Meds exam 1

Question 1

Benzos (use)

Answer 1

insomnia, acute (not long term) anxiety, alc withdraw, seizures, agitation/aggression, skeletal muscle relaxation (w/ ECT)

Question 2

benzos (AE)

Answer 2

dependence/tolerance
drowsiness, sedation, ataxia, dizziness
feelings of detachment, irritability, hostility
anteriorgrade amnesia
cognitive effects with long term use
rebound insomnia
rarely nausea, headache, confusion, depression,

Withdraw is possible: agitation → hallucinations, tons of physical symptoms too

Question 3

benzos (pt teaching)

Answer 3

do not mix with alcohol, chance of dependency

Question 4

antihistamine (use)

Answer 4

provide sedation,

Question 5

blocking agents/noradrenergic agents (use)

Answer 5

relieves symptoms associated with anxiety like diaphoresis/tremors

Question 6

BUSPAR (use)

Answer 6

depression, anxiety, adhd

Question 7

Buspar (pt ed)

Answer 7

takes 1-2 weeks to work
check blood levels to make sure its in the therapeutic range

Question 8

SSRIs, MAOIs, TCAs (use)

Answer 8

depression, anxiety

Question 9

SSRI (AE)

Answer 9

serotonin syndrome, especially when combined with other meds, SI, weight gain
sleep disregulation, nausea, increases sleepiness initially, sexual dysfunction

Question 10

SSRI (pt ed)

Answer 10

initial SI, contact provider, keep taking, s/s of serotonin syndrome

Question 11

MAOIs (AE)

Answer 11

serotonin syndrome (confusion, muscle rigidity, diaphoresis, increased HR, fluctuating BP, autonomic dysfunction), especially when combined with other meds, SI, headache d/t increased BP,

Question 12

MAOI (pt ed)

Answer 12

initial SI, contact provider, keep taking, be aware of bad headache, as hypertensive crisis can occur
no tyramine (cheeses, wines, avacados, chinese food)

Question 13

TCAs (AE)

Answer 13

serotonin syndrome, especially when combined with other meds, SI, anticholinergic symptoms (dry mouth, difficulty voiding, increased HR, Fluid retention → Increased BP

Question 14

TCAs (pt ed)

Answer 14

initial SI, contact provider, keep taking, high cost, high suicide effectiveness with OD

Question 15

Trazadone

Answer 15

sleep

Question 16

Lorazepam (Ativan)

Answer 16

short half life / intermediate onset, benzo

Question 17

Xanax

Answer 17

benzo

Question 18

Valium

Answer 18

long half life / fast acting, benzo

Question 19

Librium

Answer 19

benzo

Question 20

Klonopin

Answer 20

benzo

Question 21

Midazolam (Versed)

Answer 21

benzo

Question 22

Tranxene

Answer 22

benzo

Question 23

diphenhydramine HCL (Benadryl)

Answer 23

antihistamine

Question 24

hydroxyzine (vistaril, atarax)

Answer 24

antihistamine

Question 25

propanolol (inderal)

Answer 25

blocking agents/ noradrenergic agents

Question 26

clonidine (catapres)

Answer 26

blocking agents/ noradrenergic agents

Question 27

citalorpram (Celexa)

Answer 27

SSRIs

Question 28

Fluloxetine (prozac)

Answer 28

SSRIs

Question 29

Sertaline (zoloft)

Answer 29

SSRIs

Question 30

escitalopram (lexapro)

Answer 30

SSRIs

Question 31

Fluvoxemine (Luvox)

Answer 31

SSRIs

Question 32

Phenilzene (nardil)

Answer 32

MAOIs

Question 33

Isocarboxid (Marplan)

Answer 33

MAOIs

Question 34

Moclobemide (Manerix, RIMA)

Answer 34

MAOIs

Question 35

Selegline (Edepryl, Emsam)

Answer 35

MAOIs

Question 36

Tranylcypromine (Parnate)

Answer 36

MAOIs

Question 37

Amitryptiline (Elavil)

Answer 37

TCAs

Question 38

impramine (tofranil)

Answer 38

TCAs

Question 39

nortryptiline (pamelor)

Answer 39

TCAs

Question 40

Clomipramine (anafranil)

Answer 40

first med for OCD, TCAs

Question 41

Doxepin (sinequan)

Answer 41

TCAs