Kruse CIS thing Flashcards

1
Q

How long do SSRI’s take to go into effect?

A
  • 4-6 weeks

- benzos are much faster

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2
Q

can you give a benzo and an SSRI together?

A

-yeah for sure!

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3
Q

What is generalized anxiety disorder treated with?

A

-SSRI

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4
Q

What are benzos good for?

A

-short term symptom relief of crazy ppl

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5
Q

which way do we shift the dose response curve when we give a benzo?

A
  • to the left

- that increases potency… less drug to get effects

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6
Q

Flumazenile, does it do anything when benzos arent there?

A

-no… remember that

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7
Q

what would we give someone who is going to have a bronchoscopy or something like that to induce anterograde amnesia and calm them down?

A

-Oxazepam

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8
Q

What drug class does chorpromazine fit under?

A

-antipsychotics

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9
Q

What is Zolpidem good for?

A

-sleep aid

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10
Q

What kind of antagonist is Flumazenil?

A
  • a competitive one

- binds to benzo binding site on GABAa receptors and acts as a competitive antagonist

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11
Q

What drug do we use if someone is just having a lot of anxiety?

A
  • Buspirone

- a lot of the other ones we might think about will have substance abuse risk

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12
Q

Which GABAa receptor agonists are appropriate choice to treat sleep problems

A
  • Zolpidem (shortest half life so best choice)
  • Eszopliclone
  • Zalpelon
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13
Q

What enzyme does disulfiram inhibit?

A
  • acetaldehyde dehydrogenase

- buildup of acetaldehyde and makes them feel like ASSSSSSSS

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14
Q

If someone is having a withdrawal syndrome because of the lack of CNS depressant, what drug should we give them?

A

-Lorazepam

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15
Q

If someone ingests methanol, what do we give them as an antidote?

A
  • Ethanol
  • higher affinity for ADH
  • fomepizole also works because it inhibits ADH directly
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16
Q

If someone has wernicke encephalopathy, what drug do you give them?

A

-Thiamine (Vit B1)

17
Q

If someone has alcohol dependence and is is given a drug that messes with the opiate receptor activity?

A

-Naltrexone, an opiate antagonist, longer acting
-facilitates avoidance because it decreases the overall cravings
-Methadone is the long acting AGONIST
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