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NAME

CLASSIFICATION

Generic Name:
Biperiden

Anticholinergic drug

Brand Name:
Akineton
Dosage &Frequency:
2 mg tab OD
Route
of Administration:
Oral

INDICATION

Parkinsonian
syndrome
Action:
especially to
Synthetic
counter act
anticholinergic drug, muscular
blocks cholinergic
rigidity and
responses in the CNS tremor;
extrapyramidal
symptoms

ADVERSE
EFFECTS

CONTRAINDICAT
ION

NURSING
CONSIDERATION

Fatigue

Untreated
narrow angle
glaucoma,
intestinal
stenosis or
obstruction,
mega colon,
prostatic
hypertrophy.

*Assess
for Parkinsonism,
EPS.*Assess for
mental status.
*Assess patient
response
if anticholinergics
are given.
*Assess
for tolerance over
long term therapy,
dosage may have
to be increased
or changed.
*Avoid activities
that require
alertness, may
cause dizziness,
drowsiness and
blurring of vision.

NAME

CLASSIFICATION

INDICATION

ADVERSE
EFFECTS

CONTRAINDICATI
ON

NURSING
CONSIDERATION

Generic name:
risperidone

Antipschotic

Treatment of
schizophrenia

Insomnia

Contraindicated
with
hypersensitivity to
risperidone.

Monitor patient
for tardive
dyskinesia, which
may occur after
prolonged use. It
may not appear
until months or
years later and
may disappear
spontaneously or
persist for life,
despite stopping
drug.

Brand Name:
Risperdal
Dosage&Frequency
: 2mg tab OD
Route of
Administration: Oral

Action: Blocks
dopamine and
serotonin
receptors in
the brain,

Delaying relapse
in long-term
treatment of
schizophrenia
Unlabeled uses:
Bipolar disorder;
treatment of
patients with
dementia-related
psychotic
symptoms

Use cautiously
with
cardiovascular
disease,
pregnancy, renal
or hepatic
impairment,
hypotension

Life-threatening
hyperglycemia
may occur in
patients taking
atypical
antipsychotics.
Monitor patients
with diabetes
regularly.
Periodically

reevaluate
drugs
risks and
benefits,
especially during
prolonged use.
Monitor patient
for weight gain.

NAME

CLASSIFICATION

Generic Name:
Diphenhydramine
hydrochloride

Antihistamine

Brand Name:
Benadryl
Frequency&Dosag
e
50mg cap OD
Route of
administration: Oral

INDICATION

Diphenhydramine
is used for its
Action: Blocks the antimiscarinic
effect of
properties in the
histamine at the
H1 receptor sites, control
and is used for a of parkinsonism
and drug-induced
wide range of
effects, ranging
extrapyramidal
from allergy and
disorders
itching relief, to
sleep aids, to
nausea relief.

ADVERSE
EFFECTS

CONTRAINDICATI
ON

Insomnia

Increased
Pressure in the
Eye, Closed
Angle Glaucoma,
Chronic Difficulty
having a Bowel
Movement, High
Blood Pressure,
Stenosing Peptic
Ulcer, Blockage of
Urinary Bladder,
Enlarged
Prostate, Cannot
Empty Bladder,
Overactive
Thyroid Gland

NURSING
CONSIDERATION

Take as
prescribed; avoid
excessive
dosage.

Take with food if


GI upset occurs.

Report difficulty
breathing,
hallucinations,
tremors, loss of
coordination,
unusual bleeding
or bruising, visual
disturbances,
irregular
heartbeat.