Psych drugs

Question 1

Name two SNRIs

Answer 1

venlafaxine

Duloxetine

Question 2

Duloxetine - MOA

Answer 2

SNRI

Question 3

SSRIs: side effects? list 8

Answer 3

Headache
Blurred vision
Insomnia + anxiety/agitation
Dizziness

Sweating
N+V
Appetite/weight change

Question 4

SNRIs: side effects

Answer 4

same as SSRIs (headache, blurred vision, insomnia, anxiety, dizziness, sweating, N+V, appetite/weight change)

plus HTN + constipation

Question 5

Dysthymia

Answer 5

Chronic low mood without severity of actual depression

Question 6

Mild/moderate/severe depression

Answer 6

Mild = 4 Sx
Moderate = 5 -6 
Severe = all 3 core sx + 4 other Sx

Question 7

Agitated depression

Answer 7

Restlessness + pacing + low mood/anergia/anhedonia

Question 8

2 rating scales for depression

Answer 8

HADS, BDI

Question 9

Discontinuation sx with antidepressatn

Answer 9

‘electric shock’
Sleep disturbance
Vertigo
Flu-like

Question 10

Therapeutic range for lithium? toxic level?

Answer 10

0.6-1.0

toxic >1.2

Question 11

Lithium treatment - how to monitor?

Answer 11

Check 1 week after starting,

• then weekly until stable,
• then every 3 months

Question 12

lithium toxicity - Fx

Answer 12

Neuro: seizure/coma, ataxia, dysarthria, GROSS TREMOR (fine tremor is normal SE)

GI: D+V, anorexia

Renal: FAILURE!!! may need dialysis

Hypokalemia

Question 13

After mood stabilisers, what other pharmacological treatment is indicated in BPAD?

Answer 13

antipsychotics - use for mania + prophylaxis

Question 14

Anticonvulsant used as BPAD prophylaxis?

Answer 14

Lamotrigine

Question 15

SSRIs - effect on sexual function

Answer 15

Erectile dysfunction
No orgasm
Delayed/no ejaculation

• can’t get an erection/ejaculate/orgasm :/