What are the black box Dermatologic reactions
warnings for 1. Steven's Johnson
Carbamazepine? 2. Toxic epidermal necrolysis
What lab test should be CBC every 3-4 months because it can cause decreased
ordered for patients on WBC, decreased platelets, and trouble with RBC
Carbamazepine?
What kind of teaching Prevention is important, patient safety is important, Do
needs to be done with NOT abruptly stop taking medication.
families of patients who
have seizure disorders?
Ethosuximide (Zarontin), an Blood dyscrasias
anti-seizure medication can
cause what?
Patients taking Topiramate Decreased sodium bicarb leading to hyperchloremic
need to be monitored for metabolic acidosis
what electrolyte
imbalance?
Topiramate treats seizures Normal side effect is weight loss, especially in higher
and what is one common dose patients
side effect?
A child on Topiramate that Don't get overheated. Topiramate may affect his ability to
wants to play sports should sweat in the heat.
monitor what?
What should a pregnant It is a known teratogen and category X medication. It
patient be told about taking should not be used in the first trimester, it may be
Valproate (Depakote)? restarted in second trimester.
What patient population Heart Disease patients
should tricyclic
antidepressants be used
cautiously in?
, Phenelzine (Nardil) is a He should not use serotonergic drugs like Imitrex. Also,
MAOI. What teaching needs this class of medication interacts with yogurt, sour
to be done with this cream, soy sauce, etc.
medication?
Phenelzine (Nardil) may Hypertensive crisis
cause what if there is an
interaction with known
contraindicated foods?
Anticholinergic type effects like dry mouth, sedation,
What are the side effects of
constipation, increased appetite, blurred vision, tinnitus,
tricyclic antidepressants?
euphoria, mania
How long does it take for 2-6 weeks
SSRIs to take effect
SSRIs may cause what onset Nausea, but this will usually resolve in a week.
of action symptoms?
What is one thing you Drink alcohol
should not do with SSRIs?
What should happen when Wean slowly, do not stop abruptly
going off an SSRI?
What medications would a Buspar and an SSRI combined
patient with depression and Celexa (Citalopram)
anxiety respond well to? Lexapro (Escitalopram)
Why should you combine Buspar augments the SSRI and is a good combo for
an SSRI with Buspar? anxiety and depression
What is a first line drug for Buspirone
mild to moderate
generalized anxiety
disorder?
How fast does Celexa start Improved appetitie and concentration in 1-2 weeks.
to demonstrate effects?
What is a major drug to Lithium
treat bipolar disease?
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