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Psychiatry > AD and Mood stabilizers > Flashcards

AD and Mood stabilizers Flashcards

1
Q

Indications of SSRIs x3

A

OCD
Anxiety
Depression

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2
Q

Contraindications of SSRIs x2

A

Mania
Poorly controlled epilepsy

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3
Q

Side effects of SSRIs x5

A

GI upset
GI bleeding
Suicidality
Sexual dysfunction
Increase anxiety first 1/2wks

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4
Q

Why take caution with SSRI in elderly patients and what to give

A

Dyspepsia- PPIs

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5
Q

Which SSRI is good (1) and bad (1) for pregnant and breastfeeding women

A

Good- Sertraline
Bad- Paroxetine

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6
Q

Side effect of SNRIs

A

Hypertension

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7
Q

Examples of SNRIs

A

Venlafaxine
Duloxetine

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8
Q

Describe MOA of tricyclic ADs x2

A

Increase reuptake of Sero, Ne, DA
Ach and H receptor antagonists

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9
Q

Which AD clsss i ssafe for cardiac conditions and which is bad

A

Safe- SSRIs
Bad- TCA

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10
Q

When are MAOIs used

A

Severe or resistant cases

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11
Q

Side effects of MAOIs x4

A

HTN
Weight gain
Postural Hypotension

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12
Q

Indication for MAOIs

A

Atypical depression

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13
Q

When are ADs used in caution and why

A

Epilepsy because they increase seizure frequency

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14
Q

Culprits of discontinuation syndrome x2 and their class

A

SSRIs- sertraline and paroxetine

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15
Q

Symptoms of discontinuation syndrome x6

A

FINISH
Flue like symptoms
Insomnia
Nausea
Imbalance
Sensory disturbances
Hyperarousal

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16
Q

Symptom triad of serotonin syndrome and give examples x2

A

Autonomic- fever, sweats
Neurologic- clonus, tremors
Cognitive- confusion, loss of consciousness

17
Q

Treatment for serotonin syndrome x4

A

ABC
Stop drug
Fluid balance
Supportive management

18
Q

Drug classes used as mood stabilizers x3

A

Lithium
Anticonvulsants
2nd gen antipsychotics

19
Q

Indications of lithium x3

A

Bipolar
Suicide

Treatment resistant depression

20
Q

Symptoms of lithium toxicity x5

A

Nystagmus
Fine tremors
Renal failure
Hyperthyroidism
Hyperparathyroidism

21
Q

Contraindications for lithium x3

A

Untreated hypothyroidism
Cardiac arrhythmia
Heart failure

22
Q

Types of anxiolytics x5

A

SSRI
SNRI
B blockers
Benzodiazepines
Pregabalin

23
Q

Which drug can reverse effects of benzodiazepines

A

Flumazenil

Psychiatry (27 decks)

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