in older clients

Map Branches

• antidepressent drugs
  • Tricyclic and related
    • SEs
      • (untitled branch)
      • seizures
      • bladder
      • drowsiness
      • xerostomia
      • blurred vision
  • monoamine-oxidase inhibitors
    • usage
      • less common than tricyclics
      • interactions with
        • (untitled branch)
        • (untitled branch)
    • SEs
      • dizziness
      • drowsiness
      • dry mouth
  • selective seratonin re-uptake inhibitors
    • advantages
      • sedative effect
      • side effecs
    • SEs
      • nausea
      • vomiting
      • diahorrea
      • constipation
      • abdo pain
• drugs for psychoses etc.
  • antipsychotics
    • general usage
      • inappropriately as general tranqs
      • Schizophrenia
        • delusion control
    • SLT SEs
      • Extrapyramidal symptoms
        • Parkinsonian
        • Dystonia/dyskinesia
        • restlessness (akathisia)
        • tardive dyskinesia
    • classification
      • group 1
        • characteristics
          • sedation
          • mod. extrapyramidal SEs
          • mod. antimuscarinic
      • group 2
        • Mod. sedation
        • anti-muscarinic
        • fewer extra-pyramidal SEs than grps 1/3
      • group 3
        • characteristics
          • sedation
          • anti-muscarinic
          •  extra-pyramidal SEs
            • comp grp 1/2
  • antipsychotic depot injections
    • better toleration than older drugs
  • antimanic drugs
    • for Bipolar manic attacks
    • acute/preventative
• hypnotics and anxiolytics
  • barbituates
    • SEs:
      • in older clients
    • epilepsy
    • last resort:insomnia
  • anxiolytics
    • SLT related SE
      • tardive dyskinesia
        • inital Stm:
          • slight tremor of tongue
      • tremor
      • dysarthria
      • salivation changes
      • amnesia
    • GP first port of call
      • appear mildly depressed
      • general stress related symtpoms
  • hypnotics
    • SLT related SE:
      • resp. tract secretions
      • xerostomia
      • confusion/memory diffs
    • dependence/withdrawal
      • convulsions
      • psychosis
      • confusion
    • paradoxical effects
      • aggression/hostility
    • general use
      • daytime sedation
• CNS stimulants
  • withdrawal
    • depression
    • GI symtoms
    • in direct proportion to stimulant effect
  • controversy
    • SEs long term
      • social interaction problems
      • cognition problems
      • tic disorder
    • SEs ST
      • restlessness
      • nervousness
      • irritability
      • false sense of well-being
      • alertness
      • insomnia
      • appetite loss
      • weight loss
    • paed usage
      • sole therapy approach
      • ?method of drug action
  • examples
    • others
      • psychomotor stimulant
        • cocaine
          • chronic abusers
            • cocaine psychosis
      • caffeine!
      • amphetamine-dextroamphetamine combination
        • adderall
    • non-amphetamine drugs
      • methylphenidate
        • Ritalin
      • pemoline
        • cylert
    • amphetamines
      • methamphetamine hydrochloride
      • dextroamphetamine sulfate
  • usage
    • Narcolepsy
    • ADHD
      • restlessness
        • This may predominate in teenage years
      • physical co-ord
      • attention

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