Drug info Flashcards by Storm Wolf

Alzheimers

AchE Inhibitors
Memantine - protect against glutamate tox
NO BENZOs or anti cholinergic
Valproate - anger, irritation, agitation, mildly sedative
SSRI for anxiety/depression

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Vascular dementia

+/- AchE inhibitors

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Frontotemporal dementia

AchE inhibitors/mood stabilizers

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Lewy Body Dementia - only dementia w/ waxing/waning of consciousness

DO NOT GIVE ANTI PSYCHOTICS

AchE inhibitor

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Prion

supportive treatment

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Head trauma - CTE

AchE inhibitors
valproic acid
SSRI

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Huntingtons

antipsychotis
AchE inhibitors
mood stabilizers
SSRI

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Parkinsons

dopaminergic agents - can cause psychosis

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Schizophrenia

antipsychotics

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Schizoaffective Disorder

antipsychotics
mood stabilizers
antidepressants

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Brief psychotic disorder

antipsychotics

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delusional disorder

psychotherapy

no response to antipsychotics

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Shared psychotic disorder

no response to antipsychotics

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post partum psychosis

antipsychotics,
antidepressants
inpatient hospitalization

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panic disorder

SSRI > TCA
benzos for acute
CBT
relaxation/family therapy

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PTSD

SSRI
psycotherapy
mood stabilizers
hypnotics
anxiotlytics

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Phobias

exposure therapy
SSRI
benzos

Social anxiety disorder

propranolol works really well
SSRI
Benzos

OCD

clomipramine
SSRI
lithium, benzos, behavioral therapy

Atypical depression

MAOI

SSRI

Major depressive disorder

Saftey
TCA - don’t mix with SSRI
SSRI - sexual dysfunction
SNRI
MAOI
Bupropion - not with seizures, eating disorder, head inj.
Mirtazapine - highly sedative, increase appetite
Atypical antipsycotics
augmenting: lithium, thyroid, stimulants, combo

Bipolar Disorder

Mood stabilizers
  1st line: lithium, valproate, carbamazapine
  2nd line: lamotrigine(maintenance)
antipsychotics - risk metabolic syndrome
augment w/ benzos
ECT - last resort

cyclothymic disorder

lithium

somatization disorder

unconscious mechanism and motivation
establish 1 doc w/ regular appts
don’t need symptoms to see doc

conversion disorder

affect voluntary motor or sensory fxn preceeded by conflict or stressor not consciously produced no medical explanation spontaneous remission, suggestion, hypnosis

pain disorder

pain is primary focus, not intentionally produced multi discipline be conservative, social dynamics maybe antidepressants

hypochondriasis

unconscious motivation improves when life stressors leave reassurance, family education manage w/ primary care

body dysmorphic disorder

SSRI may help

factitiious disorder

voluntary production of signs symptoms, motivation is unconscious

malingering

lack of cooperation w/ treatment or evaluation | intentional production of symptoms for secondary gain

Paranoid

``` Cluster A (odd, ecentric) distrust supportive psychotherapy low dose antipsychotics explain all tests/treatments - trust issues have a serious attitude ```

Schizoid

Cluster A (odd, ecentric) detachment supportive psycotherapy respect emotional distance

schizotypal

``` Cluster A (odd, ecentric) live in own world (magical think) supportive reality based therapy low dose antipsychotics allow peculiarties ```

Borderline

``` Cluster B (dramatic, emotional, erratic) intense highly non-compliant ```

histrionic

Cluster B (dramatic, emotional, erratic) overly dramatic CBT group therapy

Narcissistic

``` Cluster B (dramatic, emotional, erratic) I am greatest very difficult, don't admit personal responsibility ```

Antisocial

``` Cluster B (dramatic, emotional, erratic) exploit others avoid being manipulated individual/group therapy ```

Avoidant

``` Cluster C (anxious, fearful) shy similar to schizoid SSRI low dose benzo ```

Dependent

Cluster C (anxious, fearful) needy

Obsessive compulsive (not OCD)

Cluster C (anxious, fearful) see perfectionism as desireable SSRI group therapy