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Phase 2 - Mental Health > Medications > Flashcards

Medications Flashcards

1
Q

What are some SSRIs?

A

Sertraline
Fluoxetine
Citalopram

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2
Q

What are some side effects of SSRIs?

A 
Headache
Nausea
Increased motivation (for suicide)
Weight Gain
Agitation
Anorexia
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3
Q

What are some SNRIs?

What are some side effects of SNRIs

A

Venlafaxine, Duloxetine
More severe side effects than SSRIs
Weight gain
Low Na+, high BP

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4
Q

What are some TCAs
What are some side effects of TCAs
What are they also used for?

A

Amytriptiline

Turned Off
Constipation
ANS effects - sweating, nausea, diarrhoea, anxiety

Neuropathic Pain

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5
Q

What is the standard dosage of SSRIs?

A

50mg Sertraline for depression (can go up to 100mg)

If anxiety/panic disorder then can give a high dose`

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6
Q

What are some NARIs?

What are some side effects of NARIs?

A

Reboxetine

Feel like i’m in a box) Sweating, Tachycardia, Constipation etc (ANS

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7
Q

What are some NaSSAs?

What are some side effects of NaSSa?

A

Mirtazapine
Weight Gain and increased appetite
Confusion
Tired

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8
Q

What is a specific risk of Citalopram?

A

Long QTc and hypokalaemia

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9
Q

How long do you take an anti-depressant for?

A

6 months after 1st episode goes

up to 2 years after second + episode

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10
Q

How long does it take SSRIs to start working

A

4-6 weeks

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11
Q

What is the 1st mood stabilizer?

What are some side effects of this mood stabilizers?

A

Lithium Carbonate

Leukocytosis
Increased Thirst and urine
Tremor (fine)
HypoThyroid 
Increased weight
Underactive Memory
Mothers (teratogenic)
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12
Q

What are some atypical anti-psychotics?

What are some typical anti-psychotics?

A

Rispiridone
Olanzapine

Haloperidole
Chlorpromazine

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13
Q

Why do you use atypical anti-psychotics more than typical?

A

As they have fewer EPSEs

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14
Q

What are some side effects of anti-psychotics?

A 
Increased prolactin - erectile dysfunction, dysmenorrhoea, gynaecomastia
Tremor and Parkinsonism
Sedation
Nausea
Headaches
Weight Gain and glucose tolerence
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15
Q

What is the ADHD medication?

Side effects?

A

Ritalin
(Mehtyphenidate)

Growth restiction
BP raised
Seizures
Nausea and Headaches

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16
Q

When do you NOT use an AChE inhibitor?

A

COPD

17
Q

What are some Alzheimers treatments?

Side effects?

A

Galantamine
Donepazil
Memantine

Bradycardia
Nausea
Syncope
AV Block

18
Q

What anti-convulsants do you use in Bipolar?

Side effects?

A

Carbamezapine
Lamotrigine

Nausea
Sedation
HypoNa+

19
Q

What is the 2nd line mood stabiliser

A

So

20
Q

What is the 2nd line mood stabiliser

A

Sodium Valproate

Ataxia
Liver Failure
Pancreatitis
Reversible Hair Loss
Oedema
Appetite Gain
Teratogenic/Tremor
Encephalopaty
21
Q

What is the 2nd line mood stabiliser

A

Sodium Valproate

Ataxia
Liver Failure
Pancreatitis
Reversible Hair Loss
Oedema
Appetite Gain
Teratogenic/Tremor
Encephalopathy
22
Q

What is the abnormality with foetuses with Lithium?

A

Ebsteins Anomaly

23
Q

What is the abnormality with foetuses with Valproate?

A

Neural tube defects

24
Q

What do you use in refractory schizophrenia?

A

Clozapine

25
Q

What are the side effects of Clozapine?

A 
Weight Gain
Agranulocytosis
Increased Salivation
Seizures
Nausea

Can only do as an inpatient

26
Q

What are the EPSEs and when do they come in?

A

Dystonia (days)
Akanthisia (weeks)
Parkinsonism
Tardive dyskinesia (months - years and are irreversible)

27
Q

What is Tardive dyskinesia?

A

Involuntary, stiff, jerky, repetitive movements

Tongue sticking out, lip smacking

28
Q

What is dystonia?

A

Painful, involuntary muscle spasms

e.g. torticollis

29
Q

What is neuroleptic malignant syndrome?

A 
Severe reaction to an anti-psychotic
--> ICU
You get labile BP, fever, HR
Sedation
Raised CK and WCC
Muscle rigidity and stiffness
30
Q

What is post-injection syndrome?

A

OD after a depot injection
Monitor after injection

Sedation
Slurring
Confusion
Ataxia and Weakness

Phase 2 - Mental Health (11 decks)

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