Principles of Psychopharm Flashcards
What are the most commonly prescribed drugs?
Psychiatric Agents
Serotonin originates where?
Raphe Nuclei
Norepi originates where?
Locus Ceruleus
Where does dopamine originate?
VTA and Substantia nigra
Phencyclidine can be used to block ___ and mimic which disease?
NMDA receptors; schizophrenia
GABA agents merely treat _____ not the ____ ____
symptoms; underlying condition
Fear of ___ can be treated completely with GABA agents
flying
Antipsychotics target the ___ receptor for dopamine and ___ the amount of dopamine
D2; decrease
Negative symptoms like poor hygiene and social isolation are modulated by
mesocortical pathway
Positive symptoms like delusions and perceptual disturbances are modulated by
mesolimbic pathway
Side effects of dopamine agents in the _____ include movement disorders
nigrostriatal area
Side effects of the tuberoinfundibular pathway include
prolactin effects
First generation antipsychotics are known as ___ and are divided into ___ and __ potency groups
typicals; high; low
Low potency antipsychotics have ___ side effects
more
Antihistamine effects are (2)
weight gain, sedation
Anticholinergic effects include these two major ones
dry mouth, constipation
Antiadrenergic effects include (2)
arrhythmias, orthostasis
Second generation antipsychotics are _____ because they not only block D2 receptors but also ____
atypicals; 5HT (serotonin)
Second generation antipsychotics are not more ____ but they are better _____
effective; tolerated
A unique side effect of Second generation antipsychotics is
metabolic syndrome
The drug with the strongest association with metabolic syndrome is
olanzapine
Clozapine may cause
agranulocytosis
All antidepressants increase the level of _____
monoamines
Patients on MAOIs should avoid _____ found in aged, cured, and fermented foods
tyramine
TCAs are ____ with overdose
fatal
SNRI also help with
pain
____ and ____ are shown to reduce the risk of suicide
Lithium, clozapine
These three benzos are liver sparing
lorazepam, oxazepam, temazepam
Alprazolam has a __ onset and a __ duration
quick; short
___ are the safest and best tolerated anti-depressants
SSRIs