Passmed (Psych) Flashcards
Side effect of SSRIs?
GI symptoms (diarrhoea); gi bleeds; more agitated
What is de Clermbault’s syndrome?
Erotomania (othello is delusion of sexual infidelity)
Discontinuation symptoms of SSRI?
Sweating, sleeping issues, dizziness
Which anti-psychotics cause acute dystonic reactions?
typical psychotics (i.e. haloperidol & chlorpromazine)
SSRIs: which drugs do they interact with?
Triptans & MAOIs (e.g. rasagiline) - increased risk of serotonin syndrome
Clozapine is used for treatment resistant schizophrenia; what are the adverse efects?
(ofc the agranuloctyosis) & reduces seizure threshold
Which benzo used for first line treatment of withdrawl?
Chlordiazepoxide
Which of the atypical antipsychotics have the best side effect profile?
Aripiprazole: particularly good esp for prolactin elevation
First line anti-craving alcohol medication?
Disulfiram: causes a buildup of acetyldehyde. Can be life threatening
After disulfiram, what might be used as anti-craving?
Acamprosate: works in combination with psychological support. Safer
Options for substitution in heroin addiction?
Methadone (or even better, the partial agonist,) buprenorphine
Herioin addiction relapse med
Oral version is called ‘naltrexone’
What is conversion disorder?
Functional neuro symptoms that can’t be explained - associated w/ stress/anxiety
not consciously feign symptoms (factitious) or seek gain (malingering)
What is circumstantiality in terms of a thought disorder?
Giving extreme, excesssive, unnecessary detail
What are the three main symptoms of depression?
Low mood, anhedonia, lack of energy
