cirus
Forum Guru
Topics: 108
Posts: 740
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Extra-Pyramidal Adverse effects of antipsychotics:
1. Acute Dystonia: Early, ms rigidity, occular crisis, Torticollus
TTT---> Anticholinergic --> Benzotropines & trihexyphynadil
2. Acthesia : Can't sit still (antz in my pants)
TTT---> BBs
3. Tardive dyskinisia: Lip smaking, chorea
Prophylaxis: Benzo
TTT: Bromocruptine or Dantrolene
4: Neuroleptic malignant synd: Irreversible condit
Hyperthermia, ms rigidity, etc..
TTT---> ICU, CK level, Stop drug, Bromocryptine or dantrolene
Specfics:
Fluphenazine---> hypothermia (d t inhibition of shivering & Vasodilat)
Ziprasidone: no weight gain
Olanzapine: Weight gain the most
Incompliant pt : Decanoate form ---> Haloperidol (1st line, every 4 wks) / Fluphenazine (2nd line, every 2 wks)
is that it???
Edited by cirus on 08/10/07 - 08:57 AM
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| cirus
Forum Guru
Topics: 108
Posts: 740
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MAOIs interactions:
1. with tyramine---> hypertensive crises.
2. with SSRIs-----> Seretonin synd--> hyperthermia
3. with dextromethorphan (all over counter cold medicats)---> hypertensive crises
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| cirus
Forum Guru
Topics: 108
Posts: 740
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SSRIs:
Aggitation: Don't take before goin to sleep
Sedation: Don't take during day
Sexual: Use 1st Bupropion, 2nd Citalopram
ADHD developed depression : Bupropion is the drug of choice
Priapism: Trazodone
Buprpion: Decreases seizure threshold, Monitor BP..
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| dr_arc
Forum Senior
Topics: 5
Posts: 156
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hey good work cirus. informative and brief. nice
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| gr8doc
Forum Senior
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Posts: 210
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Good Work Guys.
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| Dr.D
Forum Senior
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Posts: 191
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Thanks cirus.
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| Ivonne
Forum Guru
Topics: 55
Posts: 1,451
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3. Tardive dyskinisia: Lip smaking, chorea
Prophylaxis: Benzo
TTT: Bromocruptine or Dantrolene
I thoght TTT is swicht current antipsychotic for low potency or atypical antipsychotic. Input pz
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If you beleive you can do it then you WILL DO IT!! (by Mymeghhi)
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| Ivonne
Forum Guru
Topics: 55
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This is not antipsychotic but
METHYLPHENIDATE (S effects).............source UW
1.-Nervousness
2.-Decrease appetite
3.-Weight loss
4.-Insomnia
5.-Abdominal pain
*Should not be used in children less than 6 years
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If you beleive you can do it then you WILL DO IT!! (by Mymeghhi)
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| Ivonne
Forum Guru
Topics: 55
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CLOZAPINE......source kaplan notes
1.-5% seizures
2.-1% Agranulocytosis
3.-weight gain
4.-Drooling, sedation & anticholinergic symptoms
*Schizophrenia, second line medication
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If you beleive you can do it then you WILL DO IT!! (by Mymeghhi)
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| fandarast
Forum Junior
Topics: 15
Posts: 53
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MAO interactions
HYPERTENSIVE CRISIS:
Tyramine (cheese, red wine)
TCA/Bupropion
Sympathomimetics (i.e. pseudoephedrine in cold remedies)
Guanethidine, reserpine, L-Dopa
SEROTONIN SYNDROME:
SSRIs
Dextromethorphan (over-the-counter opioid cough supressant)
Meperidine (opioid analgesic)
Edited by fandarast on 09/22/07 - 03:28 PM
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| fandarast
Forum Junior
Topics: 15
Posts: 53
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SEIZURES:
Bupropion
TCAs
Clozapine
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| dr.wad
Forum Senior
Topics: 3
Posts: 335
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clozapine is the drug of choice for psychotic patients with sucidal attempts or
agressive behavior
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