Mood Stabilizers

Question 1

Lithium

Answer 1

Mood stabilizer, drug of choice for mania/prophylaxis, narrow therapeutic index

Question 2

Carbamazepine

Answer 2

Tegretol, anticonvulsant, blocks NA channels, onset 5-7 days, especially useful for mixed episodes and rapid cycling BPD, less effective for depressed phase. Also used in management of trigeminal neuralgia

Question 3

Valproic Acid

Answer 3

Depakote, anticonvulsant, useful for mixed/rapid cycling

Question 4

Lamotrigine

Answer 4

Lamictal, anticonvulsant, efficacy for bipolar depression, little efficacy for acute mania, prevention of mania

Question 5

Oxcarbazepine

Answer 5

Trileptal, anticonvulsant

Question 6

Gabapentin

Answer 6

Neurontin, anticonvulsant

Question 7

Pregabalin

Answer 7

Lyrica, anticonvulsant, used in GAD, fibromyalgia, little efficacy for BPD

Question 8

Tiagabine

Answer 8

Gabitril, anticonvulsant

Question 9

Topiramate

Answer 9

Topomax, helpful with impulse control, weight loss

Question 10

Diazepam

Answer 10

Valium, benzo, long acting, rapid onset

Question 11

Clonazepam

Answer 11

Klonopin, benzo, long acting, treatment of anxiety and panic attacks, avoid with renal dysfunction

Question 12

Alprazolam

Answer 12

Xanax, benzo, intermediate acting, high abuse potential

Question 13

Lorazepam

Answer 13

Ativan, benzo, intermediate acting, not metabolized by liver

Question 14

Oxazepam

Answer 14

Serax, benzo, intermediate acting, not metabolized by liver

Question 15

Temazepam

Answer 15

Restoril, benzo, intermediate acting, not metabolized by liver

Question 16

Triazolam

Answer 16

Halcion, benzo, short acting, medical/surgical settings

Question 17

Midazolam

Answer 17

Versed, benzo, short acting, medical/surgical settings

Question 18

Zolpidem

Answer 18

Ambien, non benzo hypnotic

Question 19

Zaleplon

Answer 19

Sonata, non benzo hypnotic

Question 20

Eszopiclone

Answer 20

Lunesta, non benzo hypnotic

Question 21

Diphenhydramine

Answer 21

Benadryl, non benzo hypnotic/antihistamine

Question 22

Chloral Hydrate

Answer 22

Noctec, non benzo hypnotic

Question 23

Ramelteon

Answer 23

Rozerem, non benzo hypnotic, selective melatonin MT1 and MT2 agonist

Question 24

Buspirone

Answer 24

BuSpar, non benzo anxiolytic, 5HT-1A receptor, slower onset (1-2 weeks)

Question 25

Hyroxyzine

Answer 25

Atarax, non benzo anxiolytic, antihistamine

Question 26

Butalbitol

Answer 26

Barbiturate, non benzo anxiolytic

Question 27

Phenobarbitol

Answer 27

Barbiturate, non benzo anxiolytic

Question 28

Amobarbitol

Answer 28

Barbiturate, non benzo anxiolytic

Question 29

Pentobarbitol

Answer 29

Barbiturate, non benzo anxiolytic

Question 30

Propranolol

Answer 30

Beta blocker, non benzo anxiolytic

Question 31

Dextroamphetamine/amphetamine

Answer 31

Adderall, dexedrine, psychostimulant, ADHD

Question 32

Methylphenidate

Answer 32

Ritalin/Concerta, psychostimulant, ADHD

Question 33

Atomoxetine

Answer 33

Strattera, presynaptic norepinephrine transporter inhibitor, ADHD for substance abusers

Question 34

Modafanil

Answer 34

Provigil, psychostimulant

Question 35

Donepezil

Answer 35

Aricept, acetylcholinesterase inhibitor

Question 36

Galantamine

Answer 36

Reminyl, acetylcholinesterase inhibitor

Question 37

Rivastigmine

Answer 37

Excelon, acetylcholinesterase inhibitor

Question 38

Tacrine

Answer 38

Cognex, acetylcholinesterase inhibitor

Question 39

Memantine

Answer 39

Namenda, acetylcholinesterase inhibitor