Overview of psychotropic medications
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Overview of psychotropic medications Presentation Transcript

  • 1. Overview of Psychotropic Medications Prepared by: The Northern New Jersey Maternal Child Health Consortium
  • 2. OBJECTIVES
    • Define the term “psychotropic”
    • Describe the psychiatric conditions of:  depression, bipolar disorder, and anxiety disorder
    • Give examples of psychotropic medications used to treat depression, bipolar disorder, and anxiety disorder
    • State the most important message to convey to pregnant or breastfeeding women—discuss risks and benefits of medication with doctor
    • Identify web resources for information on pregnancy and breastfeeding and medication
  • 3. What are Psychotropic Medications?
    • Psychotropic medications are medications used to treat mental disorders. They may also sometimes be referred to as psychiatric medications or psychotherapeutic medications.
  • 4. What Types of Mental Disorders Can be Treated with Medication?
    • Depression
    • Bipolar Disorder
    • Anxiety Disorders
    • Schizophrenia
    • ADHD (Attention Deficit Hyperactivity Disorder)
  • 5. What is Depression?
    • Depression is a mood disorder and is likely caused by a combination of genetic, biologic, and environmental factors. In terms of the biologic basis, there is an abnormality in neurotransmitters in the brain.
    • Antidepressants are medications commonly used to treat depression.
    • Neurotransmitters are natural chemicals in the brain that affect mood and emotional response. Antidepressant medications work to balance these chemicals.
    • Serotonin, Norepinephrine, and Dopamine are 3 neurotransmitters that are involved in depression.
  • 6. Types of Medications Used to Treat Depression
    • Antidepressant medications are grouped based on which neurotransmitter in the brain is being affected. Groups include:
    • SSRI’s Selective Seretonin Reuptake Inhibitor
    • SNRI’s Seretonin and Norepinephrine Reuptake Inhibitors
    • NDRI’s Norepinephrine and Dopamine Reuptake Inhibitors
    • Tricyclic Antidepressants (Decreased reuptake of Seretonin and Norepinephrine )
    • MAOIs Monoamine Oxidase Inhibitors (Increases concentration of neurotransmitters in the brain)
    • Combined reuptake inhibitors and receptor blockers
  • 7. Antidepressant Medication Chart
    • Trazodone (Desyrel)
    • Nefazodone (Serzone)
    • Maprotiline
    • Mirtazpine (Remeron)
    • Isocarboxazid (Marplan)
    • Phenelzine (Nardil)
    • Amitriptyline (Elavil)
    • Desipramine (Norpramin)
    • Imipramine (Tofranil)
    • Nortriptyline (Aventyl, Pamelor)
    • Clomipramine (Anafranil)
    • Buproprion (Wellbutrin)
    • Venlafaxine (Effexor)
    • Duloxetine (Cymbalta)
    • Fluoxetine (Prozac)
    • Paroxetinie (Paxil)
    • Sertraline (Zoloft)
    • Citalopram (Celexa)
    • Escitalopram (Lexapro)
    Combined MAOIs Tricyclic NDRIs SNRIs SSRIs
  • 8. What is Bipolar Disorder?
    • Bipolar disorder was formerly called “manic depression”. It is characterized by moods that swing between periods of mania (exaggerated euphoria and/or irritability) and depression. Chemical imbalance is a key component in Bipolar Disorder.
  • 9. Types of Medications Used to Treat Bipolar Disorder
    • Mood Stabilizers (Anticonvulsant or anti-seizure medications are also used as mood stabilizers)
    • Atypical Antipsychotics
    • Antidepressants
  • 10. Bipolar Disorder Medication Chart
    • Fluoxetine (Prozac)
    • Sertraline (Zoloft)
    • Paroxetine (Paxil)
    • Clozapine (Clozaril)
    • Olanzapine (Zyprexa)
    • Risperidone (Risperdal)
    • Quetiapine (Seroquel)
    • Ziprasidone (Geodon)
    • Ariprazole (Abilify)
    • Lithium
    • Valproate (Valproic Acid)/Divalproex Sodium (Depakote)
    • Carbamezapine (Tegretol)
    • Lamotrigine (Lamictal)
    • Oxcarbazepine (Trileptal)
    Antidepressants (Always used with other medications) Atypical Antipsychotics Mood Stabilizers
  • 11. What is an Anxiety Disorder?
    • An excessive or inappropriate state of arousal characterized by feelings of apprehension, uncertainty, or fear. Categories of anxiety disorders include:
    • Generalized Anxiety Disorder (GAD)
    • Panic Disorder
    • Phobic Disorder
    • Obsessive Compulsive Disorder
    • Post-Traumatic Stress Disorder (PTSD)
    • Separation Anxiety Disorder
  • 12. Types of Medications Used to Treat Anxiety Disorders
    • Antidepressants
    • Benzodiazepines (Anti-anxiety medications)
    • Beta-Blockers (Usually used to treat heart conditions)
  • 13. Anti-Anxiety Medication Chart
    • Pregabalin (Lyrica)
    • Gabapentin (Neurontin)
    • _______________
    • **Azapirone**
    • Buspirone (Buspar)
    • Olanzapine (Zyprexa)
    • Propanolol (Inderal)
    • Atenolol (Tenormin)
    • Clonazepam (Klonopin)
    • Lorazepam (Ativan)
    • Alprazolam (Xanax)
    • Fluoxetine (Prozac)
    • Paroxetinie (Paxil)
    • Sertraline (Zoloft)
    • Citalopram (Celexa)
    • Escitalopram (Lexapro)
    • Venlafaxine (Effexor)
    • Duloxetine (Cymbalta)
    • Buproprion (Wellbutrin)
    • Imipramine (Tofranil)
    • Clomipramine (Anafranil)
    • Nortriptyline (Pamelor)
    • Desipramine (Norpramin )
    Anticonvulsants Atypical Antipsychotics Beta Blockers Benzodiazepines Antidepressants
  • 14. Pregnancy and Psychotropic Medications
    • The most important message to send to a woman who is pregnant and is taking psychotropic medications or is suffering from a psychiatric disorder and is considering medications is that she should Discuss the risks and benefits with her doctor.
  • 15. Pregnancy and Psychotropic Medications
    • Research on the use of psychotropic medication on pregnant women is limited
    • Just because a woman is pregnant does not mean that she cannot take medications or that she should stop taking medications—she needs to discuss the risks and benefits with her doctor
    • A woman who is pregnant and taking psychiatric medication should not stop taking the medication unless she consults with her doctor
  • 16. Breastfeeding and Medication
    • Some medication may be passed on to an infant through breast milk. A woman should Always discuss the risks and benefits of taking medication while breastfeeding with her doctor.
  • 17. Web Resources:
    • MedEd PPD: http://www.mededppd.org/mothers/
    • MGH Center for Women’s Health:
    • http://www.womensmentalhealth.org/
    • National Institute of Mental Health:
    • http://www.nimh.nih.gov/health/publications/mental-health-medications/complete-index.shtml
  • 18. Questions?