Taylor Mair

Pharmacology Report

RECTH 4330

3/29/2021
 Pharmacology Report

Medication: Lamictal

Classification of Medication: Anticonvulsant

Side Effects:

 Dizziness

 Drowsiness

 Headaches

 Nausea/ Vomiting

 Depression/Suicidal Thoughts

Adverse Reaction:

 Fainting

 Fast/irregular heartbeat

 Easy or unusual bruising/bleeding

 Stiff neck

 Vision problems

 Loss of coordination

 Muscle pain/weakness

 Kidney problems

Impact of Overdose:
  Nausea/ Vomiting

 Vertigo

 Lethargy

 Respiratory Depression

 Sweating

 Diplopia

 Abdominal Pain

 Death

Considerations for Special Populations:

 Do not use if allergic.

 No mixing with Dofetilide or Orlistat

 Do not use if diagnosed with Brugada Syndrome.

 Pregnant or breastfeeding women should consult a doctor before using

 May decrease effectiveness of birth control.

 Skin rashes on children.

Additional Information:

 Check for worsening mood/depression in patients taking this medication.

Medication: Amantadine
Classification of Medication: adamantanes

Side Effects:

 Dry Mouth

 Constipation

 Nausea

 Vomiting

 Decreased Appetite

 Difficulty falling asleep or staying asleep

 Abnormal Dreams

 Headache

 Confusion

 Drowsiness

 Tiredness

 Uncontrollable tightening of muscles

 Changes from normal walking

 Falls
  Lace-like purple pattern on skin

Adverse Reaction:

 Hallucinations

 Believing things that are not true

 Not trusting others or feeling that others want to hurt you

 Depression

 Anxiety

 Suicidal Ideation

 Lack of interest, enthusiasm, or concern

 Dizziness, lightheadedness, fainting, or blurred vision

 Swelling of the hands, feet, ankles, or lower legs

 Difficulty urinating

 Shortness of breath

Impact of Overdose:

 Irregular or fast heartbeat

 Difficulty breathing
  Decreased urination

 Swelling of the hands, feet, ankles or lower legs

 Stiff or rigid arms or legs

 Uncontrollable movements or shaking of a part of the body

 Problems with coordination

 Confusion

 Feeling like you are looking at yourself as an outside observer

 Fear, irritability, or aggressive behavior

 Seeing things or hearing voices that do not exist

 Restlessness or difficulty concentrating

 Depression

 Lack of energy

 Death

Considerations for Special Populations:

 Pregnant women should consult their physician

 Do not take if allergic

 Older adults might be affected more by side effects

Additional Information:

 This medication may mess with the side effects of an inhaled flu vaccine

Medication: Kapvay

Classification of Medication: Antihypertensives

Side Effects:

 Dizziness

 Lightheadedness

 Drowsiness

 Tiredness

 Stuffy Nose

 Dry Mouth

 Constipation

Adverse Reaction:

 Fainting

 Slow/Irregular heartbeat

 Mood Changes

 Allergic Reaction
Impact of Overdose:

 Fainting

 Trouble breathing

 Severe Dizziness

 Slow/Irregular Heartbeat

 Slow/Shallow breathing

 Seizures

 Death

Considerations for Special Populations:

 Ask doctor if you have a history of heart rhythm problems, stroke, low blood pressure, or

kidney disease.

 Pregnant/ Breastfeeding women

 Do not take if allergic

Additional Information:

NA

Medication: Seroquel

Classification of Medication: Anti-psychotic

Side Effects:

 Constipation

 Drowsiness

 Upset stomach

 Tiredness

 Weight gain

 Blurred vision

 Dry mouth

Adverse Reaction:

 Restlessness

 Tremor

 Mental/ mood changes

 Difficulty swallowing

 Constipation with abdominal pain

 Persistent nausea/vomiting

 Loss of appetite

 Jaundice

 Interrupted breathing during sleep

 Trouble urinating

 Fainting

 Seizure
  Severe dizziness

Impact of Overdose:

 Severe Drowsiness

 Loss of consciousness

 Death

Considerations for Special Populations:

 Can cause blood sugar to rise therefore worsening diabetes

 Do not take if allergic

 Heart rhythm may be affected if taken alongside the following medications

o Amiodarone

o Moxifloxacin

o Procainamide

o Quinidine

o Sotalol

o Thioridazine

Additional Information:

 May increase production of Prolactin resulting in adverse side effects

Medication: Prazosin

Classification of Medication: Alpha-blocker

Side Effects:

 Headache

 Drowsiness

 Tiredness

 Blurry vision

 Nausea

 Vomiting

 Diarrhea

 Constipation

Adverse Reaction:

 Pounding heartbeat

 Fainting

 Frequent Urination

 Depression

 Swelling of feet/ankles

Impact of Overdose:

 Extreme Dizziness
  Fainting

Considerations for Special Populations:

 Consult doctor before taking if pregnant or breast feeding

 Do not take if allergic

Additional Information:

 NA

Medication: Vistaril

Classification of Medication: Antihistamine

Side Effects:

 Drowsiness

 Dizziness

 Blurred vision

 Constipation

 Dry mouth

Adverse Reaction:

 Restlessness
  Confusion

 Hallucinations

 Tremor

 Difficulty Urinating

Impact of Overdose:

 Seizures

 Fast heartbeat

 Severe Dizziness

 Fainting

Considerations for Special Populations:

 Do not take if allergic

Additional Information:

 NA
 References

amantadine HCl oral: Uses, Side Effects, Interactions, Pictures, Warnings & Dosing - WebMD.

(2021). Retrieved 1 April 2021, from https://www.webmd.com/drugs/2/drug-750-

1868/amantadine-hcl-oral/amantadine-extended-release-oral/details

Kapvay Oral: Uses, Side Effects, Interactions, Pictures, Warnings & Dosing - WebMD. (2021).

Retrieved 1 April 2021, from https://www.webmd.com/drugs/2/drug-155086/kapvay-

oral/details

Lamictal Oral: Uses, Side Effects, Interactions, Pictures, Warnings & Dosing - WebMD. (2021).

Retrieved 1 April 2021, from https://www.webmd.com/drugs/2/drug-8486-7217/lamictal-

oral/lamotrigine-oral/details

Prazosin Oral: Uses, Side Effects, Interactions, Pictures, Warnings & Dosing - WebMD. (2021).

Retrieved 1 April 2021, from https://www.webmd.com/drugs/2/drug-8695/prazosin-

oral/details

Seroquel Oral: Uses, Side Effects, Interactions, Pictures, Warnings & Dosing - WebMD. (2021).

Retrieved 1 April 2021, from https://www.webmd.com/drugs/2/drug-4718/seroquel-

oral/details

Vistaril Oral: Uses, Side Effects, Interactions, Pictures, Warnings & Dosing - WebMD. (2021).

Retrieved 1 April 2021, from https://www.webmd.com/drugs/2/drug-6144/vistaril-

oral/details
 Part Two

The patient is diagnosed with Major Depressive Disorder and Generalized Anxiety

Disorder. Although this patient takes a total of 14 medications including birth control and

Ibuprofen, this will only be focusing on the medications related to the patient’s mental health.

The patient takes Lamictal for mood stabilization, Amantadine for help focusing, Kavay for

anxiety, Seroquel for mood and hallucinations, Prazosin for nightmares, and Vistaril for anxiety.

Vistaril is a PRN and taken every 6 hours as needed, while the rest of the medications are taken

daily.

It is important for Recreational Therapists to be aware of side effects from medications

that are taken by their clients to ensure that you a providing safe and healthy interventions for

everyone. One of the common side effects caused by many of the medications listed above may

cause mood changes. These mood changes can lead to or cause worsening depression or anxiety,

which may lead to suicidal ideation or suicidal attempts in your clients. Keeping an eye on mood

changes among clients, especially in a Mental Health setting, is pertinent to keeping patients

safe. Knowing if a medication could cause dizziness or drowsiness in patients allows the

Recreational Therapist to limit interventions that may become dangerous when experiencing

these side effects such as Rock Climbing, Ropes Courses, or other adaptive sports where vision

and alertness is crucial.

It is also important for Recreational Therapists to recognize the adverse effects that are

caused by an overdose. Recognizing that a patient may be experiencing an overdose or adverse

reaction allows the Recreational Therapist to take proper steps in assisting the individual in

accessing appropriate medical care.