Pharma Psyche
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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) 1. Delusion 2. Hallucination (AUDITORY) 3. Disorganized thoughts 4. Behavior 5. 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: 1. Alogia 2. Anhedonia 3. Avolition 4. Apathy 5. 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) 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
Transcript of Pharma Psyche
ANTI-PSYCHOTIC/NEUROLEPTIC/MAJOR TRANQUILIZERFOR: 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, SerenaceT – Thorazine (Chlorpromazine)
Taractan (Chlorprothixene)Trilafon (Pherphenazine)
(for (+) symptoms)1. Delusion2. Hallucination (AUDITORY)3. Disorganized thoughts4. Behavior 5. 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:1. Alogia2. Anhedonia3. Avolition4. Apathy5. Affective D/O
ANTI-DEPRESSANTS/THYMOLEPTICSFOR: 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 – SinequanA – Anafranil (Clomipramine)V – Vivactil (Protryptilline)E – Elavil (Amitryptilline)
S.E.Sedation Urinary RetentionOrthostatic HypotensionBlurred VisionDrowsiness
(2) MAOi: PaNaMa
- avoid tyramine foods- lead to hypertensive crisis
P – ParnateN – 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)
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 – LevodopaS – Symmetrel (Amantadine)E – Eldepryl
ANTI-MANICFOR: MANIA / Adequate sodium intake
↑ serotonin → Anti-manic → 2-4 weeks ↑ norepi
(1) LITHIUM CARBONATE: D'CELL D – DuralithC – CarbolithE – EskalithL – LithaneL – Lithizine
LithotabsLithonate
TOXICITYtremorsnausea/vomitingthirst
polyuriacomaseizure
(2) LITHIUM CITRATE: C C – Cibalith
Therapeutic Level of Lithium: / Check every 12º 2x/week
0.6 – 1.2 mEq/L0.7
ANTI-ANXIETY / MILD TRANQUILIZERFOR: ANXIETY D/O
↓ GABA → Anti-anxiety → 2-4 weeks↑ epi,norepi
Be My LAST VIVEB – BusPar (Buspirone)M – MiltownL – Librium (Chlordiazepoxide)A – Ativan (Lorazepam)S – Serax (Oxazepam)T – Tranxene (Chlorazepate)V – Valium (Diazepam)I – InderalV – VistranelE – Equanil
