PSYCHIATRIC DRUGS USED IN CHILD PSYCHITRIC DISORDERS.pptx

DRUGS USED FOR CHILD PSYCHIATRIC DISORDER

1. DRUGS USED IN CHILD PSYCHIATRY MS..POOJA SEN NURSING LECTURER (MHN)

2. Drugs used in child psychiatry The various psychiatric disorder seen in childhood (disorder of psychological development and behavioural and emotional disorder) with the onset usually occurring in childhood . DEFINITION – Drug which is used & treated the child psychiatric disorder.

3. Anti anxiety drugs Benzodiazepines - Clonazepam , Diazepam Lorazepam DOSE – 0.02-0.2 mg/kg slow IV Maximum 100 mg/day -0.1 mg/kg IV at the rate of 2 mg /min start with 10-20 mg at bed time. Indication- anxiety disorder, insomnia, depression, autism, phobia, mania

4. Anti psychotic drugs Chlorpromazine (10-200mg) Thioridazine (20-200 mg) Thiothixene ( 10-25 mg./two or three time a day) Indication – ADHD, Autism, enuresis, conduct disorder, tic disorder,

5. Anti manic drugs Lithium – 15- 20 mg in 2-3 divided doses . Valproic acid – 15-30 mg/kg/day Carbamazepine's – 15-30 mg/kg/day Indication – manic depressive episode, schizoaffective disorder, seizure, psychosis, ADHD, conduct disorder.

6. Anti convulsant drugs Primidone – 10-20 mg/kg/day Hydantoin – 5-8 mg/kg/day Carbamazepine – 15-30 mg/kg/day Valproic acid – 15-30 mg/kg/day Zonisamide – 10 – 30 mg/kg/day Indication – autism, enuresis, conduct disorder, epilepsy

7. Anti depressants drugs Fluvoxamine Paroxetine Sertraline Imipramine Doxepin Indication – ADHD, Tic disorder, enuresis ,Tourette disorder(multiple motor tics, multiple vocal tics)

8. Nurses responsibility Instruct the parents or family member don’t give any medication to child with out any prescription. When providing the medication strict monitoring of vitals especially blood pressure is essential. Dose should be checked and before providing medication to child. Assess the child mood and behavior before and during the course of therapy & monitor mood changes. Emphasize the importance of regular follow up visit and periodic examination.