Medication - Network North
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Transcript Medication - Network North
Medication used in Mental
Health
GSHarnisch
August2013
Common used drugs in Psychiatry
Anti-psychotics
Anti-depressants
Anti-anxiety
Mood stabilisers
Sleeping pills
Medication to manage side-effects
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All Medication
All medication have side effects
All medication interact with each other
Some medication, herbs, drugs or food
should not be taken together for example:
champix with clozapine
citalopram with alcohol, St. John’s Wart
Tegretol and grapefruit juice
http://www.health.harvard.edu/fhg/updates/
update0206d.shtml
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Name of commonly used
antipsychotics
Clozapine - Clozaril
Olanzapine - Zyprexa
Quetiapine - Seroquel
Risperidone - Risperdal
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Anti-psychotics: Administration
Some are given by injection
Others are given by tablets
Injections have the advantage that one does
not have to remember to take the medication
every day.
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Antipsychotics: Effects
They are not a cure but are given to manage the
symptoms of psychosis for example they may:
control anxiety and serious agitation, so that
the person getting the medication feels less
threatened
reduce incoherent speech and muddled
thinking
reduce confusion
lessen delusions and hallucinations
reduce violent, disruptive behaviour
reduce mania.
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How do antipsychotics work?
Most antipsychotics block one of the brain
chemicals that carry messages between cells
in different areas of the brain (dopamine).
Blocking that chemical reduces the flow of
messages
Most antipsychotics affect other brain
chemicals too, and this causes some of the
side effects.
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Side - Effects
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effects on the heart
drowsiness
dry mouth which can cause tooth decay
blurred vision
dizziness
feeling sick
difficulty passing water
rapid heartbeat
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Side - Effects
weight gain and obesity
high blood sugar and diabetes
high blood pressure
high cholesterol.
eye problems – cataract
constipation which may be severe enough to be lifethreatening if not treated
low blood pressure
restlessness
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How can I persuade my relative to
take medication?
http://www.mentalhealthcare.org.uk/view_all_videos/dr
_juliana_onwumere_video_4
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Medication
Obtain information on medication including hand-outs
only from the medsafe website:
http://www.medsafe.govt.nz/
Or from:
http://www.sane.org/information/factsheetspodcasts/201-antipsychotic-medication
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Antidepressant Drugs
Types of antidepressants used most commonly:
(there are more than 10 types)
Tricyclics
Amitriptyline
Clomipramine
Imipramine
Selective serotonin reuptake inhibitors (SSRIs)
Citalopram
Paroxetine
Fluoxetine - Prozac
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Antidepressant side effects summary
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Drowsiness
Dry mouth
Blurred vision
Constipation
Urinary retention
Dizziness
Delayed orgasm and low sex drive, particularly in men
Increased heart rate
Disorientation or confusion
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Antidepressant side effects summary
Low blood pressure, which can cause lightheadedness
Increased appetite
Weight gain
Fatigue
Headache
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Antidepressant side effects summary
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dizziness
dry mouth
feeling agitated or shaky
not sleeping well or, alternatively, feeling very sleepy
loss of appetite
yawning
excessive sweating
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Antidepressant side effects summary
Serotonin syndrome:
confusion
agitation
muscle twitching
sweating
shivering
diarrhoea
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Antianxiety-Benzodiazepines
Benzodiazepines:
Lorazepam - Ativan
Oxazepam - Serax
Diazepam - Valium
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Antianxiety-Benzodiazepines
side effects - summary
Addictive
Paradoxical syndrome
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Anticonvulsants
Carbamazepine – Tegretol
Sodium Valporate - Epilim
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Anticonvulsants – side effects
summary
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sedation
cognitive impairments
Tremor
low blood pressure
liver and kidney effected
dizziness
Tiredness
lowered white blood cells
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Statins- cholesterol lowering
medication side effects
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nose bleeds
cold-like symptoms
headache
feeling sick
muscle and joint pain
difficulty sleeping
constipation, diarrhoea, indigestion and/or flatulence
(passing wind)
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High blood pressure
(hypertension)medication – side
effects
feeling drowsy
pain around your kidney area (on the side of the lower back)
a dry cough
dizziness, faintness or light-headedness
a skin rash
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