Mostly a kind of cheat-sheet for myself and personal headcanon-y reference re: River's meds, what she takes, and what it all does. That means the information is focused on reactions the medication directly has on her, and side-effects that don't agree with canon (meaning: there isn't an instance in canon where I feel I can appropriately extrapolate that she experienced the side-effect while Simon was treating her or it's one that logically could have occurred but wouldn't have had screentime) or wouldn't ever be relevant to events in-game aren't listed.
Notes:
• information about meds/doses/regimen was included in notes Simon left after his first disappearance from Taxon
» copies were given to Dawn, McCoy, and crew members; currently only Dawn has her copy, but it gets passed around/copied as needed (ex: it can be assumed Kaylee and Mal have copies now, etc.)
• all of them are in a rotation that changes the regimen (both in dose sizes and which meds are currently in use) every two-four weeks with some overlap to account for the time it takes to adjust and avoid issues with withdrawal
• listed side-effects are not constant and will come and go as doses and regimen change
• severe symptoms currently not listed, but always possible
• tablet forms of medication only listed in cases where injections aren't available
• something else
Risperidone (Risperdal Consta)
{
ncbi.nlm.nih.gov} {
wikipedia}
}} treats: disturbed or unusual thinking; loss of interest; strong or inappropriate emotions; frenzied, abnormally excited, or irritated mood; aggression; sudden mood changes (atypical antipsychotic: changes the activity of certain natural substances in the brain)
}} regimen: depot injection once every two weeks
}} side-effects:
- drowsiness
- dizziness
- nausea
- vomiting
- heartburn
- stomach pain
- restlessness
- dreaming more than usual
- difficulty falling asleep or staying asleep
- muscle or joint pain
}} notes: may cause hyperglycemia and trigger diabetes; makes it harder for the body to cool down when it gets very hot or warm up when it gets very cold; dizziness, lightheadedness, fainting occur most often when sitting up too fast during the first few days of treatment
Olanzapine (Zyprexa)
{
ncbi.nlm.nih.gov} {
wikipedia}
}} treats: disturbed or unusual thinking; loss of interest; strong or inappropriate emotions; other abnormal moods; schizophrenia-related agitation (atypical antipsychotic: changes the activity of certain natural substances in the brain)
}} regimen: tablet, once a day without food; for acute treatment, a single intramuscular injection
}} side-effects:
- drowsiness
- dizziness
- restlessness
- unusual behavior
- depression
- difficulty falling asleep or staying asleep
- weakness
}} notes: may cause hyperglycemia and trigger diabetes; makes it harder for the body to cool down when it gets very hot or warm up when it gets very cold; sudden change in heart-rate, dizziness, lightheadedness, fainting occur most often when sitting up too fast during the first few days of treatment
Quetiapine (Seroquel XR)
{
ncbi.nlm.nih.gov} {
wikipedia}
}} treats: disturbed or unusual thinking; loss of interest; strong or inappropriate emotions; frenzied, abnormally excited or irritated mood; other abnormal moods (atypical antipsychotic: changes the activity of certain natural substances in the brain)
}} regimen: extended-release tablet, three times a day with food (once a day when changing regimen)
}} side-effects:
- drowsiness
- dizziness
- pain in the joints, back, neck, or ears
- weakness
- stuffy nose
- headache
- irritability
- difficulty thinking or concentrating
- difficulty speaking or using language
- loss of coordination
- unusual dreams
}} notes: may cause hyperglycemia and trigger diabetes; makes it harder for the body to cool down when it gets very hot or warm up when it gets very cold; dizziness, lightheadedness, fainting occur most often when sitting up too fast during the first few days of treatment
Ziprasidone (Geodon)
{
ncbi.nlm.nih.gov} {
wikipedia}}} treats: disturbed or unusual thinking; loss of interest; strong or inappropriate emotions; frenzied, abnormally excited or irritated mood; other abnormal moods (atypical antipsychotic: changes the activity of certain natural chemicals in the brain)
}} regimen: intramuscular injection every three days with food
}} side-effects:
- drowsiness
- headache
- restlessness
- anxiety
- loss of appetite
- weight gain
}} notes: may cause hyperglycemia and trigger diabetes; makes it harder for the body to cool down when it gets very hot or warm up when it gets very cold; dizziness, lightheadedness, fainting occur most often when sitting up too fast during the first few days of treatment
Haloperidol (Haldol)
{
ncbi.nlm.nih.gov} {
wikipedia}}} treats: delusions and hallucinations; motor and verbal tics; explosive, aggressive behavior; confusion and difficulty thinking (conventional antipsychotic: decreases abnormal excitement in the brain)
}} regimen: depot injection once every two weeks
}} side-effects:
- drowsiness
- blurred vision
- loss of appetite
- heartburn
- difficulty falling asleep or staying asleep
- blank facial expression
- uncontrollable eye movements
- restlessness
- agitation
- mood changes
- dizziness
- increased sexual desire
}} notes: when in rotation, dose steadily decreases
Chlorpromazine (Thorazine)
{
ncbi.nlm.nih.gov} {
wikipedia}}} treats: disturbed or unusual thinking; loss of interest; strong or inappropriate emotions; difficult telling the difference between things or ideas that are real and things or ideas that are not real; frenzied, abnormally excited mood; other abnormal moods; explosive, aggressive behavior; to relieve restlessness before a surgery (conventional antipsychotics: changes the activity of certain natural substances in the brain and other parts of the body)
}} regimen: tablet, four times a day; alternatively 2-3 hours before medical examinations
}} side-effects:
- drowsiness
- blank facial expression
- shuffling walk
- restlessness
- agitation
- nervousness
- difficulty falling asleep or staying asleep
- increased appetite
- weight gain
- dry mouth
- widening or narrowing of the pupils
}} notes: increases sensitivity to sunlight; sudden change in heart-rate, dizziness, lightheadedness, fainting occur most often when sitting up too fast during the first few days of treatment; makes it harder for the body to cool down when it gets very hot or warm up when it gets very cold
Trifluoperazine (Stelazine)
{
ncbi.nlm.nih.gov} {
wikipedia}}} treats: disturbed or unusual thinking; loss of interest; strong or inappropriate emotions; short-term anxiety (conventional antipsychotics: decreases abnormal excitement in the brain)
}} regimen: tablet, two times a day; or intramuscular injections once a week
}} side-effects:
- drowsiness
- dizziness
- stuffed nose
- nausea
- widening or narrowing of the pupils
- changes in appetite
- weight gain
- blank facial expression
- agitation
- unusual, slowed, or uncontrollable movements of any part of the body
- difficulty falling asleep or staying asleep
- extreme tiredness
- weakness
}} notes: increases sensitivity to sunlight; sudden change in heart-rate, dizziness, lightheadedness, fainting occur most often when sitting up too fast during the first few days of treatment
Propranolol (Inderal)
{
ncbi.nlm.nih.gov} {
wikipedia}}} treats: off-label: aggressive behavior; post-traumatic stress disorder; antipsychotic-induced akathisia (beta blocker: relaxes blood vessels and slows heart rate to improve blood flow and decrease blood pressure; additionally works to inhibit the actions of norepinephrine, a neurotransmitter that enhances memory consolidation)
}} regimen: capsule once a day
}} side-effects:
- dizziness or lightheadedness
- difficulty sleeping
- excessive tiredness
- upset stomach
- vomiting
- rash
}} notes: pulse rate should be monitored while it's a part of the regimen, and should not be taken with other drugs that have side-effects that will change heart-rate
Zolpidem (Ambien)
{
ncbi.nlm.nih.gov} {
wikipedia}}} treats: difficulty falling asleep or staying asleep as a result of antipsychotic use (sedative-hypnotic: slows activity in the brain to allow sleep)
}} regimen: tablet, immediately before sleep
}} side-effects:
- drowsiness
- weakness
- headache
- dizziness
- 'drugged feeling'
- unsteady walking
- difficulty keeping balance
- stomach pain or tenderness
- uncontrollable shaking of a part of the body
- unusual dreams
- ringing, pain, or itching in the ears
- eye redness
}} notes: can cause sleepwalking and performing activities while asleep that aren't remembered once awake; increased frequency/severity of hallucinations
Drug (Name)
{ncbi.nlm.nih.gov} {wikipedia}}} treats: asdf
}} regimen: asdf
}} side-effects: asdfa
}} notes: coming soon