Mental Health

Question 1

Can BZs be used in myasthenia gravis

Answer 1

with caution, contraindicated if unstable

Question 2

Can you abruptly withdraw BZs

Answer 2

No

Question 3

What might be a paradoxical side-effect of BZs? (4)

Answer 3

hostility
aggression
excitment
talkativenss

Question 4

What are the signs of BZ overdose

Answer 4

drowsiness
ataxia
dysarthria
nystagmus
resp depression
coma

Question 5

what might be a treatment of BZ overdose

why is this treatment problematic

Answer 5

activated charcoal (within 1 hour of ingesting)
flumazenil (BZ antagonist)
problematic in mixed overdose involving TCAs or patients that are BZ dependant

Question 6

what class of medication is busprione
what is it used for

Answer 6

serotonin receptor agonist

short term use in anxiety`

Question 7

1st choices for ADHD (2)

2nd choices for ADHD (2)

Answer 7

1: methyphenidate, atomoxetine
2: dexamphetamine, lisdexamphetamine

Question 8

2 side-effects of dexamphetamine & lisdexamphetamine to monitor

Answer 8

Tics & tourette syndrome - discuontinue if tics occur

Growth restriction - drug free periods can allow catch-up

Question 9

cautions of atomoxetine (2)

Answer 9

suicidal idiation

hepatic impairment

Question 10

Symptoms of hepatic impairment

Answer 10

darkening of urine
malaise
darkening of urine
jaundice

Question 11

Which ADHD drug to be prescribed by brand

Answer 11

methylphenidate (because it contains different proportions of immiediate and MR release component)

Question 12

Is St Johns wort and inducer or inhibitor of liver enzymes

Answer 12

inducer