Neurological Medications

Benztropine (Cogentin): Side Effects
dry mouth, constipation, anhidrosis, weakness, tardive dyskinesia

Benztropine (Cogentin): Indication
treatment of parkinson symptoms, EPS associated with neuroleptic drugs, acute dystonic reactions

Benztropine (Cogentin): IM/IV onset, duration
onset: 15 minutes, duration: 6-10 hours

Benztropine (Cogentin): PO onset, duration
onset: 1 hour, duration: 6-10 hours

Benztropine (Cogentin): Nursing COnsiderations
tablets may be crushed and mixed with food, taper med over a week, or withdrawal symptoms: EPS, tremors, insomnia, tachycardia, restlessness, antidote is physostigmine

Benztropine (Cogentin): Patient Teaching
avoid hazardous activities until stabilized on med, change positions slowly, avoid alcohol, antihistamines unless directed by clinician

Benztropine (Cogentin): Pregnancy Category

Caffeine/Ergotamine (Cafergot): Side Effects
headache, tremors, convulsions, blood vessel contraction with decreased circulation especially in limbs, toxic erotism: nausea, vomiting, diarrhea, dizziness, headache, mental confusion

Caffeine/Ergotamine (Cafergot): Indication
treatment of vascular headache

Caffeine/Ergotamine (Cafergot): Patient Teaching
take at onset of pain/during prodromal stage to abort headaches, lie down in darkened quiet room for several hours

Caffeine/Ergotamine (Cafergot): Pregnancy Category

Carbidopa/Levodopa (Sinemet): Side Effects
twitching, headache, dizziness, mental changes: confusion, agitation, mood alterations, dark urine/sweat, cardiac arrhythmias

Carbidopa/Levodopa (Sinemet): Indication
treatment of parkinson disease and syndrome, replacement dopaminergic agent

Carbidopa/Levodopa (Sinemet): Patient Teaching
change positions slowly, take with foodL decreased effect with liver, pork, wheat germ, and vitamin B6, may cause dark color in saliva, urine or sweat

Carbidopa/Levodopa (Sinemet): Nursing Considerations
full therapeutic effect may take several months, monitor for melanoma, may increase liver function test results, may cause false positive for urine ketones

Carbidopa/Levodopa (Sinemet): Pregnancy Category

Donepezil ( Aricept): Side Effects
nausea, vomiting, diarrhea, headache, dizziness, fatigue, twitching, cardiac arrhythmias, insomnia, seizures, rash, dark urine/sweat, mental changes: confusion, agitation, mood alterations

Donepezil ( Aricept): Indications
used in treatment of mild to moderate alzheimer’s disease

Donepezil ( Aricept): patient teaching
drug does not cure, but stabilizes or relieves symptoms, take at regular intervals, take between meals or may be given with meals to decrease GI upset

Donepezil ( Aricept): Nursing Considerations
may increase BUN, SGOT, GPT

Donepezil ( Aricept): Pregnancy Category

Eletriptan Hydrobromide (Relpax): Side Effects
coronary artery vasopasm, transient myocardial iscchemia, MI, ventricular tachycardia, ventricular fibrillation, asthenia, nausea, dizziness, somnolence, hypertension, diaphoresis, seizure

Eletriptan Hydrobromide (Relpax): Indication
indicated for treatment of migraine headaches with and without aura

Eletriptan Hydrobromide (Relpax): Nursing Considerations
may be taken with or without food

Eletriptan Hydrobromide (Relpax): Patient Teaching
call physician or seek immediate medical help for chest pain or SOB, call physician or seek immediate medical help for confusion, hallucinations, tachycardia, feeling faint, fever, diaphoresis, muscle spasm, or difficulty walking

Eletriptan Hydrobromide (Relpax): Pregnancy Category

Methylphenidate (Concerta, Ritalin): Side Effects
hyperactivity, insomnia, restlessness, talkativeness, palpitations, tachycardia, hyperhidrosis, anorexia, visual disturbance, nausea, abdominal pain, cough

Methylphenidate (Concerta, Ritalin): Indications
managment of attention deficit hyperative disorder, narcolepsy, depression in the elderly

Methylphenidate (Concerta, Ritalin): Onset, duration
onset: 30 minutes, duration: 4-6 hours

Methylphenidate (Concerta, Ritalin): Patient TEaching
take at least 6 hours before bedtime (regular release) or 10 hours before bedtime (sustained-release, extended-release), avoid hazardous activities until stabilized on med, decrease caffeine consumption (coffee, tea, cola, chocolate) to decrease irritability,

Methylphenidate (Concerta, Ritalin): Nursing Consideration
taper med over several weeks or depression, increased sleeping, lethargy will occur, monitor for adverse psychiatric symptoms, may lower seizure threshold

Methylphenidate (Concerta, Ritalin): Pregnancy Category

Selegiline (Eldepryl): Side Effects
dizziness, cardiac dysrhythmias, rhinitis, nausea, pain, headache, back pain, dyspepsia, insomnia

Selegiline (Eldepryl): INdication
indirect-acting dopaminergic agent, used in management of parkinson diseaes with levodopa/carbadopa

Selegiline (Eldepryl): Nursing Considerations
do not use with tricuclics or opioids, do not use with meperidine, monitor for signs of toxicity: twitching, eye spasms, do not stop abruptly, parkinsonian crisis may occur, monitor for melanoma, monitor for intense urges (gambling, sexual)

Selegiline (Eldepryl): Patient teaching
avoid foods high in tyramine: cheese, pickled products, alcohol, large amounts of caffeine

Selegiline (Eldepryl):Pregnancy Category

Zolmitriptan (Zomig): Side Effects
weakness, neck stiffness, tingling, hot sensation, burning, feeling of pressure, tightness, numbness, dizziness, sedation, hypertension, dyspepsia, dry mouth

Zolmitriptan (Zomig): INdication
used for treatment of acute migraine with or without aura

Zolmitriptan (Zomig): patient TEaching
take as soon as symptoms occur, avoid foods high in tyramine: cheese, pickled products, alcohol, large amounts of caffeine

Zolmitriptan (Zomig): Nursing Considerations
tablet may be split, may cause serotonin syndrome when used with antidepression medication

Zolmitriptan (Zomig): Pregnancy Category

Haloperidol (Haldol): SIde Effects drowsiness, dizziness, hallucinations, tardive dyskinesia, tachycardia, hypotension, confusion, hypertension, dystonia, hyperpyrexia, schizophrenia Haloperidol (Haldol): Indication treatment of tourette syndrome, schizophrenia WE WILL WRITE A CUSTOM ESSAY SAMPLE ON ANY TOPIC SPECIFICALLY FOR YOU FOR ONLY $13.90/PAGE …

Dorzolamide HCl (trusopt): Side Effects ocular burning, stinging, discomfort, blurred vision, tearing or dryness, photophobia, bitter taste in mouht Dorzolamide HCl (trusopt): INdication treatment of glaucoma and ocular hypertension WE WILL WRITE A CUSTOM ESSAY SAMPLE ON ANY TOPIC SPECIFICALLY …

Insulin Aspart (Novolog): Side Effects hypoglycemia, lipodystrophy, hypokalemia, allergic reactions, headache, weight gain, edema Insulin Aspart (Novolog): Indications management of diabetes in adults; the only insulin analog approved for use in external pump systems for contnuous subQ insulin infusion WE …

AE Propantheline bromide (Pro-Banthine) Decreased gastic motility Decrease effect of vagus nerve Nursing considerations for Propantheline bromide (Pro-Banthine) Used for urinary incontinence and peptic ulcer disease. Give 30 minutes before meals (ac) Give hs dose at least 2 h after …

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Ipratropium Bromide (Atrovent): Side Effects nervousness, tremors, dry mouth, palpitations, URI, epistaxis, rhinitis, pharyngitis, angioedema Ipratropium Bromide (Atrovent): Indication treatment of bronchospasm associated with COPD, rhinorrhea, rhinitis, not for acute bronchospasm needing rapid response WE WILL WRITE A CUSTOM ESSAY …

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