biological therapy for SZ Flashcards

1
Q

what are the 2 classes of antipsychotic drugs

A

typical drugs

atypical drugs

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2
Q

name the drug that is a typical drug

A

chlorpromazine

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3
Q

what does chlorpromazine work on

A

works on hyperdopaminergia by reducing the actions of dopamine by blocking the postsynaptic receptor sites

so decreased symptoms (e.g: hallucinations) and is a sedative

acts as a dopamine antagonist so dopamine is broken down and reabsorbed into the presynaptic neurone

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4
Q

can antipsychotics be used for short term or long term use

A

antipsychotics can be used for short term and long term use

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5
Q

why can chlorpromazine act as a sedative

A

chlorpromazine acts as a sedative due to its linked effects on histamine receptors. The drug is used to calm SZ patients

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6
Q

why might chlorpromazine be used on patients arrival to a psychiatric hospital

A

chlorpromazine is used on initial admittance to hospital if patients are very anxious

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7
Q

what are the 2 types of typical antipsychotics

A

clozapine

risperidone

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8
Q

what is the role of atypical antipsychotics

A

made to improve the effectiveness of drugs in supressing the symptoms of psychosis and minimise side effects

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9
Q

why is clozapine taken and what is the role of clozapine

A

taken if typical drugs fail, thought to work on dopamine serotonin system, glutamine receptors and improves mood so can reduce suicide risk

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10
Q

why is risperidone taken and what is the role of risperidone

A

risperidone, less side effects than clozapine binds to dopamine and serotonin sites

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11
Q

what are the 3 ways to administer chlorpromazine

A
  • tablets
  • syrup
  • injection
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12
Q

what is the dosage of chloropromazine

A

oral administration up to 100mg daily

dosage starts low and increases gradually

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13
Q

what 2 ways can clozapine be administered

A

tablets
syrup

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14
Q

what is the dosage of clozapine

A

daily dosage 300-450 mg

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15
Q

what are the ways to administer risperidone

A
  • tablets
  • syrup
  • injection (lasts for 2 weeks)
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16
Q

what is the dosage of risperidone

A

dosage starts at 4-8 mg builds to a max of 12 mg

17
Q

give the 9 side effects of typical antipsychotics (chlorpromazine)

A
  • dizziness
  • agitation
  • sleepiness
  • stiff jaw
  • weight gain
  • itchy skin
  • tardive dyskinesia
  • neuroleptic malignant syndrome (NMS)
  • high temp, delirium, coma, death
18
Q

give the side effect of using clozapine

A

agranulocytosis (blood condition)