Summary sheet of psychoactive drugs
A Brief Summary of Current Psychoactive Medications
(generally increase Serotonin and/or Norepinephrine)
Zoloft (sertraline) Lexapro (escitalopram oxalate)
Obsessive-Compulsive Disorder, Panic Disorder, Anxiety
Disorder, Bulimia, Anorexia nervosa, Borderline PersonalityDisorder, Autistic Disorder, Alcoholism, Migraine headaches,Postpartum depression, PMS (Sarafem).
Dry mouth, sweating, headache, nausea, restlessness, irritation, sexualdysfunction, vomiting, loose stools, insomnia, agitation, anxiety, dizziness.
Obsessive-Compulsive Disorder, Panic Disorder, AnxietyDisorder, Borderline Personality Disorder, Migraine, bed-wetting,bulimia, and chronic pain.
Rapid heart beats, seizures, drowsiness, blurred vision, dry mouth, constipation,weight gain, dizziness, sweating, difficulty urinating, changes in sexual desire,muscle twinges, fatigue and weakness, other heart problems.
Bipolar Disorder, Anxiety, Panic Disorder, Phobias
Dizziness, headache, drowsiness, sleep disturbances, weakness and fatigue,
tremors, twitching,. Weight gain, Jitteriness, Skin rash, sweating, blurred vision. Severe diet and drug restrictions must be closely followed or lethal
consequences can occur.
Wellbutrin/Wellbutrin XL, Zyban (bupropion)
Ludiomil (maprotiline HCL [tetracyclic])
Mixed, but generally used only for depression. Zyban is used forsmoking cessation.
Nausea, constipation, agitation, insomnia, hypertension (Effexor), dizziness,drowsiness, priapism (trazodone products), sweating, dry mouth.
ANTIPSYCHOTICS / NEUROLEPTICS
(generally block Dopamine post-synaptic) (Atypicals underlined & in RED
Thorazine, Thor-Prom (chlorpromazine) Chlorpazine, Compra-Z, Comprazine, Contrazine, Ultrazine (prochlorperazine)Stelazine, Suprazine, Terfluzine, Trifurin (trifluoperazine)
Treatment of disorganized thinking and hallucinations.
Mania, anxiety due to TBI, psychotic depression, dementia, extremeagitation.
Tremors, muscle spasms, restlessness, twitches, dizziness, Neuroleptic malignantsyndrome (high fever, rapid heart rate, labored breathing sweating, rigidity - death)
Drugs sometimes used to control side effects:
ANTIANXIETY Sedative/Hypnotics (Benzodiazepines)
(generally increase # of times GABA receptor gates open)
Librium, Librax Libritabs (chlordiazepoxide)
Anxiety, Panic Disorder, Phobias, Obsessive-Compulsive Disorder,PTSD.
Insomnia, Stop Seizures, Muscle Spasms, side effects of antipsychoticmedications.
Dependance and addiction, drowsiness, fatigue, confusion, mental slowing. Can be lethalwhen combined with alcohol. Birth defects if taken while pregnant.
Other non benzodiazepines drugs sometimes used as antianxiety sedatives:
MOOD STABILIZERS Antimanic medications
(limits sodium ion exchange across cell membranes of CNS)
Neurotin (gabapentin - potentiates GABA? )
Depakote (divalproex sodium - increases GABA)
Lithonate, Lithane, Lithobid, Eskalith, Eskalith CR (lithium carbonate)
Bipolar Disorder, Schizoaffective Disorder, Mania, Depression (Lithium)
Anticonvulsants (Tegretol, Depakote, Lamictal, Neurotin, Topamax)
Lithium - drink lots of water and urinate frequently, weight gain, metal taste in mouth.
Requires frequent blood work or can become lethal.
Anticonvulsants - gastrointestinal problems, liver problems, dizziness, fatigue, hair loss.
For more information go to: www.mentalhealth.com and click on “Medications”
Thanks to Evan Crist, Psy.D. for his assistance in compiling and maintaining this list.
MAY 2011 NEWSLETTER Wanted! We are thinking about setting up a ‘ Patient Reference Group ’ in order to get some feedback about the practice, pinch any ideas you might have that could improve things etc. The idea would be that a number of willing patients could be asked to comment and feedback ideas via email. It would also involve in-house surveys of a wider group of patients. If
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