Medications Essay

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Medications

o Pain Medications o Anxiolytic/Hypnotics o Anti-depressants o Mood Stabilizers o Antipsychotics/Neuroleptics o Anticonvulsants/Seizures Medications o Stimulants o Cognitive Enhancers o Steroids

(Each of these medication categories will be automatically identified by the software based on the lists that follow. The user will be provided with the appropriate section on Jon’s list that provides both a list of related medications within this category and comments on the potential impact on testing.) Pain Medications:

Opiates and synthetic opioids (Morphine, Dilaudid, Tylenol #3, Vicodin, Oxycontin, Tramadol, Fentanyl, Oxycodone, Codeine, Methadone)

Comment: These medications tend to be habit forming, tend
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The clinician should be alert to the possibility that the patient is taking more than one type of benzodiazepine, is taking more medication than is prescribed, or is ingesting other CNS depressant medications. Combinations of alcohol and benzodiazepines may be strongly sedating.

NonBenzodiazepines:

Zolpidem (Ambien) and Zaleplon (Sonata, Starnoc)

Comment: These sleep inducing agents have less risk of inducing dependence than benzodiazepines and do not appear to have significant anxiolytic muscle relaxant or anti-convulsant properties. They may, however, produce amnestic effects. Clinicians should be aware of the possibility of drug interactions with other CNS depressant medications.

Ramelteon (Rozerem)

Comment: Somnolence, dizziness and fatigue are reported side effects.

Eszopiclone (Lunesta)

Comment: Side effects are similar to those of short acting benzodiazepines and also include dizziness and headache. Other sedative hypnotics are not recommended with administration of this medication.

Diphenhydramine (Benadryl)

Comment: This anti-cholinergic, anti-histaminic medication frequently causes mental slowing, particularly in the elderly where it may produce either quiet or agitated confusional states. Anti-depressants:

SSRI’s (Selective Serotonin Reuptake Inhibitors):

Citalopram (Celexa), Escitalopram (Lexapro), Flouxetine (Prozac), Fluoxetine Weekly (Prozac Weekly), Flouxamine (Luvox),
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