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Pharmacology > psy pharm > Flashcards

psy pharm Flashcards

1
Q

adhd treatment

A

stimulants (methylphenidate ritalin), amphetamines (adderall)

CBT, alternatives: atomoxetine (NRI), guanfacine (a2a), clonidine

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2
Q

tourette syndrome

A

for tics

high potency antipsychotics (eg haloperidol, fluphenazine, pimozide), tetrabenazine (vmat inhibitors), a2 agonists (guanfacine, clonidine), or atypical antipsychotic

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3
Q

disruptive mood dysregulation

A

antipsychotics

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4
Q

delirium

A

can use antipsychotics like haloperidol or other 1st gen for agitation and psychosis

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5
Q

shizophrenia

A

atypical antipsychotics like risperidone are first line

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6
Q

bipolar disorder

A

mood stabilizers (lithium, valproic acid, carbamazepine, lamotrigrine), atypical antipsyhotics

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7
Q

MDD

A

SSRIs, and CBT first line

SNRIs and atypical antidepressants (mirtazapine, bupropion)

ECT in select patients

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8
Q

atypical depression

A

CBT and SSRTs are first line

MAOI can be used but are not first line

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9
Q

postpartum depression

A

cbt and ssris

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10
Q

postpartum psychosis

A

antypical antipsychotic, if insufficient can use ECT

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11
Q

panic disorder

A

CBT, SSRI, and venlafaxine are first line.

Benzos can be used in the acute setting or until SSRI kicks in

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12
Q

specific phobia

A

can be treated with systematic desensitization

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13
Q

social anxiety disorder

A

CBT SSRIs and venlafaxine

for ocasionnaly anxiety inducing situations/performance use benzos or beta blockers

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14
Q

GAD

A

SSRI, SNRI are first line

Buspirone, TCAs, benzos are second line

stuff about benzo immediately if needed

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15
Q

adjustement disorder

A

CBT an SSRI

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16
Q

OCD

A

CBT, SSRIs, clomipramine (TCA), venlafaxine

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17
Q

PTSD

A

CBT, SSRIs, venlafaxine 1st line

Prazosin for nightmares

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18
Q

anorexia nervosa

A

psychotherapy, nutritional rehabilitation, SSRI

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19
Q

bulemia

A

psychotherapy, nutritional rehabilitation, SSRI

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20
Q

binge eating disorder

A

psychotherapy such as CBT is first line: SSRIs, lisdexamfetamine (prodrug of dextroampehtamine)

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21
Q

narcolepsy

A

daytime stimulants (amphetamines, modafanil) and nighttime sodium oxybate (GHB) -> good for cataplexy and daytime sleepiness

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22
Q

amphetamines include

A

detroamphetamine (with levo is adderall), and methampheatmine (mostly for ilicit use)

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23
Q

MDMA is?

A

a snythetic derivative of methamphetamine

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24
Q

methylphenidate is?

A

an amphetamine derivative

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25
Q

CNS stimulants mech

A

542

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26
Q

CNS stimulants use

A

542

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27
Q

CNS stimulants effects

A

542

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28
Q

review nms vs ss

A

542

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29
Q

prochlorperazine

A

typical antipsychotic used as antiemetic

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30
Q

what is the nigrostiatal pathway balanced by?

A

m1

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31
Q

typical antipsychotics mech

A

dont forget mesolimbic pathway

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32
Q

typical antipsychotics main effects

A

543

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33
Q

eps

A

543

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34
Q

eps treatments

A

543

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35
Q

nms in fa

A

543

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36
Q

nms treatment

A

543

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37
Q

highest risk for metabolic syndrome of antipical antipsychotics

A

clozapine, olanzapine

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38
Q

use clozapine for?

A

treatment resistance shizo or schizoaffective disorder, and for suicidality in shozophrenia

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39
Q

atypical antipsychotics side effects all

A

543

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40
Q

-pines cause?

A

543

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41
Q

colzapine special effects

A

myocarditis

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42
Q

rsiperidone special effects

A

543

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43
Q

olanzapine -> obseity

A

543

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44
Q

lithium toxicity

A

acute -> n/v, diarrhea, later CNS, NM excitability, delirums

chronic toxicity

confusion, agitation, ataxia, tremors, fasiculations

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45
Q

lithium how to treat nephrogenic diabetes insipidus

A

amiloride, thiazide

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46
Q

lithium mech

A

544

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47
Q

lithium use

A

544

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48
Q

lithium main effects

A

544

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49
Q

lithium main effects

A

544

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50
Q

buspirone mech

A

544

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51
Q

buspirone main use

A

544

52
Q

buspirone other features 2

A

no abuse potential or sx dysfxn

53
Q

what takes weeks for effects?

A

SSRIs, SNRIs, TCAs, and MAOI

54
Q

ssris mech

A

545

55
Q

ssris use

A

545

56
Q

ssris effect

A

545

57
Q

snris

A

545

58
Q

snri

A

545

59
Q

snri mech

A

545

60
Q

snri use

A

545

61
Q

snri effects

A

545

62
Q

drugs that can cause serotonin syndrome

A

545

63
Q

how to treat serotonin syndrome

A

545

64
Q

TCAs mech

A

545

65
Q

TCAs use

A

545

66
Q

TCAs effects

A

545

67
Q

monoamines

A

epi, norepi, dopamine, serotonin, melatonin

68
Q

MAOI mech

A

irreversible

69
Q

MAOI use

A

selegine used in parkinsons

70
Q

avoid maois with? aka others that can cause serotonin syndrome

A

SSRISS!!!

St johns wort, meperidine

71
Q

with MAOI why do you wait two weeks after stopping?

A

before beinning other serotonergic drugs or stopping dietary restrictions

72
Q

bupropion mech

A

546

73
Q

bupropion has effects like and might be good for who?

A

amphetamine like stiulation and might be good for those with fatigue or hypersomonia

74
Q

bupropion toxicity

A

546

75
Q

bupropion used as an adjuncto to ssri when?

A

to help alleviate sexual dysfxn

76
Q

mirtazapine mech

A

546

77
Q

mirtazapine toxicity

A

546

78
Q

mirtazapine toxicity

A

546

79
Q

trazodone mech

A

546

80
Q

trazodone toxicity

A

546

81
Q

varenicline mech

A

546

82
Q

varenicline use

A

546

83
Q

varenicline toxicity

A

546

84
Q

vilazodone mech

A

546

85
Q

vilazodone use

A

546

86
Q

vilazodone toxicity

A

546

87
Q

vortioxetine mech

A

546

88
Q

vortioxetine use

A

546

89
Q

vortioxetine side effects

A

546

90
Q

pimozide

A

unspecified atypical

91
Q

haloperiodol

A

high potency

92
Q

fluphenazine

A

high potency

93
Q

trifluoperazine

A

high potenccy

94
Q

chlorpromazine

A

low potency

95
Q

thiordazine

A

low potency

96
Q

aripiprazole

A

antypical

97
Q

asenapine

A

antypical

98
Q

clozapine

A

antypical

99
Q

olanzapine

A

antypical

100
Q

quetiapine

A

antypical

101
Q

iloperidone

A

antypical

102
Q

paliperidone

A

antypical

103
Q

risperidone

A

antypical

104
Q

lurasidone

A

antypical

105
Q

ziprasidone

A

antypical

106
Q

fluoxetine

A

ssri

107
Q

fluvoxamine

A

ssri

108
Q

paroxetine

A

ssri

109
Q

sertraline

A

ssri

110
Q

escitalopram

A

ssri

111
Q

citalopram

A

ssri

112
Q

venlafaxine

A

snri

113
Q

desvenlafaxine

A

snri

114
Q

duloxetine

A

snri

115
Q

levomilnacipran

A

snri

116
Q

milnacipran

A

snri

117
Q

amitriptyline

A

tca

118
Q

nortriptyline

A

tca 2nd

119
Q

imipramine

A

tca

120
Q

desipramine

A

tca 2nd

121
Q

clomipramine

A

tca

122
Q

doxepine

A

tca

123
Q

amoxapine

A

tca

124
Q

tranylcypromine

A

maoi

125
Q

phenelzine

A

maoi

126
Q

isocarboxazid

A

maoi

127
Q

selegiline

A

maoi

Pharmacology (33 decks)

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