Useful Mnemonics
 Ben is off with the flu: benzodiazepines are turned off with flumazenil
 Phenytoin
 P 450 system induced
 Headache
 Enlarged Gums (gingival hyperplasia)
 Nystagmus
 Yellowing browning of skin
 Teratogenic (no pregnancy)
 Oral contraceptics reduced
 Interference B12anemias
 Nausea
 Steven Johnson Syndrome
 Carbamazapine (DATALS)
 Dizziness,/Diahrea (N/V)/Drowsiness
 Ataxia
 Thrombocytopenia
 Aplastic Anemia
 Leukopenia
 Suicidal Thoughts
 Cholinergic Effects LESS DUMB
 Lacrimation
 Excitation of Nicotinic R./CNS
 Salivation
 Sweating
 Diahreaa
 Urination
 Miosis
 Bronchiconstriction/ Bradycarida
 Alzheimers patients DON’T REMEMBER MEDS (thanks vivi)
 Donazepil
 Rivastigmine
 Memantine
 Anthcholinergics don’t forgets your ABCD’s
 Artane/Atropine (types of anticholinergics)
 Blurry vision (mydriasis)
 Constipation/Confusion
 Dry mouth
 Sedation/Stasis of Urine
 When to give Atropine: A goes with B
 Atropine is used to treat Bradycardia
 SSRI’s adverse effects (only some)
 Serotonin Syndrome
 Sexual Dysfunction
 Risk for Suicide
 Insomnia
 TCA’S
 Thrombocytopenia (bone marrow depression)
 Cardiac irregularities
 Anticholinergic effects
 Siezure threshold decreased
 LITHIUM
 Leukocytes Increased
 Tremors
 Hair loss/Hypothyroidism
 Increased thirst
 Urination
 Moms beware
 Extrapyrimidal Symptoms (Haloperidol) DTAP
 Dystonia (acute)
 Tardive dyskinesia
 Akathisia
 Parkinson’s Like Sx
 Levadopa Adverse Effects (think parkinsons has to do with neuro and
movement/orthopedics)
 “Neuro Doctor’s Prize Orthopedics As Needed.”
 NMS (with discontinuation)
 Dystonia’s, Dyskinesia’s
 Psychosis
 Orthostatic Hypotension,
 Anorexia
 N/V
 Myasthenia Gravis drugs
 “Nerdy Poor Alonso Exercised because he no longer had muscle weakness”
 neostigmine
 pyridostigmine
 ambemonium
 endrophonium
 Dextroamphetamine Precautions (H-PAN)
 Hypertension
 Pregancy and lactation
 Aspirin allergy (YD-5)
 Nicotine Use
 Phentermine adverse effects ”Hefty Sam Constantly Drinks Hendricks”
 Hypertension
 Serotonin syndrome
 Constipation
 Dry mouth
 Headache
 Drug Interactions Caffeine
 “Oh Crap” Said Lizzy “Maybe Psycho’s Are Crazy”
 Oral Contraceptives
 Sympathomimetics
 Lithium
 MAOIs
 Psychostimulants
 Antibiotics
 C is for caffeine
 Serotonin Syndrome Effects SHIVER
 Sweating
 Hyperreflexia (muscle spasms)
 Increase temperature
 Vitals increased (HTN, tachy)
 Encephelopathy (change in Mental status)
 Restlessness
 Shock (CV) and death
 Adverse Effects Haloperidol “Extra Neuro Gains”
 Extrapyramidal Symptoms
 NMS neuroleptic Malignant Syndrome
 aGranulocytosis
 Neuroleptic Malignant Syndrome FEVER
 Fever
 Encepelopathy (altered LOC)
 Vitals unstable
 Elevated Enzymes
 Rigidity of muscles/ Renal function
 Happens with antipsychotic, and if dopaminergics (parkinsons) stopped abrubptly