ANSWERi. Headache
ii. Heart palpitations
iii. Stiff or sore neck
iv. Chest tightness
v. Tachycardia
vi. Sweating
vii. Dilated pupils
SSRI's - ANSWERi. Take 2 to 6 weeks to work
ii. Nausea resolves within a week
iii. No Alcohol
iv. Has short half-life withdrawal seizures
Paxil or Paroxetine - ANSWERSSRI
SSRI and Buspar combined treat - ANSWERi. anxious
ii. depression
iii. agitated
, Buspar alone - ANSWERfunctions as serotonergic receptor partial agonist
i. Buspar alone is an appropriate first line drug for mild/ moderate generalized anxiety
disorder
SSRI - ANSWERi. Appetite and concentration improve in 1 to 2 weeks
ii. Celexa / citalopram
iii. May feel worse before better, lethargic, cranky, drowsy
iv. 2 to 6 weeks before takes effect
SSRI side effects - ANSWERnausea and vomiting
ii. Light-headedness
iii. Dizzy
iv. Dry mouth
v. Increased sweating
vi. Weight changes
vii. Increase in anxiety
viii. Agitation
ix. Sexual side effects
SSRI drugs - ANSWERx. Lexapro for depression and anxiety
xi. Luvox
xii. Prozac
xiii. Paxil
xiv. Zoloft and celexa
Cymbalta: antidepressant treats - ANSWERi. Depression
ii. Fatigue
iii. Increased sleep
iv. Lack of motivation
Lithium - ANSWERi. Eat consistent salt because acts on Na+ cell channels because it is
an ion
Lithium treats - ANSWERbipolar
SNRI: antidepressant side effects - ANSWERi. Headache
ii. Somnolence
iii. Dizzy
iv. Insomnia
v. Nervousness
vi. Nausea
vii. Dry mouth
viii. Constipation
ix. Abnormal ejaculations
x. Anorexia-weight loss
xi. Elevated BP
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