Therapeutic and Side Effects of Psychotropics

Antidepressants: Use of the newer antidepressantsdecreased blood pressure. Treatment requires
(SSRIs, Effexor, Serzone, Remeron, and Wellbutrin) inelectrocardiographic monitoring, and the monitoring of
children now exceeds that of the older tricyclicblood serum levels is recommended. Tricyclics are the
antidepressants primarily because of the lack of riskmost lethal of the psychotropics in an overdose.
for severe cardiac side effects. The antidepressantsPsychostimulants: The stimulant medications
may have side effects including gastrointestinalcommonly used with ADHD children are very well
discomfort, headaches, sleep and behavioralresearched and considered safe and effective
disturbances, and weight loss or gain. Remeron is(Barkley, DuPaul & Costello, 1993). Common side
sedating and is often associated with significanteffects include insomnia, decreased appetite, and
weight gain. Because of these side effects, it is nowheadache. Less frequently, they may cause agitation,
occasionally used with children having the side effectsenuresis, and depression. Rarely, tics and psychotic
of appetite and sleep difficulties due to the use ofsymptoms may occur. Antipsychotics: The neuroleptic
stimulants. Wellbutrin is contraindicated in persons withmedications are used with a variety of symptoms
a history of seizures or tics, and can cause weightand disorders. These include psychosis, bipolar
loss.disorders, aggression, and tic disorders. Common side
Although prescribed for depression, enuresis andeffects include dry mouth, constipation, blurred vision,
ADHD are the only established indications for thesedation, stiffness, and in some cases of chronic
tricyclics. Tricyclic side effects are dry mouth,administration, tardive dyskinesia.
constipation, blurred vision, weight change, and