Psych Flashcards
Meth Use
- what drug helps with dependency
Modafinil
Bipolar disorder
- mgmt
- Initial: lithium/valproate AND antipsychotic
- ECT
- mild/moderate: risperidone or olanzapine or lithium monotherapies
What is risk of antidepressant mono therapy in bipolar dz
precipitation of mania
Which drug has risk of agranulocytosis
Clozapine - which is too bad bc it has better efficacy than other antipsychotics Not used first line, weekly CBCs
Types of schizophrenia
- brief psychotic disorder
- schizophreniform
- Schizophrenia
- Schizoaffective
- sx <1 month
- sx 1-6 months
- sx >6 months
- psychosis + mania or depression
What med is first line for acute psychotic episode for pt with schizophrenia
antipsychotics: olanzapine or quetiapine
Bulimia
- timing for dx
min once weekly for 3 months
Bulimia
- best pharm option
fluoxetine
Hypomania
- mgmt
- first line: 2nd gen antipsychotic - olanzapine or risperidone
- second line: add lithium, other antipsychotics, anticonvulsants
Borderline personality disorder
- mgmt
- no drugs
- LT dialectic behavioral therapy best
Opioid abuse
- LT management option without risk of withdrawal if DC
- naltrexone
methadone and buprenorphine/naloxone both lead to withdrawal if stopped
Opioid abuse
- fast-acting drug used for OD
naloxone
Etoh withdrawal
- sx by time
- 6-12 hours: tremulousness, anxiety (hangover)
- 12-48 hours: hallucinations (normal VS)
- 12-48 hours: seizure
- > 48 hours: delirium termens (abnl VS, AMS)
MOA 1st gen antipsychotic
dopamine antagonist
MOA 2nd gen antipsychotics
dopamine and serotonin antagonists
