Mental Health - Final Medications Flashcards

1
Q

Tricyclics

A

Block Norepinephrine reuptake

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2
Q

SSRI

A

Block Serotonin reuptake

DONT STOP ABRUPTLY

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3
Q

MAO AI

A

monoamine oxidase inhibitors

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4
Q

Atypical Antidepressant

A

NDRI
SARI
SNRI
NaSSA

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5
Q

Wellbutrin

A

Atypical Antidepressant - NDRI
*DECREASES SEIZURE THRESHOLD
smoking cessation

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6
Q

Effexor

A

Atypical Antidepressant - SNRI

-need to monitor for elevated BP

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7
Q

Cymbalta

A

Atypical Antidepressant - SNRI

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8
Q

sertraline (Zoloft)

A

SSRI Antidepressant

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9
Q

Citalopram (Celexa)

A

SSRI Antidepressant

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10
Q

excitalopram (Lexapro)

A

SSRI Antidepressant

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11
Q

fluoxitine (Prozac)

A

SSRI Antidepressant

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12
Q

paroxetine (Paxil)

A

SSRI Antidepressant

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13
Q

amitriptyline (Elavil)

A

Tricyclic Antidepressant

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14
Q

AE of SSRI

A
Sleep disturbance
HA
Sexual dysfunction
sweating
*Serotonin syndrome
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15
Q

Trazadone (Desyrel)

A

Atypical Antidepressant SARI
AE: Priapism
used as sleep aid

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16
Q

AE of Tricyclics

A
Cardiac dysrhythmias
constipation
urinary retention
dry mouth
sedating
Lethal in OD
17
Q

AE of MAOIs

A
weight gain
orthostatic hypotension
sexual dysfunction
Need 2 week washout period before use with other meds
Avoid foods with Tyramine
18
Q

phenelzine (Nardil)

A

MAO AI

19
Q

tranylcypromine (Parnate)

A

MAO AI

20
Q

selegiline (Emsam)

A

MAO BI

21
Q

MAOI Toxicity

A

hypertensive crisis

22
Q

Lithium carbonate

A

Mood Stabilizer

Gold Standard for Bipolar Tx

23
Q

Therapeutic Lithium Level

A

0.8 to 1.4 mEq/L

Maintenance is 0.4 to 1.3

24
Q

AE of Lithium

A
fine hand tremors
thirst
weight gain
polyuria
nausea

Long term: hypothyroidism, kidney function

25
Q

Lithium Toxicity

A

levels greater than 1.4 mEq/L
S/S: slurred speech, muscle weakness, polyuria, diarrhea, confusion, lack of coordination, muscle hyper irritability, seizures, incontinence, cardiac arrythmias, coma, death

26
Q

Labs for Lithium

A

Baseline EKG
Kidney- BUN & CR
Thyroid - TSH

27
Q

carbamazepine (Tegretol)

A

Anti-Epileptic for Bipolar (Acute Mania)

periodic liver function, platelet count, & blood levels

28
Q

oxcarbazepine (Trileptal)

A

Anti-Epileptic

29
Q

divalproex, Valproic Acid (Depakote)

A

Anti-Epileptic for Bipolar (Acute Mania)

periodic liver function & platelet count

30
Q

lamotrigine (Lamictal)

A

Anti-Epileptic for Bipolar

AE: Stevens-Johnson

31
Q

gabapentin (Neurontin)

A

Anti-Epileptic for Bipolar

32
Q

topiramate (Topamax)

A

Anti-Epileptic for Bipolar

33
Q

Meds available in Depot

A

Risperdal

Invega