clozapine (Clozaril) not 1st line tx d/t potential agranulo- cytosis carba- mazepine (Tegretol) useful for acute mania; CBC periodicaly MAOI (mono- amine oxidase inhibitors) must restrict tyramine intake w/these drugs avoid grapefruit & grapefruit juice bupropion (Wellbutrin/ Zyban) norepinephrine- dopamine reuptake inhib; depression & smoking cessation lithium monitor blood levels; Na+ & hydration metformin used as adjunct w/SGAs for wt gain atomoxetine (Strattera) non- stimulant to tx ADHD cariprazine (Vraylar) 2nd gen w/potential of ameliorating neg. sx TCAs tricyclic anti- depressants Known as "Dirty Drugs" w/anit- cholinergic SE 1st gen anti- psychotics haloperidol (Haldol) fluphenazine (Prolixin) chlorpromazine (Thorazine) benzo- diazepines short term use only ziprasidone (Geodon) always take with food; ECG prior to start venlafaxine (Effexor) duloxetine (Cymbalta) can be used for GAD divalproex sodium (Depakote) valproic acid (Depakene) helpful w/bipolar if unresponsive to lithium gynecomastia quetiapine (Seroquel) low risk of EPSs selective serotonin reuptake inhibitors Prozac, Zoloft, Paxil, Celexa common side effects of 2nd gen antipsychotics increased wt, BMI, waist, fasting glucose level & lipids Off-label use mood stabilizers oxcarbazepine (Trileptal) gabapentin (Neurontin) topiramate (Topamax) trazodone (Desyrel) antidepressant good for insomnia 2nd gen anti- psychotics olanzapine (Zyprexa) risperidone (Risperdal) Quetiapine (Seroquel) "Z- hypnotics" life- threatening respiratory depression neuroleptic malignant syndrome rare but serious complication of 1st gen antipsychotics aripiprazle (Abilify) may be prescribed to augment antidep effects buspirone (BuSpar) Antianxiety w/no potential for addiction lamotrigine (Lamictal) monitor for Stevens- Johnson syndrome ramelteon (Rozerem) clozapine (Clozaril) not 1st line tx d/t potential agranulo- cytosis carba- mazepine (Tegretol) useful for acute mania; CBC periodicaly MAOI (mono- amine oxidase inhibitors) must restrict tyramine intake w/these drugs avoid grapefruit & grapefruit juice bupropion (Wellbutrin/ Zyban) norepinephrine- dopamine reuptake inhib; depression & smoking cessation lithium monitor blood levels; Na+ & hydration metformin used as adjunct w/SGAs for wt gain atomoxetine (Strattera) non- stimulant to tx ADHD cariprazine (Vraylar) 2nd gen w/potential of ameliorating neg. sx TCAs tricyclic anti- depressants Known as "Dirty Drugs" w/anit- cholinergic SE 1st gen anti- psychotics haloperidol (Haldol) fluphenazine (Prolixin) chlorpromazine (Thorazine) benzo- diazepines short term use only ziprasidone (Geodon) always take with food; ECG prior to start venlafaxine (Effexor) duloxetine (Cymbalta) can be used for GAD divalproex sodium (Depakote) valproic acid (Depakene) helpful w/bipolar if unresponsive to lithium gynecomastia quetiapine (Seroquel) low risk of EPSs selective serotonin reuptake inhibitors Prozac, Zoloft, Paxil, Celexa common side effects of 2nd gen antipsychotics increased wt, BMI, waist, fasting glucose level & lipids Off-label use mood stabilizers oxcarbazepine (Trileptal) gabapentin (Neurontin) topiramate (Topamax) trazodone (Desyrel) antidepressant good for insomnia 2nd gen anti- psychotics olanzapine (Zyprexa) risperidone (Risperdal) Quetiapine (Seroquel) "Z- hypnotics" life- threatening respiratory depression neuroleptic malignant syndrome rare but serious complication of 1st gen antipsychotics aripiprazle (Abilify) may be prescribed to augment antidep effects buspirone (BuSpar) Antianxiety w/no potential for addiction lamotrigine (Lamictal) monitor for Stevens- Johnson syndrome ramelteon (Rozerem)
(Print)
not 1st line tx d/t potential agranulo-
cytosis
useful for acute mania; CBC periodicaly
must restrict tyramine intake w/these drugs
avoid grapefruit & grapefruit juice
norepinephrine-dopamine reuptake inhib; depression & smoking cessation
monitor blood levels; Na+ & hydration
used as adjunct w/SGAs for wt gain
non-stimulant to tx ADHD
2nd gen
w/potential of ameliorating
neg. sx
Known as "Dirty Drugs" w/anit-cholinergic
SE
haloperidol
(Haldol)
fluphenazine
(Prolixin)
chlorpromazine
(Thorazine)
short term use only
always take with food; ECG prior to start
can be used for GAD
helpful w/bipolar if unresponsive to lithium
gynecomastia
low risk of EPSs
Prozac, Zoloft, Paxil,
Celexa
increased wt, BMI, waist, fasting glucose level & lipids
oxcarbazepine
(Trileptal)
gabapentin
(Neurontin)
topiramate
(Topamax)
antidepressant good for insomnia
olanzapine
(Zyprexa)
risperidone
(Risperdal)
Quetiapine
(Seroquel)
"Z-hypnotics"
life-threatening respiratory depression
rare but serious complication of 1st gen antipsychotics
may be prescribed to augment antidep effects
Antianxiety
w/no potential for addiction
monitor for Stevens-Johnson syndrome
ramelteon
(Rozerem)
