Mental Health Revision Flashcards

1
Q

What type of medication is fluoxetine?

A

SSRI

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2
Q

What are common side effects of mirtazapine?

A

Increased appetite

Sedation

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3
Q

Is Paroxetine safe in pregnancy?

A

It should not be used unless the benefits outweigh the risks

It can increase the risk of congenital malformations

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4
Q

What type of medication is paroxetine?

A

SSRI

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5
Q

What are the side effects of clozapine?

A

Agranulocytosis / neutropenia

FBC should be regularly monitored

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6
Q

What condition is Russell’s sign seen in?

A

Bullimia

calluses on the knuckles or back of hand due to repeated self-induced vomiting

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7
Q

What is used 1st line to treat panic disorder?

A

SSRIs

sertraline

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8
Q

What medications may trigger anxiety?

A
Salbutamol 
Theophylline 
Corticosteroids 
Antidepressants 
Caffeine
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9
Q

What is used 2nd line to treat panic disorder?

A

An alternative SSRI to sertraline

OR

An SSRI (eg. duloxetine, venlaflaxine)

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10
Q

What should be used 3rd line to treat panic disorder?

A

Pregabalin

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11
Q

What type of medication is citalopram?

A

SSRI

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12
Q

What type of medication should SSRIs not be used with?

A

monoamine oxidase inhibitors (MAOI) (eg. Rasagiline)

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13
Q

Why should SSRIs and MAOIs not be used together?

A

Risk of serotonin syndrome

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14
Q

How does serotonin syndrome present?

A
Fever
Confusion
Seizures
Renal and hepatic impairment 
Arrhythmia 
Increased muscle tone 
Hypersecretion of sweat
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15
Q

How is non-adherence to antipsychotics managed?

A

Depot injections of a long-acting intramuscular antipsychotic (eg. risperidone), every two weeks

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16
Q

What are the indications for beginning ECT?

A

treatment resistant severe depression
Manic episodes
An episode of moderate depression known to respond to ECT in the past
Life threatening catatonia