Mental Health Ch. 8 Medications Flashcards
Name the therapeutic effects of conventional neuroleptics.
- Decrease in psychotic symptoms
- Sedation
Hallucinations, delusions, & psychomotor agitation are examples of…
Psychotic symptoms
Name the therapeutic effects of second-generation neuroleptics.
- Decrease in psychotic symptoms
- More effective than conventional neuroleptics in reducing negative symptoms of schizophrenia
TD aka…
Tardive dyskinesia
NMS aka…
Neuroleptic malignant syndrome
EPS aka…
Extrapyramidal syndrome
Name the symptoms of tardive dyskinesia (TD).
Involuntary movements of the face, trunk, extremities due to medication
Name the symptoms of Neuroleptic malignant syndrome (NMS).
- Rigidity
- Catatonia
What is extrapyramidal syndrome(EPS)?
Abnormal movements such as:
- Akathisia
- Akinesia
- Dystonic reactions
Name the therapeutic effects of third-generation neuroleptics.
- Decrease in psychotic symptoms
- Significantly more effective than conventional neuroleptics in reducing negative symptoms of shizophrenia
- Improvement in depressive symptoms
- Low or no motor impairment effect
Drowsiness, insomnia, & akathisia are side effects of…
Third-generation neuroleptics
Tardive dyskinesia (TD), Neuroleptic malignant syndrome (NMS), & extrapyramidal syndrome (EPS) are major side effects for what class of medications?
Conventional neuroleptics
Name the first generation of antipsychotic drugs.
Conventional neuroleptics
Restlessness, muscular tension due to medication is known as…
Akathisia
Dry mouth, blurred vision, skin rash, photosensitivity are minor side effects for which class of drugs?
Conventional neuroleptics
Dry mouth, blurred vision, constipation, orthostatic hypotension, seizures, weight gain, possible metabolic syndrome & type 2 diabetes are possible side effects for which class of drugs?
All second generation neuroleptics
Immediate medical intervention is necessary for what side effects of conventional neuroleptics?
- Tardive dyskinesia (TD)
- Neuroleptic malignant syndrome (NMS)
Name a fatal side effect for clozapine, a second generation neuroleptic, that requires blood monitoring.
Agranulocytosis
Name the drug from the second generation neuroleptics that may elevate liver enzymes, weight gain, cholesterol, & blood sugar.
Olanzapine
What is the side effect for stopping abruptly second generation neuroleptics medication?
Withdrawal syndromes
Name the 5 classes of antidepressant drugs.
1- Nonselective
Control of extrapyramidal syndrome (EPS) caused by use of antipsychotic medications is the therapeutic effect for which class of drugs?
Aniparkinsonian drugs
Name the medication from the antiparkinsonian drug class that may cause life-threatening cardiac symptoms.
Propranolol
Name the side effects of antiparkinsonian drugs.
- Dry mouth
- Blurred vision
- Dizziness
- Nausea
- Fatigue
- Weakness
Name the antidepressant drug classes.
1- Nonselective cyclic agents
2- Selective serotonin reuptake inhibitors
3- Norepinephrine dopamine reuptake inhibitors
4- Serotonin 2 antagonists/ reuptake inhibitors
5- Noradrenergic/ specific serotonergic antidepressants
6- Monoamine oxidase inhibitors
7- Selective serotonin neorepinephrine reuptake inhibitors
With the exception of selective serotonin norepinephrine reuptake inhibitors, name the common therapeutic effects of antidepressant drugs.
- Relief from depression
- Reduction in suicidal ideation & risk of suicide
- Increased activity
- Normalization of sleep & appetite
Name the additional therapeutic effects for norepinephrine dopamine reuptake inhibitors.
- Less likely to provoke a switch to manic state
- May have less negative effect on libido
Name the additional therapeutic effect for selective norepinephrine reuptake inhibitors.
May work more quickly than other antidepressants
What are the therapeutic effects for noradrenergic/ specific serotonergic antidepressants?
Relief from:
- Depression & symptoms for non-selective cycles
- Helps reduce anxiety
- May work faster than other antidepressants
Name the additional therapeutic effects for monoamine oxidase inhibitors.
- May be effective in ADHD
- Classified as reversible or irreversible MAOIs
Name the drug class associated with mood-stabilizing medications.
- Lithium
- Anticonvulsants
What are the therapeutic effects for lithium.
- Decrease in manic symptoms
- Reduces activity level
- Stabilizes mood
- Decreases speech production
- Reduces irritability
- Increases attention span
- Improves judgement
- May help reduce depressive symptoms
Pg. 223
Anticonvulsants therapeutic effect