Lange:psychopharmacology Flashcards

1
Q

If delirium presents in Serotonin storm syndrome, what is the mediation used

A
  • benzodiazepine

- use cyproheptadine in severe serotonin syndrome

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2
Q

Treatment for atypical depression

A

SSRI

MAOI

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3
Q

chlordiazepoxide

A

long acting benzodiazepine

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4
Q

1st line and 2nd line treatment for akethesia

A

1st: beta blocker
2nd: benzodiazepine

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5
Q

First line treatment and 2nd line treatment for bipolar

A

1st: lithium, lamotrigine, quetiapine
2nd: valproic acid

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6
Q

most severe complication of neuroleptic syndrome

A

rhabdomyolysis

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7
Q

Most potent benzodiazepine

A

Clonazepam

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8
Q

Medication to improve tardive dyskinsia

A

Clozapine

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9
Q

most potential risk of SSRI exposure during pregnancy

A

persistent pulmonary hypertension of the newborn

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10
Q

how do you discontinue the use of SSRI

A

tapered down

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11
Q

what drug lowers the efficacy of lamotrigine

A

drospirenone and ethinyl estradiol

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12
Q

what heat problems does lithium cause

A

T wave depression

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13
Q

when do you use cingulotomy

A

severe, refractory cases of OCD

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14
Q

Clozapine reacts at what receptor to help with positive symptoms of schizophrenia

A

D4

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15
Q

Imipramine and Nortriptyline which one is more likely to cause hypotension and why

A

Imipramine because it is a tertiary amine

- nortripyline is a secondary amine

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16
Q

First and second line treatment for mania

A

1st: lithium and valproic acid
2nd: lamotrigine

17
Q

Which antipsychotic medication is least likely to allow a patient to pass out and minimize risk of falling?

A

first generation antipsychotics have least alpha1 receptor activity compared to 2nd generation.
- High potency first generation antipsychotics have the least alpha 1 interaction

18
Q

a behavioral modifier medication that decreases alcohol use

A

disulfiram

19
Q

Drugs used to reduce cravings for alcohol

A
  • Acamprosate

- Naltrexone

20
Q

Side effects of Risperidone

A
  • increase prolactin
  • orthostatic hypotension
  • reflex tachycardia
21
Q

higher doses of 2nd generation antipsychotics such as risperidone can have what side effect

A

extrapyramidal side effects

22
Q

what is topiramate used to treat

A

Buliemia and and binge eating disorder

23
Q

side effect of transcranial magnetic stimulation

A

headache

24
Q

Pimozide? drug interaction?

A

First generation antipsychotic

- citalopram, prolong QTc

25
Q

name 2 antipsychotic drugs available as depot injection? which one has less side effects

A

Haloperidol and risperidone (less side effects)

26
Q

how long a patient stay on antidepressants even if they feel they don’t need it

A

6 months (8-12)

27
Q

Labetalol

A

mixed alpha and beta antagonists

28
Q

what is the last depression trait to be treated when taking an antidepressant

A

suicidality

29
Q

Medication used for falling asleep but frequent awakenings during the night

A

Zaleplon

30
Q

can you give benzodiazepines to a patient with delirium

A

no

31
Q

Name drugs that would interact with warfin

A
  • buspirone
  • citalopram
  • venlafaxine
32
Q

formication

A

feelings of bugs crawling on the skin,

  • alcohol withdrawal
  • cocaine intoxication
33
Q

amotivational syndrome

A

lack of drive associated with chronic drug use

34
Q

rash around mouth can indicate what drug use

A

inhalants

35
Q

Rabbit Syndrome

A
  • rare side effect of long-ter antipsychotic use

- involuntary fine, rhythmic motions of the mouth and lips

36
Q

when does delirium tremens start after alcohol withdrawal

A

72 hours

37
Q

side effect of oxcarbazepine

A

hyponatremia