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Antipsychotic Drug Overview and Interactions

This document summarizes information about four antipsychotic drugs: fluphenazine decanoate, haloperidol, chlorpromazine, and fluphenazine hydrochloride. It lists the generic and brand names, main actions, indications, contraindications, common drug interactions, adverse reactions, and important nursing considerations for each drug. Common interactions that can increase risks include those with CNS depressants, anticholinergics, antihypertensives, and medications affecting glucose levels. Adverse reactions are primarily CNS-related like extrapyramidal symptoms, but also affect vision, cardiovascular function, and gastrointestinal tolerance. Nurses should closely monitor for all significant or life-threatening adverse drug reactions.

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Arfe Baquinquito
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0% found this document useful (0 votes)
4K views3 pages

Antipsychotic Drug Overview and Interactions

This document summarizes information about four antipsychotic drugs: fluphenazine decanoate, haloperidol, chlorpromazine, and fluphenazine hydrochloride. It lists the generic and brand names, main actions, indications, contraindications, common drug interactions, adverse reactions, and important nursing considerations for each drug. Common interactions that can increase risks include those with CNS depressants, anticholinergics, antihypertensives, and medications affecting glucose levels. Adverse reactions are primarily CNS-related like extrapyramidal symptoms, but also affect vision, cardiovascular function, and gastrointestinal tolerance. Nurses should closely monitor for all significant or life-threatening adverse drug reactions.

Uploaded by

Arfe Baquinquito
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
  • Fluphenazine Overview
  • Haloperidol Overview
  • Chlorpromazine Overview

DRUG ACTION INDICATION CONTRAINDICATION DRUG TO DRUG ADVERSE NURSING

INTERACTION REACTION CONSIDERATION


Generic Unclear. May alter Psychotic disorders. Hypersensitivity to Activated charcoal, CNS: extra As appropriate,
Fluphenazine psychiatric drug, sulfite (with adsorbent pyramidal review all other
decanoate mesolimbic injectable form) or antidiarrheals and reactions, significant and life-
dopamine receptors benzoyl alcohol. antacids: decrease drowsiness threatening adverse
in brain and reduce fluphenazine reactions.
release of Angle closure absorption.
hypothalamic and glaucoma.
hypophyseal Anticholinergics:
hormones thought Bone marrow decreased
to depress reticular depression. fluphenazine
Brand activating system, effects.
Modecate thereby preventing Severe hepatic or
psychotic cardiovascular Antidepressants,
symptoms. disease. antihistamines,
general anesthetics,
MAO inhibitors:
additive CNS
depression.

Antihypertensive:
Classification additive
Anxiolytic, hypotension
antipsychotic
Barbiturates:
increased
fluphenazine
metabolism and
decreased efficacy.
DRUG ACTION INDICATION CONTRAINDICATION DRUG TO DRUG ADVERSE NURSING
INTERACTION REACTION CONSIDERATION
Generic Unknown. Thought Symptomatic Hypersensitivity to Antihypertensives, CNS: confusion, As appropriate,
Haloperidol to block treatment of drug, tartrazine, nitrates: additive drowsiness, review all other
postsynaptic psychotic disorders sesame oil or hypotension. restlessness, significant and life-
dopamine receptors or Tourette benzoyl alcohol. extrapyramidal threatening adverse
in brain and syndrome. CNS depressants: reactions. reactions.
increase dopamine Severe CNS additive CNS
turnover rate, Schizophrenia in depression or depression. EENT: blurred
inhibiting signs and patients who need comatose states. vision.
symptoms of prolonged Epinephrine: severe
Brand psychosis. parenteral Parkinson’s disease. hypotension and
Apo- Haloperidol antipsychotic tachycardia.
therapy.
Methyldopa:
dementia.

Classification
Antipsychotic
DRUG ACTION INDICATION CONTRAINDICATION DRUG TO DRUG ADVERSE NURSING
INTERACTION REACTION CONSIDERATION
Generic Relieves nausea, Acute schizophrenia Hypersensitivity to Anabolic steroids, CNS: paresthesia, As appropriate,
Chlorpromazine vomiting, hiccups or mania. drug, sulfite (with chloramphenicol, dizziness, vertigo, review all other
and signs and injectable form) or MAO inhibitors, malaise, headache. significant and life-
symptoms of benzoyl alcohol. salicylates, threatening adverse
psychosis. sulfonamides: CV: increased risk of reactions.
Angle closure increased CV mortality.
glaucoma. hypoglycemia
EENT: tinnitus.
Bone marrow Beta- adrenergic
Brand depression. blockers: prolonged GI: nausea,
Thorazine hypoglycemia heartburn,
Severe hepatic or epigastric distress.
cardiovascular Oral anticoagulants:
disease. increased GU: tea-colored
hypoglycemic urine.
activities.
SKIN: rash, pruritus,
erythema.

Classification
Antipsychotic

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