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Medication used in Mental Health . Common used drugs in Psychiatry. Anti-psychotics Anti-depressants Anti-anxiety Mood stabilisers Sleeping pills Medication to manage side-effects. All Medication. All medication have side effects All medication interact with each other
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Medication used in Mental Health GSHarnisch
Common used drugs in Psychiatry GSHarnisch Anti-psychotics Anti-depressants Anti-anxiety Mood stabilisers Sleeping pills Medication to manage side-effects
All Medication GSHarnisch • 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
Name of commonly used antipsychotics GSHarnisch Clozapine - Clozaril Olanzapine - Zyprexa Quetiapine - Seroquel Risperidone - Risperdal
Anti-psychotics: Administration GSHarnisch 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.
Antipsychotics: Effects GSHarnisch 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.
How do antipsychotics work? GSHarnisch 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.
Side - Effects GSHarnisch effects on the heart drowsiness dry mouth which can cause tooth decay blurred vision dizziness feeling sick difficulty passing water rapid heartbeat
Side - Effects GSHarnisch 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 life-threatening if not treated low blood pressure restlessness
How can I persuade my relative to take medication? GSHarnisch http://www.mentalhealthcare.org.uk/view_all_videos/dr_juliana_onwumere_video_4
Medication GSHarnisch Obtain information on medication including hand-outs only from the medsafe website: http://www.medsafe.govt.nz/ Or from: http://www.sane.org/information/factsheets-podcasts/201-antipsychotic-medication
Antidepressant Drugs GSHarnisch 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
Antidepressant side effects - summary GSHarnisch Drowsiness Dry mouth Blurred vision Constipation Urinary retention Dizziness Delayed orgasm and low sex drive, particularly in men Increased heart rate Disorientation or confusion
Antidepressant side effects - summary GSHarnisch Low blood pressure, which can cause light-headedness Increased appetite Weight gain Fatigue Headache
Antidepressant side effects - summary GSHarnisch dizziness dry mouth feeling agitated or shaky not sleeping well or, alternatively, feeling very sleepy loss of appetite yawning excessive sweating
Antidepressant side effects - summary GSHarnisch Serotonin syndrome: confusion agitation muscle twitching sweating shivering diarrhoea
Antianxiety-Benzodiazepines GSHarnisch Benzodiazepines: Lorazepam - Ativan Oxazepam - Serax Diazepam - Valium
Antianxiety-Benzodiazepinesside effects - summary GSHarnisch Addictive Paradoxical syndrome
Anticonvulsants GSHarnisch Carbamazepine – Tegretol Sodium Valporate - Epilim
Anticonvulsants – side effects summary GSHarnisch sedation cognitive impairments Tremor low blood pressure liver and kidney effected dizziness Tiredness lowered white blood cells
Statins- cholesterol lowering medication side effects GSHarnisch nose bleeds cold-like symptoms headache feeling sick muscle and joint pain difficulty sleeping constipation, diarrhoea, indigestion and/or flatulence (passing wind)
High blood pressure (hypertension)medication – side effects GSHarnisch 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