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Psychiatry > Psych Drugs > Flashcards

Psych Drugs Flashcards

1
Q

Withdrawal:

  • Tremulousness
  • Hypertension
  • Tachycardia
  • Anxiety
  • Psychomotor agitation
  • Nausea
  • Seizures
  • Hallucinations
  • DTs
A

Alcohol

Benzodiazepines

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2
Q

Withdrawal:

  • Anxiety
  • Seizures
  • Delirium
  • Life-threatening cardiovascular collapse
A

Barbiturates

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3
Q

Intoxication:

  • Disinhibition
  • Mood lability
  • Incoordination
  • Slurred speech
  • Ataxia
  • Blackouts
  • Respiratory depression
A

Alcohol

Benzodiazepines

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4
Q

Intoxication:

  • Respiratory depression
A

Barbiturates

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5
Q

Withdrawal:

  • Increased sympathetic activity
  • Nausea / Vomitting / Diarrhea
  • Diaphoresis
  • Rhinorrhea
  • Piloerection
  • Yawning
  • Stomach cramps
  • Myalgias / Arthralgias / Anxiety / Anorexia
  • Restlessness
A

Opiods

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6
Q

Withdrawal:

  • Post-use “Crash”
  • Restlessness
  • HA
  • Hunger
  • Severe depression
  • Irritability
  • Insomnia
  • Hypersomnia
  • Strong psychological craving
A

Amphetamines

Cocaine

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7
Q

Withdrawal:

  • May have recurrence of symptoms due to reabsorption in GI tract
A

PCP

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8
Q

Withdrawal:

  • Irritability
  • Lethargy
  • HA
  • Increased appetitie
  • Weight gain
A

Nicotine

Caffeine

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9
Q

Intoxication:

  • CNS depression
  • Nausea / Vomiting
  • Decreased pain perception
  • Decreased GI motility
  • Pupil Constriction
  • Respiratory depression
A

Opiods

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10
Q

Intoxication:

  • Euphoria
  • Increased attention span
  • Aggressiveness
  • Psychomotor agitation
  • Pupil dilation
  • HTN and Tachycardia (cardiac arrhythmias)
  • Psychosis (paranoia w/ amphetamines)
  • Formication
A

Amphetamines

Cocaine

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11
Q

Intoxication:

  • Belligerence
  • Impusiveness
  • Psychomotor agitation
  • Vertical / Horizontal nystagmus
  • Hyperthermia
  • Tachycardia
  • Ataxia
  • Psychosis
  • Homicidality
A

PCP

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12
Q

Intoxication:

  • Altered perceptual states (hallucinations, distortions of time and space)
  • Elevation of mood
  • “Bad trips” (panic reaction)
  • Flashbacks (re-experience of the sensations in absence of drug use)
A

LSD

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13
Q

Intoxication:

  • Euphoria
  • Anxiety
  • Paranoia
  • Slowed time
  • Social withdrawal
  • Increased appetitie
  • Dry mouth
  • Tachycardia
  • Amotivational syndrome
A

Cannabis

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14
Q

Intoxication:

  • Restlessness
  • Insomnia
  • Anxiety
  • Anorexia
A

Nicotine

Cocaine

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15
Q
A
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16
Q
  • Tertiary amine
  • Elavil
  • Highly anticholinergic
  • Very sedating
A

Amitriptyline

(1) Brand Name

17
Q
  • Tertiary amine
  • Adapin, Sinequan, Silenor
  • Highly anticholinergic
  • Very sedating
A

Doxepin

(3) Brand Names

18
Q
  • Tertiary Amine
  • Tofranil
  • Highly anticholinergic
A

Imipramine

(1) Brand Name

19
Q
  • Tertiary Amine
  • Anafranil
  • Highly anticholinergic
  • Very Sedating
  • OCD responds very specifically to Clomipramine
  • May also be useful in those with Depression w/ marked Obsessive Features
A

Clomipramine

(1) Brand Name

20
Q
  • Tertiary Amine
  • Surmontil
  • Highly anticholinergic
  • Very Sedating
A

Trimipramin

(1) Brand Name

21
Q
  • Secondary Amine
  • Norpramin
  • Least Anticholinergic
  • Not sedating
A

Desipramine

(1) Brand Name

22
Q
  • Secondary Amine
  • Pamelor
  • Aventyl
  • Less Anticholinergic
A

Nortriptyline

(2) Brand Names

23
Q
  • Secondary Amine
  • Vivactil
  • SE: Psychomotor Stimulation
  • Less Anticholinergic
  • Non-sedating
A

Protriptyline

(1) Brand Name

24
Q
  • Tetracyclic
  • Asendin
  • Asendas
  • May cause Extrapyramidal Syndrome and NMS (metabolite of Loxapine)
  • Less Anticholinergic
A

Amoxapine

(2) Brand Names

25
Q
  • Anticholinergic
    • Dry mouth
    • Blurry vision
    • Urinary retention
    • Constipation
    • Sedation
    • Orthostatic Hypotension (alpha-adrenergic blockade)
    • Tachycardia
    • Prolongation of Long QT interval
    • Weight Gain (antihistamine-1 effect)
A

Side Effects of Tricyclics and Tetracyclics

26
Q
  • Agitation
  • Akathisia
  • Anxiety
  • Panic
  • Insomnia
  • Diarrhea
  • Gastrointestinal distress
  • Headache
  • Sexual dysfunction
  • Delayed ejaculation or Impotence (male), anorgasmia (female)
  • Increased risk of Suicidal thoughts and Behaviors in Children, Adolescents, and Young Adults
A

Side Effects of SSRIs

27
Q
  • To avoid Fatal Serotonin Syndrome
  • No SSRI or SSNRI should be combined w/ a MAOI
  • A SSRI should be discontinued at least 5 wk before starting an MAOI
A

Additional SSRI concern?

28
Q
  • SSRI
  • Prozac
  • Used in the treatment of OCD
A

Fluoxetine

(1) Brand Name

29
Q
  • SSRI
  • Zoloft
  • Used in the treatment of OCD
  • Causes diarrhea more commonly than others
A

Sertraline

(1) Brand Name

30
Q
  • SSRI
  • Paxil
  • Mildly anticholinergic
  • Used in the treatment of OCD
A

Paroxetine

(1) Brand Name

31
Q
  • SSRI
  • Luvox
  • Used in the treatment of OCD
  • Nausea and Vomiting common
A

Fluvoxamine

(1) Brand Name

32
Q
  • SSRI
  • Celexa
  • Possibly fewer sexual side effects
A

Citalopram

(1) Brand Name

33
Q
  • SSRI
  • Lexapro
A

Escitalopram

(1) Brand Name

34
Q
  • SNRI
  • Effexor
  • Used to treat GAD and Social Anxiety
  • Anxiety; may increase blood pressure at higher doses
  • Headache
  • Insomnia
  • Sweating
A

Venlafaxine

(1) Brand Name

35
Q
  • SNRI
  • Fetzima
  • Blood Pressure Increases
  • Nausea / vomiting
  • Sweating
  • Constipation
  • ED
A

Levomilnacipran

(1) Brand Name

36
Q
  • SNRI
  • Pristiq
A

Desvenlafaxine

(1) Brand Name

37
Q
  • SNRI
  • Cymbalta
  • Used for the treatment of GAD and Painful Diabetic Neuropathy
A

Duloxetine

(1) Brand Name

Psychiatry (12 decks)

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