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ICU TRANSITION PROGRAM > PSYCH COMMONLY USED MEDS > Flashcards

PSYCH COMMONLY USED MEDS Flashcards

1
Q

Citalopram - Brand Name

A
  • Celexa
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2
Q

Citalopram - Class

A
  • SSRI
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3
Q

Citalopram - Dosing

A
  • 20 - 40 mg/day
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4
Q

Citalopram - Commonly Prescribed For

A
  • MDD (FDA) approved
  • PMDD
  • OCD
  • GAD
  • PTSD
  • Social anxiety disorder/social phobia
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5
Q

Citalopram - Augmenting Combos for Treatment Resistance or Partial Response

A
  • Trazodone (insomnia)
  • Bupropion (sexual dysfunction, emotional flattening)
  • Mirtazapine (insomnia, agitation, GI)
  • Modafinil (fatigue, sleepiness)
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6
Q

Citalopram - Side Effects

A
  • Sedation (mild antihistamine properties)
  • Sexual dysfunction
  • Dose shouldn’t exceed 20 mg/day in > 60 y/o
  • Increased bleeding risk with anticoagulants/NSAIDs
  • Activation
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7
Q

Citalopram - Half-Life

A
  • 23 - 45 hours
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8
Q

Escitalopram - Brand Name

A
  • Lexapro
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9
Q

Escitalopram - Class

A
  • SSRI
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10
Q

Escitalopram - Dosing

A
  • 10 - 20 mg/day
  • Some patients can be dosed at 30-40
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11
Q

Escitalopram - Commonly Prescribed For

A
  • MDD (FDA Approved)
  • GAD (FDA Approved)
  • Panic disorder
  • OCD
  • PTSD
  • PMDD
  • Social anxiety (social phobia)
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12
Q

Escitalopram - Augmenting Combos for Treatment Resistance or Partial Response

A
  • Trazodone (insomnia)
  • Bupropion (sexual dysfunction, emotional flattening)
  • Mirtazapine (insomnia, agitation, GI)
  • Modafinil (fatigue, sleepiness)
  • Gabapentin (anxiety - if all else fails)
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13
Q

Escitalopram - Side Effects

A
  • Sexual dysfunction
  • GI
  • Sweating
  • Activation
  • Increased bleeding risk with anticoagulants/NSAIDs
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14
Q

Escitalopram - Half-Life

A
  • 27 - 23 hours
  • Steady state plasma concentrations achieved within 1 week
  • Food doesn’t affect absorption
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15
Q

Fluoxetine - Brand Name

A
  • Prozac
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16
Q

Fluoxetine - Class

A
  • SSRI
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17
Q

Fluoxetine - Dosing

A
  • 20 - 80 mg/day
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18
Q

Fluoxetine - Commonly Prescribed For

A
  • MDD (FDA Approved)
  • OCD (FDA Approved)
  • Panic Disorder (FDA Approved)
  • PMDD (FDA Approved)
  • Bulimia (FDA Approved)
  • Bipolar depression/treatment-resistant depression (with zyprexa) (FDA Approved)
  • Social anxiety disorder
  • PTSD
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19
Q

Fluoxetine - Augmenting Combos for Treatment Resistance or Partial Response

A

-

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20
Q

Fluoxetine - Side Effects

A
  • Sexual dysfunction
  • GI disturbance
  • CNS (insomnia, sedation, agitation, H/A, dizziness)
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21
Q

Fluoxetine - Half-Life

A

-

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22
Q

Fluvoxamine - Brand Name

A
  • Luvox
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23
Q

Fluvoxamine - Class

A
  • SSRI
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24
Q

Fluvoxamine - Dosing

A
  • 100 - 200 mg/day
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25
Q

Fluvoxamine - Commonly Prescribed For

A
  • OCD (FDA Approved)
  • Social anxiety/phobia (FDA Approved)
  • Depression
  • Panic disorder
  • GAD
  • PTSD
26
Q

Fluvoxamine - Augmenting Combos for Treatment Resistance or Partial Response

A

-

27
Q

Fluvoxamine - Side Effects

A
  • Bradycardia w/ coadministration of diltiazem
    -Propranolol/metoprolol: reduce dose if administered/titrate cautiously
  • Smokers 25% increase in metabolism
  • Sexual dysfunction
  • GI disturbance
  • CNS (insomnia, sedation, agitation, H/A, dizziness)
28
Q

Fluvoxamine - Half-Life

A

-

29
Q

Paroxetine - Brand Name

A
  • Paxil
30
Q

Paroxetine - Class

A
  • SSRI
31
Q

Paroxetine - Dosing

A
  • 20 - 50 mg/day
32
Q

Paroxetine - Commonly Prescribed For

A
  • MDD (FDA Approved)
  • OCD (FDA Approved)
  • Panic disorder (FDA Approved)
  • PTSD (FDA Approved)
  • Social anxiety/social phobia (FDA Approved)
  • GAD (FDA Approved)
  • PMDD (FDA Approved)
  • Weight gain (FDA Approved)
  • Vasomotor symptoms (FDA Approved)
33
Q

Paroxetine - Augmenting Combos for Treatment Resistance or Partial Response

A
  • Best used for complicated PTSD and needing sleep
34
Q

Paroxetine - Side Effects

A
  • Anticholinergic side effects (constipation, dry mouth)
  • Dizziness
  • Sexual dysfunction
  • GI disturbance
  • CNS
35
Q

Paroxetine - Half Life

A

-

36
Q

Sertraline - Brand Name

A
  • Zoloft
37
Q

Sertraline - Class

A
  • SSRI
38
Q

Sertraline - Dosing

A
  • 50 - 200 mg/day
39
Q

Sertraline - Commonly Prescribed For

A
  • MDD (FDA Approved)
  • PMDD (FDA Approved)
  • OCD (FDA Approved)
  • PTSD (FDA Approved)
  • Panic disorder (FDA Approved)
  • Social anxiety/social phobia (FDA Approved)
  • GAD
40
Q

Sertraline - Augmenting Combos for Treatment Resistance or Partial Response

A
  • Highest preferred SSRI
  • 1st line for pregnant/breastfeeding mothers
  • 1st line for pt w/ hx of MI/CVA
41
Q

Sertraline - Side Effects

A
  • Sexual dysfunction
  • GI disturbance
  • CNS (insomnia, sedation, agitation, H/A, dizziness)
42
Q

Sertraline - Half-Life

A

-

43
Q

Duloxetine - Brand Name

A
  • Cymbalta
44
Q

Duloxetine - Class

A
  • SNRI
45
Q

Duloxetine - Dosing

A
  • 40 - 120 mg/day
  • No evidence of benefit after > 60 mg/day
46
Q

Duloxetine - Commonly Prescribed For

A
  • MDD (FDA Approved)
  • DPNP (FDA Approved)
  • Fibromyalgia (FDA Approved)
  • GAD (FDA Approved)
  • Chronic musculoskeletal pain (FDA Approved)
  • OCD
  • Stress/urinary incontinence
  • Neuropathic/chronic pain
47
Q

Duloxetine - Augmenting Combos for Treatment Resistance or Partial Response

A
  • California rocket fuel = SNRI + mirtazapine
48
Q

Duloxetine - Contraindications

A
  • Hepatic failure/liver dysfunction/alcohol use disorder
  • Uncontrolled narrow-angle glaucoma
  • Increase in risk of bleeding events (NSAIDs, aspirin)
49
Q

Duloxetine - Side Effects

A
  • Orthostatic hypotension
  • Dose-dependent increase in BP
  • Sexual SE
  • GI disturbance
  • CNS effects
49
Q
A
50
Q

Venlafaxine - Brand Name

A
  • Effexor
51
Q

Venlafaxine - Class

A
  • SNRI
52
Q

Venlafaxine - Dosing

A
  • 75 - 225 mg/day
53
Q

Venlafaxine - Commonly Prescribed For

A
  • MDD (FDA Approved)
  • GAD (FDA Approved)
  • Social anxiety/phobia (FDA Approved)
  • Panic disorder (FDA Approved)
  • PTSD
  • PMDD
54
Q

Venlafaxine - Augmenting Combos for Treatment Resistance or Partial Response

A
  • California rocket fuel = SNRI + mirtazapine
55
Q

Venlafaxine - Side Effects

A
  • HTN (monitor BP)
  • Sweaty
  • Sexual SE
  • GI disturbance
  • CNS effects
56
Q

Mirtazapine - Brand Name

A
  • Remeron
57
Q

Mirtazapine - Class

A
  • Alpha 2 antagonist
58
Q

Mirtazapine - Dosing

A
  • 15 - 45 mg/night
59
Q

Mirtazapine - Commonly Prescribed For

A
  • MDD (FDA Approved)
  • Panic disorder
  • GAD
  • PTSD
60
Q

Mirtazapine - Augmenting Combos for Treatment Resistance or Partial Response

A
  • Good for sleep and appetite stimulation
  • Higher doses = norepi stimulation
61
Q

Mirtazapine - Side Effects

A

-

ICU TRANSITION PROGRAM (3 decks)

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