Drugs for Schizophrenia Flashcards

1
Q

Psychotic symptoms of Schizophrenia

A
Hallucinations
Delusions
Disorganized speech
Disorganized flow of thoughts
Absence of clear, goal-directed behavior
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2
Q

Schizophrenia

A

Thought disorder where patients have difficulty perceiving reality

Example: hearing voices, seeing people, or things that are aren’t there

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3
Q

Etiology

A

The cause of the disease

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4
Q

Concordance

A

If one twin has the disease, what is the likelihood that the other twin will also have the disease

50-80%

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5
Q

How is schizophrenia caused by the environment?

A

Maternal infections and maternal starvation are both associated with an increased risk of the baby developing schizophrenia

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6
Q

Chlorpromazine

A

First antipsychotic drug

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7
Q

What are the features of all antipsychotic drugs?

A

Block D2 dopamine receptors

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8
Q

1- Typical antipsychotics

A

Chlorpromzine

Haloperidol

Blockade of the D2 receptors

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9
Q

Adverse effects of typical antipsychotics

A

Motor Impairment such as Parkinson’s disease

Slow movement and Rigid movement

Causes anhedonia (lack of pleasure)

Alter productive hormones

Prolactin: when women are breastfeeding to promote breast tissue differentiation and milk production are increased

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10
Q

2- Atypical antipsychotics

A

Clozapine and Atypical

Blocks more of the Serotonin receptors

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11
Q

Clozapine

A

Most effective treatment for schizophrenia, but it is rarely given as the first drug because it can cause a fatal loss of white blood cells

Fatal side effect of white blood cell loss

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12
Q

Side effects of atypical antipsychotics?

A

Don’t have the motor side effects

Causes metabolic syndrome (because of weight gain, type 2 diabetes, and heart disease)

Weight gain reduces compliance and increases the risk of co-morbidities

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