Commonly Prescribed Psychiatric Medications in the Primary
Commonly Prescribed Psychiatric Medications in the Primary Care Setting Adult Antidepressants Identify 2 activating antidepressants. Identify 2 sedating antidepressants. Which antidepressants can be used during pregnancy? Lactation? SSRIs How do SSRIs work? Special population considerations? Geriatrics? Cautions Major S/E Need to taper off? Prozac (fluoxetine) Zoloft (sertraline) Celexa (citalopram) Lexapro (escitalopram) Paxil (paroxetine) Serotonin Syndrome Describe who is at risk for serotonin syndrome and how it is treated. SNRIs How do SNRIs differ from SSRI? Identify a condition other than depression for which Cymbalta is used. Special population considerations? Geriatrics? Cautions Major S/E Need to taper off? Effexor (venlafaxine) Cymbalta (duoloxetine) NDRI What does NDRI mean? How doe NDRI’s work? Wellbutrin (bupropion) Describe an absolute contraindication for use of Wellbutrin. Identify a condition other than depression for which Wellbutrin may be used. Identify one common side effect of Wellbutrin. S-MM— Trintellix (vortioxetine) How does Trintellix work Is this drug approved for pediatric use? Anxiolytics Benzodiazepines —Xanax (alprazolam), Klonopin (clonazepam), Valium (diazepam), Ativan (lorazepam) Buspirone Vistaril (hydroxyzine) Inderal (propranolol) What are risks of using anxiolytics in older adults? What contraindications are there for use of anxiolytics? Stimulants Adderall (amphetamine salts) Concerta (methylphenidate) Vyvanse Sleep Hypnotics/Induction SARI—Trazodone: antidepressant but used at low dose Benzodiazepines Ambien (zolpidem) Tricyclic antidepressant (TCA)- Amitriptyline Melatonin What additional risks are involved with the use of sleep medications in older adults? Pediatric Office What additional considerations need to be given when prescribing for children? Antidepressants: Look at dosing differences for pediatrics SSRIs—Prozac (fluoxetine), Zoloft (sertraline), Celexa (citalopram), Lexapro (escitalopram) SNRIs—Effexor (venlafaxine) NDRI—Wellbutrin (bupropion) Anxiolytics Benzodiazepines—Xanax (alprazolam) rare use; Ativan (lorazepam) rare use Buspirone alpha adrenergic—Clonidine, Tenex/Intuniv (guanfacine) Vistaril (hydroxyzine) Inderal (propranolol) Stimulants Adderall/Adderall XR/Dexedrine (amphetamine salts) Ritalin/Focalin/metadate/Concerta (methylphenidate) Vyvanse Atomoxetine (Strattera) non stimulant ADHD Sleep Induction Melatonin Clonidine
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