Anti Psychotics

Question 1

Mechanism of action of antipsychotics?

Answer 1

Block dopamine receptors.

Question 2

Classes of anti psychotics?

Answer 2

First generation: D2 antagonist
Second generation: 5HT2A and D2 antagonist
Third generation: dopamine partial agonists

Question 3

How long does it take for anti depressants to reach maximum efficacy?

Answer 3

6 weeks

Question 4

3 most common SSRIs

Answer 4

Fluoxetine
Citalopram
Sertaline

Question 5

What are the anti epileptics that can be used as mood stabilizers to treat bipolar disorder?e

Answer 5

Sodium valproate - first line for bipolar disorder
Lamotrigine - more effective in treating the depressive episodes
Carbamazepine - treats acute mania and is used for prophylaxis of bipolar disorder

Question 6

First mood stabilizer used in the treatment of bipolar disorder?

Answer 6

Lithium

Question 7

Anxiolytic classes

Answer 7

1. Benzodiazepines: treats insomnia, parasomnia, anxiety
2. B blockers: improve somatic symptoms such as sweating
3. Buspirone: better tolerated but not as effective, takes a long time to work