sn PHARMACOL DOSE MECHANISM OF INDICATION CONTRAINDICATI ADVERSE EFFECTS NURSES RESPONSIBILITY

OGICAL /ROUTE ACTION ON

NAME /
TRADE NAME

1 Fluoxetine/ 10-80 mg/ It acts by increasing Depression Sedation, Autonomic- dry mouth , 1. Instruct patient not
fludac oral serotonin lelvel in disorder- constipation, cyclopegia, to take withought
brain and making depression, Hypertension, hypotension. prescription.
availability by dysthymia,
inhibiting reuptake of reactive Agranulocytosis. CNS effects- sedation, 2. Caution is taken to
serotonin at receptor depression, withdrawl effect, avoid orthostatic
site. abnormal grief. arrhythmias,seizures. hypotension

3. Monitoring blood
Childhood Cardiac- ECG changes
level of drug
psychiatry-
Enuresis,, Allergic side effects- 4. Monitor autonomic
separation jaundice, vasculitis, symptoms
anxiety, rashes,
somnambulism, 5. Assess for
school phobia. Weight gain. hypertensive crisis

Other psychiatry- 6. Monitor ECG

Panic attack changes
General anxiety
disorder ,
Obsessive
compulsive
disorder,
 MECHANISM OF
PHARMACOL DOSE/ ACTION CONTRAINDICATI
OGICAL ROUTE INDICATION ON
NAME /
2 TRADE NAME

Its mood stabilizing

Carbamazepi 600- 1800 effect is not clearly Cardiac disorders
ne/tegritol mg oral. understood, may be Seizures-
due to decreasing complex partial, Renal disorders
synaptic transmission seizure due to
in the CNS. alcohol leukopenia
withdrawl, aplastic anemia.

Seizures-
depression,
impulse controle
behavior,
scizoaffective NURSES RESPONSIBILITY
disorder.

Paroxysmal pain
syndromes –
trigeminal
neuralgia. 1) Since drug may cause
drowsiness advise him to
avoid driving and other
activities require alertness.

2) advice patient not to

consume alcohol when he
is on drug.

3) emphasize regular follow

up.