Pharmacotherapy Flashcards
What are the dangers of mixing drugs from opiate and benzodiazepine groups?
Respiratory depression or death.
What is the increased likelihood of mixing alcohol with benzodiazepine and opiates?
Likely death.
What is the increased likelihood of mixing alcohol with benzodiazepine and opiates?
Possibly death.
What is the correct name for Ritalin?
Methylphenidate.
What is the purpose of OST? 3 reasons.
- Stabilization of life and health
- Reduce reoffending as there’s no need to buy drugs
- Reduce likelihood of infections from needle use
What is the purpose of OST? 3 reasons.
- Stabilization of life and health
- Reduce reoffending as there’s no need to buy drugs
- Reduce likelihood of infections from needle use
2 key drugs in alcohol use. Why are they used?
- Diazepam - enhances inhibitory effect of GABA, reducing hyperstimulation
- Thiamine - ensures adequate replenishment of brain stores
Why do some people do better on Buprenorphine with Naloxone than on Morphine? 3 reasons.
- Work requires less daily pick up
- A heart issue may restrict use of methadone
- May be pregnant
What are 2 substances you should supply both oral and written information, about not using, when someone is on Methadone?
- Alcohol
- Benzodiazepine
Why is it important to give information about 2 group substances you should provide oral/written information for?
Respiratory depression and risks of precipitated withdrawal
Why is it important to give information about 2 group substances you should provide oral/written information for?
Respiratory depression and risks of precipitated withdrawal
When is Naltrexone not used?
When someone has liver problems or if other opioids are in the system, it can result in precipitated withdrawal. It is not used in withdrawal.
How does Dilsulfram (SSRI) work? What are the risks of using this drug?
- Inhibits production of aldehyde hydrogenate causing increase in chemical aldehyde - leading to hungover feeling
- Nausea, vomiting, and death for some
If there is a known history of withdrawal seizures during alcohol withdrawal what drug can be added?
Sodium Valproate
What are 2 disorders that can occur with long term alcohol use (severe)?
Wernickes Syndrome and Korsakoffs Psychosis
What are 2 disorders that can occur with long term alcohol use (severe)?
Wernickes Syndrome and Korsakoffs Psychosis
What is one psychological symptom of Wernickes Syndrome or Korsakoffs Psychosis that is commonly missed. This relates to when a client has good long-term memory but poor short term, giving false or fantastical answers to cover this up?
Confabulation
Name 3 different groups of antidepressants with 1 drug from each:
- SSRI - Ecitalopram
- SNRI - Venlefaxine
- MAO-I - Trycylics
What is Pharmacokinetics?
What body does to the drug
What is Pharmacodynamics?
What drug does to the body
What is Pharmacodynamics?
What drug does to the body
Name a neurotransmitter connected to 1. Methamphetamine, 2. Benzodiazepine, 3. Opioids
- Dopamine
- GABA
- Blocks dopamine, including serotonin
When someone is on medication, is using + has an AOD history, what are key roles of an addiction practitioner?
- To know what the medications are for
- What amount is prescribed?
- What are side effects?
- What is the whaioras understanding of them?
Name 6 ways of taking illicit drugs
- Intravenous
- Subcutaneous
- Per-rectal
- Smoking/inhaling
- Chewing
- Sublingual