Common psychotropic medications You can prevent that may impair the heat response heat-related illness! Trade Name Generic Name Abilify aripiprazole There are ways to stay cool when the Asendin amoxapine temperature is 85 degrees and above, especially Artane trihexyphenidyl with high humidity: Aventyl, Pamelor nortriptyline In general: Benadryl diphenhydramine • Try to stay in cool places. Brintellix vortioxetine • Eat regular light meals. Celexa citalopram Clozaril, Fazaclo, Versacloz clozapine • Drink plenty of fluids. Cogentin benztropine • Avoid coffee, tea and alcohol. Cymbalta duloxetine When indoors: Desyrel, Oleptro trazodone • Spend time in cooler rooms or air- Elavil amitriptyline conditioned areas. A shopping mall or Effexor venlafaxine library provides a cool place. Eskalith, Lithobid, Lithonate lithium Fanapt iloperidone • Keep windows shut and drapes closed Heat-related Fetzima levomilnacipran during the day. Geodon ziprasidone • Open windows in the evening when the air Haldol haloperidol outside is cooler. illness in Invega paliperidone • Avoid outdoor activity during the warmest Lexapro escitalopram parts of the day. Loxitane loxapine Latuda lurasidone • Take a cool shower or bath. individuals Navane thiothixene When outside: Norpramin desipramine • Apply sunscreen. Paxil paroxetine • Avoid prolonged exposure to direct sunlight. using psychiatric Phenergan promethazine • Wear loose-fitting and light-colored Pristiq desvenlafaxine clothing. Prolixin fluphenazine medication Prozac fluoxetine • Wear a hat and sunglasses. Rexulti brexpiprazole • Be aware of your environment (For Risperdal risperidone example, asphalt may be warmer than Saphris asenapine surrounding air temperature). 2016 Seroquel quetiapine Sinequan, Silenor doxepin Stelazine trifluoperazine Thorazine chlorpromazine Ohio Department of Mental Tofranil imipramine Health and Addiction Services Trilafon perphenazine 30 E. Broad St., 36th Floor Wellbutrin, Zyban bupropion Columbus, Ohio 43215 Viibryd vilazodone www.mha.ohio.gov Vrylar cariprazine 1-877-275-6364 Zoloft sertraline John R. Kasich, Governor • Tracy J. Plouck, Director Zyprexa olanzapine Mark A. Hurst, M.D., Medical Director *Note: This is not an all-inclusive list. Temperature Medications AffectBody ConditionsMedical and • • • • • • Things to doimmediately: • • • • • • Warning signs ofheat exhaustion: offluids. plenty does notdrink happen inhot, humidweather, especiallyifaperson they donotloseconsciousness. Heat exhaustion can long. people may Some needintravenous fluidsso may happenwithoutwarning, anditmay notlast This canoccur whileworking, playing orresting. It Heat exhaustion isamildform ofheat-related illness. • • • • more dangerous: are somemedicalconditions that canmakeheat illness cancausedeath ifnottreated. The following weather. When thebodyoverheats, heat-related the bodyoverheat, hotandhumid especiallyduring medicinesandmedicalconditions Some canmake Call ifsymptoms persist. adoctor Loosen orremove clothing. Take acool shower, bath, spongebath. time. forRest ashort beverages suchascoffee, soda, tea andalcohol). waterDrink orotherliquids(avoid caffeinated Move to acooler place. Nausea, vomiting Weakness, dizziness, headache Tiredness orfainting crampsMuscle Paleness sweatingHeavy Diabetes disease Respiratory Alcoholism disease Heart Medication List • • Common medications: body’s response to heat: These medications decrease the about your medications. tolerance. Checkwithyour orpharmacist doctor medications canalsoaffectheat *Note: Other • • illness. You may you notknow are indanger: These drugs decrease awareness ofheat-related • • • • • • • • Street drugs: • • • Diuretics orwater pills(e.g. furosemide sedatives) benzodiazepines (e.g. drugs, anti-anxiety Almost Opioids (narcotic painmedications) Alcohol, benzodiazepines andothersedatives Bath salts Ketamine (“K,” “Special K”) PCP (“angel dust”) “Club drugs” (e.g. ecstasy, MDMA) Anabolic steroids/muscle buildingdrugs speed,” methamphetamine) Stimulants (e.g. amphetamines, ephedra, “street Cocaine —allforms, includingcrack others) Hallucinogens (e.g. LSD, psilocybin, “shrooms,” nadolol) (e.g.Beta-blockers propranolol, atenolol, Amphetamines (e.g. dexedrine, Adderall) (e.g. Cogentin) Artane, medications orAnticholinergicsAntiparkinson hydrochlorothiazide) all psychotropic medications except

OOOOO • • • • • • treatmentSeek right away! • • • • • Heat Stroke Warning Signs: stroke. medicalconditions causegreaterSome ofheat risk Heat stroke death cause can ifnottreated. cannot cool down. The bodyisthennotableto sweat, andasaresult temperature, sothetemperature rises. quickly With heat stroke, you cannotcontrol your body Heat stroke heat-related isthemostserious illness. instructions ifhelpdoesnotcome rightaway.instructions roomCall theemergency for more can talk. waterGive thevictim to onlyifhe/she drink using coolCool water. thevictim toMove acooler spot. thevictim stroke victim. Loosen orremove theclothingofheat tell thestaff. Call 911immediately. you If are inahospital, skin Red, hotanddry Throbbing headache strongRapid, pulse Fahrenheit temperatureBody higherthan103 degrees Confusion, unconsciousness, dizziness, nausea OOOO OOOOOO Heat Stroke OOOOOOOOOOO OOOOOOO OOOO OOOOOOOO OO OOOO