Exam 1 Meds: Unique & SE Flashcards

1
Q

Aripiprazole

A

Unique:
Low risk metabolic SE

AKATHESIA common

Possibly help Pos & Neg
symptoms

SE:
Akathesia
Insomnia
N/V
HA

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2
Q

Brexpiprazole

A

Unique:
Like abilify…
Agitation in alz?

SE:
Akathesia
Anxiety
TD

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3
Q

Cariprazine

A

Unique:
Akathesia common

D3 antag - improv negative, affective, & cognitive symptoms

Long-half life

SE:
Akathesia
GI distress
Sedation

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4
Q

Clozapine

A

Unique:
Agranulocytosis! Blood work*

Seizure risk

Myocardidtis

Gold standard for SHCZ efficacy

SE:
Weight
Sedation
Drooling/Anticholinergic
Paralytic Ileus!

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5
Q

Haloperidol

A

Unique:
Motor SE common… high limit for dosing

SE:
EPS
TD
Neuroleptic induced deficit syndrome
Akathesia
PRL inc
Weight

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6
Q

Lurasidone

A

Unique:
Great metabolic SE profile*
Must eat with 300/cal food

SE:
Akathesia
Nausea
Sedation

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7
Q

Olanzapine

A

Unique:
Big metabolic SE*

SE:
Weight gain/Metabolic
DM
Sedation

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8
Q

Risperidone

A

Unique:
PRL increase common

SE:
EPS
Weight
PRL
Sedation

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9
Q

Ziprasidone

A

Unique:
Requires food intake w/ med (300cal)

Minimal weight/metabolic SE

QT prolongation**
SE:
Sedation
Activation
Nausea
Orthostatic HTN
TD

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10
Q

Sertraline

A

Unique:
Take with food

SE:
GI
Sexual
Insomnia

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11
Q

Fluoxetine

A

Unique:
Activation
Long half-life
Inhibitor CYP450
Bullimia FDA approval

SE:
Activating
GI distress
Sexual

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12
Q

Paroxetine

A

Unique:
Poor SE profile
DC syndrome
Teratogenic

SE:
Weight gain
Sexual

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13
Q

Citalopram

A

Unique:
Qt Prolongation*

SE:
Nausea

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14
Q

Escitalopram

A

Unique:
Good SE profile
Low/no drug interactions*

SE:
Nausea
HA
Sexual

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15
Q

Fluvoxamine

A

Unique:

CYP inhibitor (drug interactions)

Anxiolytic? (sigma 1 antag)

OCD approval only

SE:
Weight
sexual?
Drug interactions

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16
Q

Bupropion

A

Unique:
Activating
Dec. appetite
Bad for anger
NO sexual SE
Smoking cessation
Improve concentration

SE:
Seizures**
Weight loss/anorexia*
Insomnia
Nausea
Constipation
Anxiety

17
Q

Venlafaxine

A

Unique:
Bad D/C syndrome*
Take w/food

SE:
HTN
Nausea

18
Q

Duloxetine

A

Unique:
Great for anxiety
Chronic Pain**
Caution with ETOH/Hepatic disease

SE:
NVD
Insomnia
Sexual
Sedation

19
Q

Vortioxetine

A

Unique:
Procognitive*
Less sexual SE

SE:
NVD
still some sexual

20
Q

Amitriptyline

A

Unique:
Anticholinergic

Efficacious, poor tolerability

Off label for pain

SE:
Sedation
Weight gain
Anticholinergic SE

21
Q

Mirtazapine

A

Unique:
Used for insomnia, can be sedating

SE:
Sedation
Weight
NVC