Psych Flashcards
1
Q
Second line treatment for panic disorder after SSRI
A
Clomipramine / imipramine - tricyclics
2
Q
Switching from fluoxetine to another SSRI regime
A
Stop for 4-7 days then start new SSRI at low dose - long half-life
3
Q
When to check lithium levels after a dose change? And at what time point after a dose
A
Weekly until levels are stable
12 hours post-dose
4
Q
Adult with depression, ask about what to r/o alternative diagnosis?
A
> 4 days of disinhibited/overactive behaviour
to r/o bipolar
5
Q
Depressed older patient on anticoagulants/NSAIDs, Rx
A
Mirtazapine preferred - lower bleeding risk
6
Q
PHQ-9 cut off for less/more severe depression
A
16
7
Q
Antipsychotics with worst CV risk profile
A
Clozapine
Olanzapine
8
Q
Bipolar and severe depression
A
Fluoxetine + Olanzapine
