Antipsychotics Overview
- Typical
- Atypical
- Blocks D2 Receptor
- 2nd Generation Blocks the 5-HT 2 Receptor
- Psychosis
- Delirium
- Bipolar Disorder
- Tourette’s Syndrome
- Hyperprolactinemia
- Extrapyramidal Symptoms
- Tardive Dyskinesia
- Neuroleptic Malignant Syndrome
Low Potency Antipsychotic Drugs
- Chlorpromazine
- Corneal Deposits
- Thioridazine
- Retinal Deposits
- Alpha1 Antagonist Effects
- Anticholinergic Effects
- Antihistamine Effects
High Potency Antipsychotic Drugs
- Fluphenazine
- Trifluoperazine
- Haloperidol
- Pimozide
- Extrapyramidal Symptoms
- Short Term
- Dystonia
- Restlessness (Akathisia)
- Torticollis
- Long Term
- Tardive Dyskinesia
- Parkinson's-Like Symptoms
- Neuroleptic Malignant Syndrome
Aripiprazole (Abilify)
- 2nd Generation Atypical Antipsychotic
- Schizophrenia
- Bipolar Disorder
- Depression
- Headache
- Dizziness
- Nausea and Vomiting
- Insomnia
- Anxiety
- Low Risk of Extrapyramidal Symptoms
- Lowest Risk of Weight Gain
Atypical Antipsychotics
- Schizophrenia
- Unknown Mechanism
- Seizures
- Prolonged QT Interval
- Agranulocytosis
- Weight Gain
- Fewer Extrapyramidal Side Effects
- Fewer Anticholinergic Side Effects
Bupropion
- Depression
- Smoking Cessation
- Increase Dopamine and NE
- Stimulant Side Effects
- Seizure
Buspirone
- Generalized Anxiety
- Releases Dopamine and NE
- Stimulates 5-HT1A receptors
- Low Side Effect Profile
- Safer with Alcohol than Other Anxiolytics
Chlorpromazine (Thorazine)
- Low Potency Antipsychotic
- Schizophrenia
- Hiccups
- Sedation
- Weight Gain
- Orthostatic Hypotension
- Anticholinergic Effects
- QT Prolongation
- Neuroendocrine Effects
- Caution in Seizure Patients
- Corneal Deposits
Clozapine (Clozaril)
- Atypical Antipsychotic
- Schizophrenia
- Levodopa-Induced Psychosis
- Weight Gain
- Hypersalivation (Sialorrhea)
- Myocarditis
- Agranulocytosis
- Sedation
- Orthostatic Hypotension
- Constipation (Risk of Bowel Ileus)
- Weekly Lab Tests
Donepezil
- Alzheimer's Disease
- Acetylcholinesterase Inhibitor
- Increased Acetylcholine
- Nausea and Vomiting
- Dizziness
Fluoxetine (Prozac)
- Inhibits Reuptake of Serotonin
- Depression
- Sexual Dysfunction
- CNS Stimulation
- Weight Changes
- Serotonin Syndrome
- No MAO-Is
- No Anticoagulants / Antiplatelets
- Suicide Risk
- Delayed Onset of Action
Haloperidol (Haldol)
- High Potency Antipsychotic
- Migraine
- Schizophrenia
- Extrapyramidal Symptoms
- Weight Gain
- QT Prolongation
- Restlessness
- Caution in Seizure Patients
- Neuroleptic Malignant Syndrome
Lithium
- Bipolar Disorder
- Mood Stabilizer
- Unknown Mechanism
- Nephrogenic Diabetes Insipidus
- Hypothyroidism
- Movement (Tremor)
- Heart Block
- Pregnancy (Ebstein's Anomaly)
Monoamine Oxidase Inhibitors (MAO-Is)
- Atypical Depression
- Increase Levels of Amine Neurotransmitters
- "Takes Pride In Shanghai"
- Tranylcypromine
- Phenelzine
- Isocarboxazid
- Selegiline
Monoamine Oxidase Inhibitor (MAOI) Contraindications
- Wine and Cheese
- Hypertensive Crisis
- Serotonin Drugs
- Serotonin Syndrome
Nonbenzodiazepine Hypnotics
- Insomnia
- Short Half-Life
- Acts on BZ1 GABA receptor
- Less dependence
- Zolpidem (Ambien)
- Ataxia, confusion
- Flumazenil for Overdose
Risperidone (Risperdal)
- Atypical Antipsychotic
- Schizophrenia
- Bipolar Mania
- Autism-Associated Irritability
- Extrapyramidal Symptoms
- Hyperprolactinemia
- Gynecomastia
- Galactorrhea
- Amenorrhea
- Prolonged QT
- Intramuscular Long Acting (Depot) Form
Selective Alpha-2 Blockers
- Mirtazapine
- Depression Treatment
- Blocks Alpha2 Receptor
- Antagonist at 5-HT receptors
- Sedation
- Weight gain
- Increased Serum Cholesterol
Selective Serotonin Reuptake Inhibitor (SSRI) Overview
- Depression
- Anxiety
- Selective Serotonin Reuptake Inhibitors
- Paroxetine
- Sertraline
- Escitalopram
- Fluoxetine
- Sexual Dysfunction
- Serotonin Syndrome
- Treat with Cyproheptadine
Serotonin Norepinephrine Reuptake Inhibitors (SNRIs)
- Depression
- Diabetic Peripheral Neuropathy
- Duloxetine
- Panic and Anxiety
- Venlafaxine
- Inhibits Reuptake of Serotonin and NE
- Hypertension
- Insomnia
- Nausea and Vomiting
- Decreased Libido
Trazodone
- Insomnia
- Depression
- Inhibit Serotonin Reuptake
- Alpha-1 Blocker
- Histamine (H1) Blocker
- Sedation
- Orthostatic Hypotension
- Dry Mouth
- Priapism
- Arrhythmias
Triazolam (Halcion)
- Rapid-Onset Benzodiazepine
- Insomnia
- Rebound Insomnia
- Respiratory Depression
- Hypotension
- Paradoxical Excitement
- Amnesia
- Confusion
- Pregnancy
- Short-Term Administration
Tricyclic Antidepressants (TCAs) Overview
- Blocks Serotonin and NE Reuptake
- Lipid-soluble
- Adverse CNS Effects
- Anticholinergic
- Antihistamine
- Tri-C: Convulsion, Coma, Cardiotoxicity
- Blocks Alpha1 Receptors
Tricyclic Antidepressants (TCAs) Indications
- Major Depression
- Bedwetting
- Fibromyalgia
- OCD
- -Iptyline or -Ipramine Suffix
- Amitriptyline
- Desipramine
- Clomipramine
- Imipramine
- Nortriptyline
Zolpidem (Ambien)
- Hypnotic
- Insomnia
- Daytime Drowsiness
- Bizarre Sleep Behaviors
- Sleep Driving
- Angioedema
- Short Term Administration
- Take Immediately Before Bedtime
Buprenorphine-Naloxone (Suboxone)
- Combination Drug
- Partial Opioid Receptor Agonist (Buprenorphine)
- Opioid Receptor Antagonist (Naloxone)
- Opioid Use Disorder
- CNS Depression
- Diaphoresis
- Hypotension
- Low Abuse Potential