What Do You Need to Know About Psychotropic Drugs?
 A medicine that affects mood, thoughts, behavior, or perception is psychotropic. There are five main types of psychotropic medications. Each type works a bit differently, with specific uses and side effects.
- Psychotropic medications can take several weeks to show their full effects.
- Stimulants used for ADHD can increase dopamine levels in the brain.
- Antipsychotic drugs are sometimes used off-label to treat anxiety and depression.
- Not all psychotropic medications require long-term use; some are for short-term treatment.
- Medication adherence is crucial for the long-term effectiveness of psychotropic drugs.
- Mood stabilizers like lithium require regular blood tests to monitor levels and avoid toxicity.
- Combining psychotropic medications with therapy can enhance treatment outcomes.
How do Psychotropic Medications Work?
Psychotropic medications work by improving the balance of major chemicals in the brain. In medical terms, we call these chemicals neurotransmitters. These chemicals work as messengers to create communication between your brain cells.Â
The decrease or increase in the number of neurotransmitters affects mental health in many ways.
What are some Types of Psych Medications?
There are five main classes of psych meds and tens of drug medicines that belong to them.
Antipsychotics
Antipsychotics are medications that are used to treat mental disorders, especially psychosis. Some of the prominent symptoms of psychosis are hallucinations, delusions, hearing voices, paranoia, or confused perception.Â
What are the Antipsychotic Medications?
Aripiprazole (Abilify)
It treats mental conditions like bipolar disorder and schizophrenia. In children, it can relieve autism.
Clozapine (Clozaril)
 It helps restore the balance of the chemicals in the brain. It is prescribed to treat mental conditions, including bipolar disorder. In some cases, it is also used to treat schizophrenia.
Olanzapine (Zyprexa)
Olanzapine is mainly used to treat schizophrenia. However, it can relieve the symptoms of manic-depressive disorder.Â
Quetiapine (Seroquel)
It alters and increases the activity of certain chemicals in the brain to treat bipolar disorder. Sometimes it is also prescribed to treat schizophrenia in children.
Risperidone (Risperdal)
It treats schizophrenia in children aged 13 years or above.
Ziprasideone (Geordon)
This drug treats schizophrenia, bipolar disorder, and mana. Elderly patients who have dementia should not use it.
What are the uses of Antipsychotic Medications?
- Â Â Â To treat manic depression
- Â Â Â Schizophrenia
- Â Â Â Bipolar disorder
- Â Â Â Irritability
- Â Â Â Acute psychosis
-    Alzheimer’s
What are the side effects of being on Antipsychotics?
- Â Â Â N/V/D
- Â Â Â Constipation
- Â Â Â Restlessness
- Â Â Â Dry mouth
- Â Â Distorted vision
- Â Â Â Increase in body weight, which may cause diabetes
- Â Â Â Dizziness
- Â Â Â Sexual problems
- Â Â Â Headaches
You also know that the same medications can affect different people differently. Everyone doesn’t need to experience all the above side effects.
What else do you need to consider?
- Antipsychotics can cause EPS (extrapyramidal symptoms, e.g., repetitive, involuntary facial movements)
- These medications can also lead to CNS (central nervous depression)
- Orthostatic hypotension
- Â High risk of DM
- If you are on any psych medication, avoid alcohol
2. Antianxiety
Antianxiety psychotropic medications mainly work to treat anxiety symptoms, such as panic attacks, extreme worry, or tension.
What are the Antianxiety Medications?
Alprazolam (Xanax)
 It eases the symptoms related to anxiety. It works by decreasing abnormal activity and excitement in the brain to help with panic disorders as well.
Clonazepam (Klonopon)
It treats seizures because of panic attacks, epilepsy, and restless leg syndrome. It is not an OTC medicine and can only be available on prescription.
Diazepam(Valium)
 It treats fits and withdrawal symptoms. It can also treat anxiety. It is used as a sedative before medical procedures.
Lorazepam(Ativan)
It treats anxiety and anxiety-related sleep disorders.
What are the uses of Antianxiety Medications?
- Â Â Â As the name suggests, antianxiety drugs are used to treat anxiety as well as
- Â Â Â Panic disorder
- Â Â Â Alcohol withdrawal
- Â Â Â Muscle spasms
- Â Â Â Seizures
What are the side effects of being on Antianxiety?
- Â Â Â Confusion
- Â Â Â Memory loss
- Â Â Â Poor coordination
- Â Â Â GI problem
What else do you need to know?
- Â Â Â You have to drop alcohol and other depressants
- Â Â Â You can stop using antianxiety abruptly
- Â Â Â There are chances of getting respiratory depression
3. Hypnotics
Also known as sleeping pills, hypnotics work to induce and improve sleep. These drugs heal other sleep-related problems such as sleeplessness, insomnia, poor-quality sleep, and so on.
What are hypnotic medications?
Butobarbital (Butisol)
 It treats insomnia and anxiety. Butobarbital is used only for shorter periods.
Quazepam (DOral)
It is prescribed as a short-term treatment for insomnia.
Suvorexant (Belsomra)
It treats insomnia and belongs to central nervous system depressants. It improves sleep quality.
Triazolam (Halcion)
This drug slows down the nervous system to treat insomnia. Typically it is used for 7 to 10 days.
Zolpidem (Ambien)
 This is prescribed as a sleeping pill that makes you seep through the night without interruptions.
What are the side effects of being on Antianxiety?
The potential side effects of using hypnotics are:
- Â Â Â Hallucination
- Â Â Â Dry mouth
- Â Â Â Rebound insomnia
- Â Â Â Forgetfulness
- Â Â Â Headache
- Â Â Â Vivid dreams
What are the uses of hypnotic medications?
These drugs are used to heal
- Â Â Â Insomnia
- Â Â Â Sleep disorders
What else do you need to know?
- Â Â Adopting these meds as a habit is likely.
- Â Â Â Cause respiratory depression
- Â Â Â The effects can be doubled if you are in an older age
- Â Â Â You cannot consume alcohol and other depressants along with these meds.
4. Mood Stabilizers
Mood stabilizer medications are used to treat problems like bipolar disorder and regulate extreme emotions. These are considered to be the most effective treatment for bipolar disorder. Â
These medications help reduce mood swings and depressive episodes to let you enjoy all the good the world offers.
What are mood stabilizer drugs?
Asenapine (Sycrest)
This drug treats schizophrenia and sometimes bipolar disorder in adults. It can be used with other medicines to treat mania.
Carbamazepine (Tegretol)
It controls seizures in people with epilepsy. It can also treat facial nerve pain.
Lamotrigine (Lamictal)
It helps control and prevent seizures in epilepsy. It can also treat bipolar disorder.
Lithium (Litarex)
This drug is mainly used to treat bipolar disorder.
Valproate (Depakote)
It treats epilepsy, bipolar disorder, and sometimes migraines. It is only available on prescription.
What are the uses of these mood stabilizers?
- Â Â Â Mood stabilizers can treat bipolar disorder
- Â Â Â Manic depression
- Â Â Â Mood disorder
What are the side effects of being on mood stabilizers?
The side effects of using mood stabilizers are:
- Â Â Â Liver and kidney problems
- Â Â Â Weight gain
- Â Â Â Hair loss
- Â Â Â Increased urination
- Â Â Â Tremors (hands)
- Â Â Â Sexual problems
What else do you need to consider?
- Â Â Â Monitor your salt intake
- Â Â Â High risk of liver damage
- Â Â Â You can also have teratogenic effects
- Â Â Â These psych medicines can take up to 6 weeks to reach effectiveness.
5. Stimulants
Stimulants are the fifth class of psychoactive drugs that help manage behavioural problems. These work to improve mental and physical functionality by speeding up the message travelling between the brain and the body.Â
With a calming effect, stimulants also improve concentration.
What are Stimulant Drugs?
Amphetamine (Adderall)
It is a recreational drug to improve libido and produce euphoria. It also reduces fatigue and increases muscle strength.
Atomoxetine HCL (Strattera)
It treats ADHD in children and adults. This drug is a complete treatment in itself.
Dextroamphetamine (Dexedrine)
It is used to treat ADHD. Moreover, it can improve cognitive ability and athletic performance and induce euphoria.
ER Methylphenidate (Concerta)
 It mainly treats ADD and ADHD.
Lisdexamfetamine (Vyvanse)
It controls ADHD and binge eating disorders in adults.
Methylphenidate (Ritalin)
This medicine stimulates the central nervous system to treat ADHD and increase cognitive performance.
What are the uses of stimulants?
- Â Â Â To treat ADD (attention deficit disorder)
- Â Â Â ADHD (Attention deficit hyperactivity disorder)
- Â Â Â Narcolepsy
What are the side effects of being on stimulants?
- Â Â Â Tachycardia
- Â Â Â Hypertension
- Â Â Â Insomnia
- Â Â Â anxiety/panic
- Â Â Â Loss of appetite
- Â Â Â Depression
- Â Â Â Erratic behaviour
What else do you need to consider?
- Â You cannot use stimulants with antidepressants, especially MAOIs
- Â Â Â These meds can also decrease the effects of warfarin and phenytoin
- Â Â Â You cannot intake caffeine
- Â Â Â Your behavior may change with the use
- Â Â Â And stimulants can also cause sudden death
How to deal with the side effects of these medications?
There are many side effects of psych medicines, but they also reduce with time. In case of any severe side effects, talk to your doctor, who may change the prescription, or suggest you take them at different times.Â
With that, you can also try non-medication activities such as exercise or healthy eating to manage after and side effects.
Takeaway
Many other factors reflect the effectiveness of a given medication. Ultimately, you need to speak with your doctor about your situation to decide which one is the best for you. Though these drugs are among the most effective in treating common mental disorders, their use should be done cautiously.Â
Sometimes, using these medications might not be the best option. Many other factors also play a role in the effectiveness of a medication.
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