Drugs

Question 1

What neurotransmitter is Serotonin

Answer 1

Monoamine

Question 2

What neurotransmitter is Norepinephrine

Answer 2

Monoamine

Question 3

What neurotransmitter is Dopamine

Answer 3

Monoamine

Question 4

What neurotransmitter is Acetylcholine

Answer 4

Cholinergic

Question 5

What neurotransmitter is GABA

Answer 5

Amino Acid

Question 6

What does GABA do?

Answer 6

It is an inhibitory Amino acid so it calms you down and relaxes

Question 7

What does excess dopamine cause?

Answer 7

Psychotic symptoms

Question 8

What does low serotonin cause?

Answer 8

Depression

Question 9

Depakote therapeutic level

Answer 9

50-100

Question 10

What is Depakote for?

Answer 10

Anticonvulsant as well as mood stabilizer for manic episodes

Question 11

What is Tegretol used for?

Answer 11

Anticonvulsant that treats seizures and is a mood stabilizer for manic episodes

Question 12

Tegretol therapeutic level

Answer 12

3-12

Question 13

Lithium therapeutic level

Answer 13

0.6-1.2

Question 14

What is Lithium used for?

Answer 14

Mood stabilizer for manic depressive illness in bipolar individuals

Question 15

What is Lamictal used for?

Answer 15

Depressive symptoms

Question 16

What are SSRI’s used for?

Answer 16

Anxiety and Depression

Question 17

What is Klonopin (Clonazepam)

Answer 17

Benzo

Question 18

What is Ativan (Lorazepam)

Answer 18

Benzo

Question 19

What is Xanax (Alprazolam)

Answer 19

Benzo

Question 20

What is Valium (Diazepam)

Answer 20

Benzo

Question 21

What is something to keep in mind with patient education about Benzos

Answer 21

Dose needs to be tampered down, not abruptly stopped because it can cause a seizure if abruptly stopped or recurrence of symptoms
Do not take with alcohol
Causes drowsiness and dizziness, confusion, headache, blurred vision, dependence

Question 22

What are the side effects of 1st generation psychotropics “neuroleptic”?

Answer 22

EPS: Dyskinesias (movement disorders) and Dystonias (muscle tension disorder)

Question 23

What is Tardative Dyskinesia?

Answer 23

Side effect of 1st gen: Blinking, Lip smacking, sucking or chewing, rolling or protruding tongue, grimaces
Can be permanent so stop drugs immediately

Question 24

What is Thorazine (Chlorpromazine)

Answer 24

Type 1 psychotropics

Question 25

What is Haldol (Haloperidol)

Answer 25

Type 1 psychotropics

Question 26

What is Trilafon (Perphanazine )

Answer 26

``` Type 1 psychotropic Side effects: Loss of coordination Excessive thirst Frequent urination Blackouts Seizures Slurred speech Fast, slow, irregular, or pounding heartbeat Muscle spasms (hypo vs hyper -reflexia) (Good for manic) ```

Question 27

What is Prolixin (Fluphenazine)

Answer 27

Type 1 Psychotropic

Question 28

What is akinesia

Answer 28

A common side effect of type 1 psychotropic, is is motor inertia

Question 29

What is dystonia

Answer 29

Peculiar involuntary posture

Question 30

What is parkinsonism

Answer 30

Shuffling gait

Question 31

What is Clozaril (Clozapine)

Answer 31

Type 2 psychotropic (Can cause agranulocytosis)

Question 32

Type 2 psychotropic side effect

Answer 32

Metabolic syndrome: truncal obesity, diabetes, hyperlipidemia, hypertension

Question 33

What is Prozac

Answer 33

Serotonin SSRI

Question 34

What is Celexa

Answer 34

Serotonin SSRI

Question 35

What is Zoloft

Answer 35

Serotonin SSRI

Question 36

What is Paxil

Answer 36

Serotonin SSRI

Question 37

What is Lexapro

Answer 37

Serotonin SSRI

Question 38

What is Effexor

Answer 38

Norepinephrine SNRI

Question 39

What is Cymbalta

Answer 39

Norepinephrine SNRI

Question 40

What is Pristiq

Answer 40

Norepinephrine SNRI

Question 41

What is Wellbutrin

Answer 41

Dopamine DNRI

Question 42

What to keep in mind when someone goes on antidepressants?

Answer 42

Patient can feel jittery, headache, nausea, sleeplessness, reduced sex drive, suicidal ideations, drowsy

Question 43

How often do you check therapeutic serum levels of someone on antidepressants?

Answer 43

every 3 months

Question 44

What is an issue with tricyclics?

Answer 44

They can cause cardiotoxicity

Question 45

What to avoid with monoamines

Answer 45

TYRAMINE

Question 46

Foods with Tyramine

Answer 46

Cheese, Wine, Soy sauce, Pickles, fermented meats, red wine, miso soup, ripe bananas

Question 47

What happens if MAOIs mix with Tyramine?

Answer 47

Hypertensive crisis

Question 48

What MAOI can you have with Tyramine?

Answer 48

Selegiline "EMSAM", Low dose 3 mg

Question 49

When would you give a psychotropic drug?

Answer 49

Patients with schizophrenia

Question 50

``` Amitriptyline (Elavil) Clomipramine (Anafranil) Desipramine (Norpramin) Doxepin (Sinequan) Imipramine (Tofranil) Nortriptyline (Pamelor) ```

Answer 50

Tricyclics