High Yield Psych Video Flashcards
least likely antipsychotic to cause EPS
clozapine AE: agranulocytosis
tx for ocular gyric crisis
benztropine, diphenhydramine
tx for akathesia
akathesia - restless movements
1st: propranolol
2nd: benzo
tx for parkinsonian EPS
1: benztropine (anti-H, anti-MAch), diphenhydramine
2: amantadine, bromocriptine (dopamine agonist)
antipsychotic with AE: retina deposits and long QTc
Thioridazine
antipsychotic with AE: purple/grey metallic rash, jaundice
chlorpromazine (also corneal/retinal deposits)
drugs that like to cause neuroleptic malignant syndrome
haloperidol
compazine
metoclopramide (tx; gastroparesis)
droperidol
(can cause any EPS)
neuroleptic malignant syndrome treatment
dantrolene (muscle relax)
bromocriptine
cooling blankets
atypical antipsychotic with no weight gain and akathesia
aripiprozole
atypical antipsychotic with no weight gain and long QTc
ziprasidone
atypical antipsychoticwith cataracts and orthostatic hypoTN
quetiapine
atypical antipsychotic with no EPS
clozapine
atypical antipsychotic with weight gain, DM
olenzapine
atypical antipsychotic with highest chance for EPS and increased prolactin?
risperidone
name 4 SSRIs
fluoxetine (safe for preg)
sertraline
paroxetine fluvoxamine
escitalopramcitalopram(–ine, –pram)
SSRI with most drug-drug interactions
paroxetine
SSRI with the least drug-drug interactions
citalopram
SSRI which doesnt need tapered off when stopping
fluoxetine
SSRI most likely to cause seratonin discontinuation syndrome with abrupt stoppage
fluvoxamine
sertraline
hyperreflexia, tach, myoclonic jerks, HTN, n/v/d when starting an SSRI
5HT syndromelikely taking SSRI + MAOi
when an SSRI gives you ED?
switch to buproprion
norepi and dopamine reuptake inhibitor
buproprion
mirtazapine
atypical antidepressant
antag: alpha1, alpha2, 5HT2&3
increases appetite
SNRIs
venlafaxine
duloxetine
amoxapine
desvenlafaxine
avoid in HTN patient
SNRI + St. Johns’ Wort combined can cause HTN crisis
IV phentolamine?
tx for HTN crisis. alpha blocker, combats the excess NEMAOI + wine/cheese can cause this
TCA OD? EKG?tx?
see wide QRS and long QT interval
tx: charcoal if within 1-2H, IV NaHCO3-
MAOis
tranylcypromine
phenelzine
isocarboxazid
selegeline (MAO-B specifically)
tx for Alzheimers? 2 drug classes
anti Ach esterase - donepazil, rivestigmine, glantamine
anti NMDA - memantine
tx for frontotemporal dementia
olanzapine (tx the disinhibition)
what has shuffling gait, visual hallucinations, and demantia
Lewy Body dementia
(lewy body = alpha synuclein inclusions)
Dementia is a late finding of Parkinson disease, so if its early think this
tx for lewy body dementia
for memory loss: anti Ach esterase - donepazil, rivestigmine, glantamine
can not give typical antipsychotics or l-dopa this causes paridoxical worsening
benzos that are safe to treat DTs if the patient has liver probs?
Lorazepam
Oxazepam
Temazapam
treatment for narcolepsy
scheduled naps and Modafinil (a drug that promotes wakefulness, sometimes also used for ADD)
prevention for PTSD nightmares?
alpha1-blockers (–osin)
PTSD 1st line tx is SSRI
tx for insomnia after you’ve tried counseling on sleep hygiene?
GABAa receptor agonist: zolpidem, zaleplon, escopiclone
