AD and Mood stabilizers Flashcards
Indications of SSRIs x3
OCD
Anxiety
Depression
Contraindications of SSRIs x2
Mania
Poorly controlled epilepsy
Side effects of SSRIs x5
GI upset
GI bleeding
Suicidality
Sexual dysfunction
Increase anxiety first 1/2wks
Why take caution with SSRI in elderly patients and what to give
Dyspepsia- PPIs
Which SSRI is good (1) and bad (1) for pregnant and breastfeeding women
Good- Sertraline
Bad- Paroxetine
Side effect of SNRIs
Hypertension
Examples of SNRIs
Venlafaxine
Duloxetine
Describe MOA of tricyclic ADs x2
Increase reuptake of Sero, Ne, DA
Ach and H receptor antagonists
Which AD clsss i ssafe for cardiac conditions and which is bad
Safe- SSRIs
Bad- TCA
When are MAOIs used
Severe or resistant cases
Side effects of MAOIs x4
HTN
Weight gain
Postural Hypotension
Indication for MAOIs
Atypical depression
When are ADs used in caution and why
Epilepsy because they increase seizure frequency
Culprits of discontinuation syndrome x2 and their class
SSRIs- sertraline and paroxetine
Symptoms of discontinuation syndrome x6
FINISH
Flue like symptoms
Insomnia
Nausea
Imbalance
Sensory disturbances
Hyperarousal
Symptom triad of serotonin syndrome and give examples x2
Autonomic- fever, sweats
Neurologic- clonus, tremors
Cognitive- confusion, loss of consciousness
Treatment for serotonin syndrome x4
ABC
Stop drug
Fluid balance
Supportive management
Drug classes used as mood stabilizers x3
Lithium
Anticonvulsants
2nd gen antipsychotics
Indications of lithium x3
Bipolar
Suicide
Treatment resistant depression
Symptoms of lithium toxicity x5
Nystagmus
Fine tremors
Renal failure
Hyperthyroidism
Hyperparathyroidism
Contraindications for lithium x3
Untreated hypothyroidism
Cardiac arrhythmia
Heart failure
Types of anxiolytics x5
SSRI
SNRI
B blockers
Benzodiazepines
Pregabalin
Which drug can reverse effects of benzodiazepines
Flumazenil
