Lange:psychopharmacology Flashcards
If delirium presents in Serotonin storm syndrome, what is the mediation used
- benzodiazepine
- use cyproheptadine in severe serotonin syndrome
Treatment for atypical depression
SSRI
MAOI
chlordiazepoxide
long acting benzodiazepine
1st line and 2nd line treatment for akethesia
1st: beta blocker
2nd: benzodiazepine
First line treatment and 2nd line treatment for bipolar
1st: lithium, lamotrigine, quetiapine
2nd: valproic acid
most severe complication of neuroleptic syndrome
rhabdomyolysis
Most potent benzodiazepine
Clonazepam
Medication to improve tardive dyskinsia
Clozapine
most potential risk of SSRI exposure during pregnancy
persistent pulmonary hypertension of the newborn
how do you discontinue the use of SSRI
tapered down
what drug lowers the efficacy of lamotrigine
drospirenone and ethinyl estradiol
what heat problems does lithium cause
T wave depression
when do you use cingulotomy
severe, refractory cases of OCD
Clozapine reacts at what receptor to help with positive symptoms of schizophrenia
D4
Imipramine and Nortriptyline which one is more likely to cause hypotension and why
Imipramine because it is a tertiary amine
- nortripyline is a secondary amine
First and second line treatment for mania
1st: lithium and valproic acid
2nd: lamotrigine
Which antipsychotic medication is least likely to allow a patient to pass out and minimize risk of falling?
first generation antipsychotics have least alpha1 receptor activity compared to 2nd generation.
- High potency first generation antipsychotics have the least alpha 1 interaction
a behavioral modifier medication that decreases alcohol use
disulfiram
Drugs used to reduce cravings for alcohol
- Acamprosate
- Naltrexone
Side effects of Risperidone
- increase prolactin
- orthostatic hypotension
- reflex tachycardia
higher doses of 2nd generation antipsychotics such as risperidone can have what side effect
extrapyramidal side effects
what is topiramate used to treat
Buliemia and and binge eating disorder
side effect of transcranial magnetic stimulation
headache
Pimozide? drug interaction?
First generation antipsychotic
- citalopram, prolong QTc
name 2 antipsychotic drugs available as depot injection? which one has less side effects
Haloperidol and risperidone (less side effects)
how long a patient stay on antidepressants even if they feel they don’t need it
6 months (8-12)
Labetalol
mixed alpha and beta antagonists
what is the last depression trait to be treated when taking an antidepressant
suicidality
Medication used for falling asleep but frequent awakenings during the night
Zaleplon
can you give benzodiazepines to a patient with delirium
no
Name drugs that would interact with warfin
- buspirone
- citalopram
- venlafaxine
formication
feelings of bugs crawling on the skin,
- alcohol withdrawal
- cocaine intoxication
amotivational syndrome
lack of drive associated with chronic drug use
rash around mouth can indicate what drug use
inhalants
Rabbit Syndrome
- rare side effect of long-ter antipsychotic use
- involuntary fine, rhythmic motions of the mouth and lips
when does delirium tremens start after alcohol withdrawal
72 hours
side effect of oxcarbazepine
hyponatremia
