Geriatric Psychiatry Flashcards
1
Q
Pharmacokinetics
A
- Absorption
- Distribution
- Metabolism
- Elimination
2
Q
This complaint is more frequent in elderly persons with depression than in the general population
A
-Somatic (Physical) complaints
3
Q
Antidepressant drug class of choice
A
- Usually SSRIs
- NOO TCAs
- Citalopram < 20mg/day
4
Q
Drugs that can exacerbate depression
A
- Long term benzodiazepine use
- Sympatholytic agents
5
Q
Generalized anxiety disorder treatment
A
- SSRIs = drug of choice
- Avoid Duloxetine (Cymbalta) in pts with hepatic insufficiency
6
Q
Panic disorder in geriatrics
A
- Usually less intense symptoms
- Avoidant behavior
- SSRIs = drug of choice
7
Q
Medications that exacerbate insomnia
A
- Decongestants
- Theophylline
- Amphetamines
- MAOIs
8
Q
Drugs to avoid for pts with insomnia
A
- Diphenhydramine
- Barbiturates
- Benzodiazepines
9
Q
Treatment for insomnia
A
- Melatonin
- Mirtazapine
- Trazodone
10
Q
Pain management
A
- Tylenol
- Topical agents
- Opiates for severe pain
11
Q
Dr. Dodds favorite thing to say?
A
-Everything is drug induced until proven otherwise
