1. Mount Carmel: Medication forall Generations
CommonlyPrescribedMedicine that Promotes Mental Health
2. Psychiatric Medication
Medication groups 3. Indications, Benefits and Risks 4.
Realistic expectations 5. How use and misuse of medication can
affect our clientele
6. Agenda
Depression, Bipolar Disease, Anxiety, Insomnia, OCD, ADDH,
Social Phobia, Drugs Used to Treat Addiction Withdrawal,
Schizophrenia etc. 7. Every person is individual 8. Each person
plays an essential role in our community
9. Stigma of Mental Health Issues
Medication is only one piece, it is not the answer 10. Each
person uses the treatment modality he or she finds the most
helpful
11. Vocabulary
Indication, Risk Factors, Mechanism of Action, Adverse Effects,
Pharmacokinetics, Pharmacodynamics, Thymoleptics, Neuroleptics. 12.
Synapse, Neural Plate, Neural Signalling Pathways, Action
Potential, Inhibitory and Excitatory Nerve Pathways 13.
Pharmaceutical Companies, Generics and Me Toos
14. Neuronal Synapse 15. Neural Communication
Combination of electrical firing (depole) and chemical
signaling 16. Intensity of neurotransmitter release and binding to
post-synaptic sites opens voltage gated sodium channels 17. Resting
membrane potential is affected and an action potential can result
(electric signal) that travels down the axon 18. Neurotransmitter
is released from sites and 19. re-uptake occurs
20. 21. Antidepressants
Older types: tricyclics, ssris 22. Mixed type and evolved
ssri's etc 23. What does a depressed person look like: 24. What can
they expect to feel on these medications?
25.
Buproprion 26. Venlafaxine 27. Mirtazepine 28. Trazodone (ssri)
29. Research suggests too many clients are maintained on too small
dose and have incomplete relief and still have the side
effects.Once treatment is satisfactory, pt should stay on 6
months.
Anitidepressants 30. Antipsychotics
Older types: first generation 31. Risperidone, olanzapine, melt
in your mouth etc. 32. Effects of stress and low dose
antipsychotics on prodromal symptoms (PIER) 33. What does prodrome
(premonitory symptoms) look like? 34. What can they expect to feel
like on these meds?
35. Schizophrenia
Avolition(lack of initiative, motivation) 36. Flat affect
(withdrawal, poor hygiene) 37. Perception disturbance
(hallucination) 38. Delusions 39. Disorganized or catatonic
behaviour 40. Impaired social and occupational function 41.
Disorganized speech 42. Decreased processes in thought or speech
(slowed cognition)
43. Benzodiazepines
Old types, history of barbitals and valium 44. Safer
benzodiazepines and buspar 45. How can anxiety mar your life and
stifle your participation in society? 46. panic disorder, ocd 47.
How will they feel on this med? 48. Why is this family dangerous?
49. Sleep aids and sleep architechture
50. Mood Stabilizers
Good old lithium and carbamazepine 51. The irritation and joy
of serum levels 52. New indications for antipsychotics 53. Why dont
they want treatment? 54. Types of bipolar 55. What can the patient
expect to happen after starting these medications?
Monoamine theory excess norepinephrine and dopamine alternates
with low levels along with low serotonin 63. Permissive theory
excess norepinephrine and serotonin with low levels 64. G-protein
that regulates appetite,wakefulness and mood. Controls sodium and
potassium cation channels 65. G-protein is hyperactive
intracellular 2 ndmessenger regulator 66. Lithium and epival down
regulate protein kinase c activity
67. Bipolar Disorder
Presents in adulthood, usually after years without diagnosis
(genetic) 68. Time between cycles usually lengthen over time
(maintain euthymia) 69. Important to avoid episodes which cause
brain changes and resistance to medications 70. Treated with
lithium, antiepileptics (carbamazepine and valproic acid), atypical
antipsychotics and antidepressants
71. In Closing Pearls
Brief description of drug families and nomenclature 72. Drug
interactions galore 73. Pharmacy Perspective, Family issues, Pts
going into detox, instilling hope and mastery 74. Legal and Ethical
Issues for Pharmacists: the rules around addictive meds or drugs of
abuse 75. The crazy expense of new meds and how samples defeat the
purpose sometimes 76. How psychiatrists prescribe vs family doctors
77. How do families, co-workers, and friends react to treatment 78.
Daily observed treatment, how the pharmacist is dispensing rounds
in the community
79. Adherence& Patience 80. Where to Get More
Information
Online and anecdotal data can be confusing or just wrong. 81.
Up to date online 82. Ask the patient what they understand about
their medication. In what ways does it assist his or her
functioning? In what ways does it diminish functioning/
