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avoid NSAIDS, caffeine, and alcohol

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monitor salt intake

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CNS Stimulant

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Advise patient to notify health care professional if nervousness, insomnia, palpitations, vomiting, skin rash, fever, painful and prolonged erections, or circulation problems (fingers or toes feel numb, cool, painful; fingers or toes change color from pale, to blue, to red) occur.

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Take as directed; do not double dose if one is missed. take remaining doses are reg spaced intervals.

check weight 2-3x weekly & report weight loss to HCP

potential for drug abuse (addiction) so keep protected.

do not be alarmed if shell for concerta appears in stool.

avoid caffeine drinks concurrently

notify HCP of behavioral changes

HCP may order periodic holidays from the drug to assess for progress and decrease independence.

REP: may lead to premature delivery and low birth weight.

monitor breastfed infants for agitation, insomnia, anorexia, and reduced weight gain.

Transdermal: use the administration chart included in package to monitor application and removal time and disposal method.

avoid exposing patch to direct external heat sources (hair dryers, heating pads, electric blankets, heated water beds, etc.). May increase rate and extent of absorption.

skin redness, itching and small bumps on the skin are common. If swelling or blistering occurs, the patch should not be worn and health care professional notified

do not apply hydrocortisone or other solutions, creams, ointments, or emollients prior to application.

Advise patient referred for MRI test to discuss patch with referring health care professional and MRI facility to determine if removal of patch is necessary prior to test and for directions for replacing patch.

Home Care Issues: Pedi: Advise parents to notify school nurse of medication regimen.

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Notify if sensitive reactions occur or if headache, nausea, anorexia, anxiety, or insomnia prosiest.

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Amitriptyline - increases effect of serotonin and norepinephrine in the CNS

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Duloxetine, Venlafaxine

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May cause fetal harm.

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-Take medication with food to prevent GI upset

-Teach patient may take 2-4 weeks before relief of symptoms

-Look out for suicidal thoughts

-May cause drowsiness and dizziness

-Inform patient it may cause sexual disfunction.

-pregnancy is contraindicated

-Do not take with MAO

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May cause symptoms of sexual dysfunction. Male: ejaculatory delay/failure, decreased libido, ED may occur. Female: decreased libido and delayed or absent orgasm.

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Pharmacologic: benzodiazepines

Therapeutic: anesthetic adjuncts , antianxiety agents , sedative/hypnotics

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Taper dose when ordered to discontinue.

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frequently rinse mouth, good oral care, and sugarless gum or candy and to contact HCP if it occurs longer then 2 weeks.

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BEERS!!!- if geriatrics are taking this medication advise them to watch out for symptoms of severe drowsiness or unsteadiness

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Instruct patient to take medication as directed. If a dose is missed, take as soon as possible unless almost time for next dose

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Wear protective clothing and sunscreen to prevent photosensitivity reactions.

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Advise patient, family and caregivers to look for suicidality, especially during early therapy or dose changes. Notify health care professional immediately if thoughts about suicide or dying, attempts to commit suicide, new or worse depression or anxiety, agitation or restlessness, panic attacks, insomnia, new or worse irritability, aggressiveness, acting on dangerous impulses, mania, or other changes in mood or behavior occur.

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mood stabilizer

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Advise patient to notify health care professional of all Rx or OTC medications, vitamins, or herbal products b

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Avoid alcohol, other CNS depressants including opioids.

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Ask patient, family, or caregiver to watch for suicidal tendencies, especially during the start of the medications or dosage change.

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May cause fetal harm. Advise patient to notify health care professional if pregnancy is planned or suspected and to avoid breastfeeding.

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take as prescribed, do not adjust dosage without consulting the provider, have regular test done to test lithium levels and kidney function. Drink plenty of fluids, stay hydrated, report symptoms of lithium toxicity( severe diarrhea, vomiting, and tremors)

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May cause drowsiness, dizziness, impaired judgement and blurred vision. Avoid driving/activities requiring alertness until response to drug is known. Change positions slowly to minimize dizziness.

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-Avoid foods with tyramine

-monitor Blood pressure

-avoid alcohol

-may cause dizziness and drowsiness/avoid driving

-frequent mouth rinse and good oral hygiene

- report urinary retention and constipation

-notify HCP of medication regimen before surgeries

-avoid CNS depressants

-monitor for signs of hypertensive crisis and increased suicide ideation

-do not stop abruptly/discontinuation syndrome

Medication:

-Tranylcypromine- inhibits enzyme monoamine oxidase resulting in accumulation of various neurotransmitters (dopamine, epinephrine, norepinephrine, and serotonin) in the body

-isocarboxazid

-phenelzine

-moclobemide

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May cause fetal harm.

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Review side effects and symptoms of toxicity with patient. Instruct patient to stop medication and report signs of toxicity to health care professional promptly

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May cause drowsiness and blurred vision. Caution patient to avoid driving and other activities requiring alertness until response to drug is known.

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May cause drowsiness or dizziness. Advise patient to avoid driving or other activities requiring alertness until response to medication is known. Caution patient to avoid taking alcohol or other CNS depressants, including opioids and cannabidiol, concurrently with this medication without consulting health care professional to prevent overdose.

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If missed dose, take as soon as remembered, do not double dose, do not stop without HCP approval.

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Lithium may cause dizziness or drowsiness. Caution patient to avoid driving or other activities requiring alertness until response to medication is known

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Instruct patient to take medication as directed, even if feeling well. Take missed doses as soon as remembered unless within 2 hr of next dose

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Advise patient that lorazepam is a drug with known abuse potential.

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Do not suddenly stop taking lorazepam without consulting health care professional; may cause unusual movements, responses or expressions, seizures, sudden and severe mental or nervous system changes, depression, seeing or hearing things that others do not see or hear, an extreme increase in activity or talking, losing touch with reality, and suicidal thoughts or actions.

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May cause dry mouth due to anticholinergic effects

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Take before bed because of orthostatic hypotension and sedation.