This is a very brief but helpful study notes / review guide for all nursing students reviewing for Psychiatric Nursing as well as the rest of us nurses who want to be updated in Psychia drugs.
ANTI-PSYCHOTIC/NEUROLEPTIC/MAJOR TRANQUILIZER
FOR: SCHIZOPHRENIA
↑ DOPA → Anti-Psychotic → 2-4 weeks
TYPICAL: MaHaL Na PaSTa
M – Mellaril (Thioridazine)
H – Haldol (Haloperidol)
L – Loxitane (Loxaprine)
N – Navane (Thiothixene)
P – Prolixin (Fluphenazine)
S – Stellazine, Serenace
T – Thorazine (Chlorpromazine)
Taractan (Chlorprothixene)
Trilafon (Pherphenazine)
(for (+) symptoms)
- Delusion
- Hallucination (AUDITORY)
- Disorganized thoughts
- Behavior
- Speech
ATYPICAL: CaR of SuZy is brand new
(new)
C – Clozaril (Clozapine)
R – Risperdal (Risperidone)
S – Seroquel (Quetiapine)
Z – Zyprexa (Olanzapine)
(for (+) & (-) symptoms)
(-) 5A's:
- Alogia
- Anhedonia
- Avolition
- Apathy
- Affective D/O
ANTI-DEPRESSANTS/THYMOLEPTICS
FOR: DEPRESSION
↓ serotonin
→ Anti-Depressant + → 2-4 weeks (SSRI.MaOi) 2-6 weeks (TCA)
↓ norepi
TRICYCLIC – Anti-cholinergic
(1) TCA: mr TAN SAVE (pramine, tryptilline)
T – Tofranil (Imipramine)
A – Ascendin (Amoxapine)
N – Norpramine (Desipramine)
S – Sinequan
A – Anafranil (Clomipramine)
V – Vivactil (Protryptilline)
E – Elavil (Amitryptilline)
S.E.
Sedation
Urinary Retention
Orthostatic Hypotension
Blurred Vision
Drowsiness
(2) MAOi: PaNaMa
- avoid tyramine foods
- lead to hypertensive crisis
P – Parnate
N – Nardil (Phenelzine SO40)
M – Marplan (isocarboxacid)
Mannerix (Moclobemide)
(3) SSRI: PPZLT (xetine)
P – Prozac (Fluoxetine HCl)
P – Paxil (Paroxetine HCl)
Z – Zoloft (Sertraline HCl)
L – Luvox (Fluvoxamine)
T – Trazodone (Desyrel)
T – Trazodone (Desyrel)
ANTI-PARKINSONIAN
(1) ANTI-CHOLINERGIC: CAKA
C – Cogentin (Benztropine)
A – Akineton (Bisperiden)
K – Kemadin (Procyclidine)
A – Artane (Trihexaphenidyl)
(2) DOPAMINERGIC: Pulse
P – Parlodel (Bromocriptine)
L – Levodopa
S – Symmetrel (Amantadine)
E – Eldepryl
ANTI-MANIC
FOR: MANIA / Adequate sodium intake
↑ serotonin → Anti-manic → 2-4 weeks ↑ norepi
(1) LITHIUM CARBONATE: D'CELL
D – Duralith
C – Carbolith
E – Eskalith
L – Lithane
L – Lithizine
Lithotabs
Lithonate
TOXICITY
tremors
nausea/vomiting
thirst
polyuria
coma
seizure
(2) LITHIUM CITRATE: C
C – Cibalith
Therapeutic Level of Lithium: / Check every 12ยบ 2x/week
0.6 – 1.2 mEq/L
0.7
ANTI-ANXIETY / MILD TRANQUILIZER
FOR: ANXIETY D/O
↓ GABA → Anti-anxiety → 2-4 weeks
↑ epi,norepi
Be My LAST VIVE
B – BusPar (Buspirone)
M – Miltown
L – Librium (Chlordiazepoxide)
A – Ativan (Lorazepam)
S – Serax (Oxazepam)
T – Tranxene (Chlorazepate)
V – Valium (Diazepam)
I – Inderal
V – Vistranel
E – Equanil
