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Heat-Related Illness in Individuals Using Psychiatric Medication 2016

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Heat-Related Illness in Individuals Using Psychiatric Medication 2016 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. Medical Conditions and Medication List Heat Stroke These medications decrease the Medications Affect Body Heat stroke is the most serious heat-related illness. body’s response to heat: With heat stroke, you cannot control your body Temperature Common medications: temperature, so the temperature quickly rises. Some medicines and medical conditions can make • Almost all psychotropic medications except The body is then not able to sweat, and as a result the body overheat, especially during hot and humid benzodiazepines (e.g. anti-anxiety drugs, cannot cool down. weather. When the body overheats, heat-related sedatives) illness can cause death if not treated. The following • Diuretics or water pills (e.g. furosemide Heat stroke can cause death if not treated. are some medical conditions that can make heat hydrochlorothiazide) Some medical conditions cause greater risk of heat more dangerous: • Antiparkinson medications or Anticholinergics stroke. • Heart disease (e.g. Artane, Cogentin) • Alcoholism • Amphetamines (e.g. dexedrine, Adderall) Heat Stroke Warning Signs: • Respiratory disease • Beta-blockers (e.g. propranolol, atenolol, • Confusion, unconsciousness, dizziness, nausea • Diabetes nadolol) • Body temperature higher than103 degrees Fahrenheit Street drugs: Heat exhaustion is a mild form of heat-related illness. • Rapid, strong pulse • Hallucinogens (e.g. LSD, psilocybin, “shrooms,” This can occur while working, playing or resting. It Throbbing headache others) • may happen without warning, and it may not last • Red, hot and dry skin long. Some people may need intravenous fluids so • Cocaine — all forms, including crack • Stimulants (e.g. amphetamines, ephedra, “street they do not lose consciousness. Heat exhaustion can Seek treatment right away! speed,” methamphetamine) happen in hot, humid weather, especially if a person • Call 911 immediately. If you are in a hospital, • Anabolic steroids/muscle building drugs does not drink plenty of fluids. tell the staff. • “Club drugs” (e.g. ecstasy, MDMA) • Loosen or remove the clothing of the heat Warning signs of heat exhaustion: • PCP (“angel dust”) stroke victim. • Heavy sweating • Ketamine (“K,” “Special K”) • Move the victim to a cooler spot. • Paleness • Bath salts • Muscle cramps • Cool the victim using cool water. • Tiredness or fainting These drugs decrease awareness of heat-related • Give the victim water to drink only if he/she • Weakness, dizziness, headache illness. You may not know you are in danger: can talk. • Nausea, vomiting • Alcohol, benzodiazepines and other sedatives • Call the emergency room for more • Opioids (narcotic pain medications) instructions if help does not come right away. Things to do immediately: • Move to a cooler place. *Note: Other medications can also affect heat • Drink water or other liquids (avoid caffeinated tolerance. Check with your doctor or pharmacist beverages such as coffee, soda, tea and alcohol). about your medications. • Rest for a short time. • Take a cool shower, bath, sponge bath. • Loosen or remove clothing. • Call a doctor if symptoms persist. OOOOO OOOO OOOOOO OOOOOOOOOOO OOOOOOO OOOO OOOOOOOO OO OOOO.
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