Antipsychotics PDF

Summary

This document provides information about different types of antipsychotic medications. It covers typical and atypical antipsychotics, their potential side effects, and their use in specific conditions like Parkinson's disease. The document also touches upon the impact of smoking on these medications and the considerations for patients with high blood glucose.

Full Transcript

- benzodiazepines alprazola lorzepa...

- benzodiazepines alprazola lorzepa chlordiazepoxid oxazepa 2am clorazepat prazepa Anxiety: diazepa Clonazepam halazepam SSRIs (1st line) Buspirone (2nd line) # NOT use with MAO-I TCA (2nd line) Propranolol (Beta-blocker) # to decrease symptoms, take it before 1 hour of event Benzodiazepine (BZDs) www.nnnmym lastchoice # Bupropion à depression # Buspirone à Anxiety chlorpromazine Antiemeticforcancerpatient -------- Antipsychotic: child Ll st ofFirst Typical Antipsychotic (1 generation): # Extrapyramidal side effect (EPS), and worse -ve symptoms line Haloperidol, chlorpromazine em m on retina and corneal vain # chlorpromazine causes Pigmentary seem secimb Atypical Antipsychotic (2nd generation): schizophrenia ‫مثالً يعني‬ # Metabolic side effect Metabolicdisease 6,681A Clozapine, Aripiprazole, olanzapine, Quetiapine excDiabetes melletus soiree # Clozapine cause agranulocytosis like PTU, monitor ANC, WBC 🪢 low number of granulocyte damn (a type of white blood cell) Propyitniouracid fornypertngrodism Antipsychotic for Parkinson patient: Quetiapine, Primavanserin my Patient with Tardive Dyskinesia (TD): Valbenazin I # 1st FDA medication approved for TD main Medication for Extrapyramidal effect: Benztropine, Diphenhydramine, BZDs is at onanist Most effective in treating +ve symptoms in schizophrenia: 2nd generation E Worsening -ve symptoms and developed EPS : 1st generation Psychotic patient take olanzapine with high glucose what is alternative: Haloperidol (1st G, less metabolic changes) Toi DME g I DOST Smoking with Clozapine and Olanzapine ': Increase metabolism decrease med. Conc. Increase CL of Med. # Need higher dose of Olanzapine with smoking pt. in --------

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