What are two anti-anxiety meds?

Answer: Clonazepam (Klonopin) and Lorazepam (Ativan). These may be helpful in mania but are recommended for agitation or severe symptoms.

What is ziprasidone (Geodon) used for? and what classification does it fall under?

Answer: Treats mania. Classification: atypical antipsychotics

What is risperidone (Risperdal) used for? and what classification does it fall under?

Answer: Treats mania. First line drug for sever mania. Classification: atypical antipsychotics

What is quetiapine fumarate (Seroquel) used for? and what classification does it fall under?

Answer: Treats mania and depression in the maintenance phase. Classification: atypical antipsychotics

What is olanzapine (Zyprexa) used for? and what classification does it fall under?

Answer: Treats mania in the maintenance phase. Classification: atypical antipsychotics

What is aripiprazole (Abilify) used for? and what classification does it fall under?

Answer: Treats mania in the maintenance phase. Classification: atypical antipsychotics

Oxcarazepine (Trileptal) is used to treat what disorder? and what classification does it fall under?

Answer: Recommended for the maintenance treatment of bipolar disorder. Not FDA approved but off-label use is for acute mania and maintenance. Classification:anticonvulsants

Lamotrigine (Lamictal) is used to treat which disorder? and what classification does it fall under?

Answer: A first line drug for bipolar depression. Recommended for maintenance of bipolar. Can worsen mania. Classification:anticonvulsants

Carbamazepine (Tegretol) is given to treat what disorder? and what classification does it fall under?

Answer: Recommended for maintenance of bipolar, specifically the manic phase. Classification:anticonvulsants

Valproic acid (Depakene, Depakote, Depcon) is given to treat what disorder? and what classification does it fall under?

Answer: It's a first line maintenance treatment for bipolar disorder, specifically in the manic phase. Classification:anticonvulsants

Should a patient taking lithium restrict their sodium intake? Why or why not?

Answer: No, Lithium decreases sodium reabsorption in the kidneys, which could lead to a deficiency of sodium. Drink 1,500-3,000 ml/day and eat a normal diet. (low Na leads to lithium toxicity)

Lithium is contraindicated in what cases?

Answer: Patients with cardiovascular disease, brain damage, renal disease, thyroid disease, myasthenia gravis, and pregnant women

What are the signs of severe lithium toxicity?

Answer: (2-2.5 mEq/L) Ataxia, confusion, large output of dilute urine, serious electroencephalographic changes, blurred vision, clonic movements, seizures, stupor, severe hypotension, coma; death is usually secondary to pulmonary complications

What are the signs of advanced lithium toxicity?

Answer: (1.5-2 mEq/L) Coarse hand tremor, persistent GI upset, mental confusion, muscle hyperirritability, electroencephalographic changes, incoordination, sedation

What are the early signs of lithium toxicity?

Answer: (< 1.5 mEq/L)Nausea, vomiting, diarrhea, thirst, polyuria, lethargy, slurred speech, muscle weakness, and fine hand tremor

What are the expected side effects of lithium?

Answer: Fine hand tremor, polyuria, mild thirst, mild nausea and genral discomfort, and weight gain

What are the therapeutic, maintenance, and toxic blood levels of lithium?

Therapeutic: 0.8-1.4 mEq/L

Maintenance: 0.4-1.3 mEq/L

Toxic: 1.5- 2 mEq/L

What disorder is lithium carbonate given for?

Answer: Bipolar (Manica and depressive) Off label use is depression

What are the indications of Lithium Carbonate?

Answer: 

Reduces: elation, grandiosity, expansiveness, flight of ideas, irritability and manipulation,anxiety, 

Controls: insomnia, psychomotor agitation, threatening behavior, disractability, hypersexuality, and paranoia

What neurotransmitter(s) are effected by MAOIs?

Answer: Serotonin and norepinephrine (prevents breakdown of these)