Mental Health Flashcards
Can BZs be used in myasthenia gravis
with caution, contraindicated if unstable
Can you abruptly withdraw BZs
No
What might be a paradoxical side-effect of BZs? (4)
hostility
aggression
excitment
talkativenss
What are the signs of BZ overdose
drowsiness ataxia dysarthria nystagmus resp depression coma
what might be a treatment of BZ overdose
why is this treatment problematic
activated charcoal (within 1 hour of ingesting) flumazenil (BZ antagonist) problematic in mixed overdose involving TCAs or patients that are BZ dependant
what class of medication is busprione what is it used for
serotonin receptor agonist
short term use in anxiety`
1st choices for ADHD (2)
2nd choices for ADHD (2)
1: methyphenidate, atomoxetine
2: dexamphetamine, lisdexamphetamine
2 side-effects of dexamphetamine & lisdexamphetamine to monitor
Tics & tourette syndrome - discuontinue if tics occur
Growth restriction - drug free periods can allow catch-up
cautions of atomoxetine (2)
suicidal idiation
hepatic impairment
Symptoms of hepatic impairment
darkening of urine
malaise
darkening of urine
jaundice
Which ADHD drug to be prescribed by brand
methylphenidate (because it contains different proportions of immiediate and MR release component)
Is St Johns wort and inducer or inhibitor of liver enzymes
inducer
