The document discusses various classes of psychotropic medications used to treat mental health conditions. It covers antipsychotics, antidepressants, mood stabilizers, medications for ADHD, and sedative-hypnotics. Key principles of psychopharmacotherapy are diagnostic assessment, insufficiency of medication alone, importance of illness phase, and risk-benefit considerations in treatment strategies.

1. Psychopharmacology

2. PSYCHOPHARMACOLOGY Antipsychotics Antiparkinsonisms Antidepressants Mood stabilizers Sedative Hypnotics Medications used to treat ADHD

3. Principles of psychopharmacotherapy The diagnostic assessment is fundamental to our model Pharmacotherapy is insufficient for complete recovery. The phase of an illness is of critical importance in terms of the initial intervention and the duration of treatment The risks to benefit ratio must always be considered when developing a treatment strategy

4. Principles of psychopharmacotherapy Prior personal history of good and bad response to a specific agent usually dictates the first line of choice for a subsequent episode. It is important to target specific symptoms that serves as a marker for the underlying psychopathology. Observe the development of adverse side effects.

5. Indications of antipsychotics Brief psychotic disorders Schizophreniform Schizophrenia Schizoaffective Disorders Delusional disorders Psychotic mood disorders Organic psychoses

6. Antipsychotics Phenothiazines Aliphatic Chlorpromazine ( Thorazine 25, 50,100mg) Piperidines Thioridazine ( Melleril 50, 100mg ) Mesoridazine ( Serentil 10mg.) Piperazines Fluphenazine Perphenazine ( Trilafon 4, & 8 mg.) Trifluoperazine ( Stelazine 5 mg.)

7. Antipsychotics THIOXANTHENES Thiothexenes – Navane Zuclophentixol HCl – Clopixol 10, 25mg tab Zuclophentixol decanoate – Clopixol depot Zuclophentixol acetate – Clopixol Acuphase

8. Antipsychotics Butyrophenones Haloperidol ( Haldol, 1, 2, 5, 10 mg/tab) ( Serenace 5, 10, 20mg/tab ) ( Serenace 5mg/ampule )

9. Antipsychotics Benzamides Sulpiride – Dogmatil Amisulpiride - Solian

10. Antipsychotics Serotonin-Dopamine Antagonists Dibenzodiazepines Clozapine - Leponex Thiobenzodiazepines Olanzapine - Zyprexa Benzothiazepines Quetiapine - seroquel Benzisoxasoles Risperidone - Risperdal Benzisothiasole piperazine Ziprasidone - Zeldox (Geodon)

11. Unclassified Aripiprazole Abilify – 5,10, 15mg/tab

12. Antiparkinsonism Biperidin HCl – Akineton 2mg. Diphenhydramine – Benadryl 50mg Amantadine – Symmetrel 100mg Benztropine mesylate – Cogentin 2mg Trihexylphenidyl HCl – Artane 2mg

13. Antidepressants Heterocyclics MAOI’s RIMA Dopamine Agonists SSRI SNRI

14. Antidepressants Heterocyclics Tricyclics Imipramine - Tofranil Clomipramine - Anafranil Tetracyclics Maprotiline - Ludiomil Dothiepine – Prothiaden Mirtazapine - Remeron

15. Antidepressants Monoamine Oxidase Inhibitors (MAOI ) Increases biogenic amines by inhibiting their degradation Should not be taken with foods w/ tyramine Examples Tranylcypromine ( Parnate ) Phenelzine ( Nardil ) Iproniazid ( Marsilid )

16. Antidepressants Reuptake Inhibitor of Monoamine Oxidase Inhibitor type A (RIMA) Moclobemide – Aurorix 150 mg Brofaromine

17. Antidepressants Dopamine Agonists Amineptine HCl – Survector 100mg/tab

18. Antidepressants Selective Serotonin Reuptake Inhibitors (SSRI) Paroxetine – Paxil, Seroxat 20/tab Fluovoxamine – Luvox, Faverin 50mg/tab Fluoxetine – Prozac 20mg/pulvules Sertraline – Zoloft 50mg/tab

19. Antidepressants Serotonin-Norepinephrine Reuptake Inhibitors Venlafaxine – Effexor 50mg./tab

20. Medications used for ADHD Stimulants Methylphenidate –(Ritalin, Metadate, Concerta, Daytrana) Amphetamine – (Adderall) Dextroamphetamine – (dexedrine, Dextrostat) Lisdexamfetamine mesylate ( vyvanse) Non stimulant Atomoxetine ( Strattera )

21. Mood Stabilizers Lithium carbonate – Quilonium R 450mg/tab Carbamazepine – Tegretol 200mg/tab Oxcarbazepine – Trileptal 300 & 600mg Depakene – Valproic Acid Divalproate sodium – Epival 250mg/tab

22. Sedative - Hypnotics Benzodiazepines Imidazopyridines Cyclopyrrolone derivatives

23. Benzodiazepines Estazolam Lorazepam Clobazam Clorazepate dipotassium alprazolam Clonazepam Flurazepam Triazolam Midazolam Diazepam Short-acting Intermediate Long Acting

24. Imidazopyridines Zolpidem – Stilnox 10mg/tab Ambien in US

25. Cyclopyrrolone derivative Zopiclone – Imovane 7.5mg/tab