Antipsychotics Flashcards
(1st/2nd) generation antipsychotics are high affinity for Dopamine (D2) antagonists
1st generation
(1st/2nd) generation antipsychotics are potent Serotonin (5HT-2) antagonists
2nd generation
Highest potency 1st generation antipsychotic
Haloperidol
Antipsychotics are used for treating what? (2 total)
Schizophrenia
Schizoaffective disorder
BEST antipsychotic for shizophrenia, but is clinically limited due to life-threatening side effects (agranulocytosis and myocarditis)
Clozapine
All antipsychotics delay cardiac conduction (long QT) and thus pose a risk for torsade de pointes (True or False)
True
Higher potency antipsychotics, like Haloperidol, have (more/less) extrapyramidal symptoms
More (and low potency drugs have more anticholinergic effects)
Extrapyramidal side effect of antipsychotics; ustained contraction of muscles, usually the neck, mouth or tongue
Dystonia
Antipsychotics most at fault for Hyperprolactinemia
Haloperidol (1st generation)
Risperidone (2nd generation)
(1st/2nd) generation antipsychotics are associated with metabolic side effects, such as weight gain, hyperlipidemia, diabetes and hypertension
2nd generation
Symptoms of Neuroleptic Malignant Syndrome
Flushing Unstable vitals Rigidity Encephalopathy Enzymatic effects
Balancing risks and benefits, (1st/2nd generation) antipsychotics are first-line agents for psychosis
2nd generation (less risk of EPS, though they do have metabolic syndrome)
Indications for Benzodiazepines (6 total)
Status epilepticus Anxiety Insomnia Pre-anesthetic Alcohol withdrawal Panic disorder
Side effects of Benzodiazepines
Drowsiness Memory loss Potential for abuse Respiratory depression Teratogen
Short acting Benzodiazepines (4 total)
ATOM A: alprazolam T: temazepam O: oxazepam M: midazolam