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Psych Meds Flashcards

1
Q

Benzodiazepines (-lam & -Pam’s)

A

For anxiety and alcohol withdrawal

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2
Q

Benzodiazepines (-lam & -Pam’s) adverse effects

A

Ataxia
Sedation
Decreased cognitive function

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3
Q

Benzodiazepines (-lam & -Pam’s) contraindications

A

Elderly
Substance abuse disorders
Pregnant/breastfeeding

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4
Q

Pt edu for Benzodiazepines (-lam & -Pam’s)

A

Paradoxical (opposite) reactions may occur

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5
Q

Medications that are Z-hypnotics

A

Zolpidem
Zaleplon
Eszopiclone

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6
Q

Zolpidem (Z-hypnotic)

A

Sedative without antianxiety effects - for insomnia
Faster onset then benzodiazepines but short half life

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7
Q

Zolpidem (Z-hypnotic) adverse effects

A

Sleepwalking
Ataxia
Lethargy
Headache
Amnesia

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8
Q

Doxepin (Hypnotic)

A

For insomnia- difficulty maintaining sleep

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9
Q

Adverse effects of Doxepin (Hypnotic)

A

Drowsiness/dizziness
Seizures
Ataxia
Hypoglycemia

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10
Q

Contraindications for Doxepin (Hypnotic)

A

Urinary retention
Other cns depressants
Sedating antihistamines

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11
Q

Pt edu for Doxepin (Hypnotic)

A

Dilute with 4 oz fluid
Avoidance direct sunlight

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12
Q

Suvorexant

A

Hypnotic
For insomnia

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13
Q

Adverse reactions of Suvorexant

A

Daytime impairment
Worsening depression
Abnormal thinking/behavior
Increased suicidal ideation
Sleep paralysis

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14
Q

Contraindications for Suvorexant

A

Narcolepsy
Liver dysfunction
Obstructive sleep apnea
COPD

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15
Q

Buspirone

A

Anxiolytic
For anxiety with no CNS depression

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16
Q

Adverse effects of Buspirone

A

Dizziness
Insomnia
Nervousness
Headache
Depression

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17
Q

Contraindications of Buspirone

A

Renal and hepatic dysfunction

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18
Q

Meds that are SSRIs

A

(-pram)
Fluoxetine
Sertraline
Fluvoxamine
Paroxetine

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19
Q

SSRIs for

A

Depression

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20
Q

SSRI adverse effects

A

Sexual dysfunction
N/V
Serotonin syndrome

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21
Q

Interactions with SSRIs

A

Antiemetics
Antipsychotics
Lithium
St. John’s wort

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22
Q

Mirtazapine

A

NaSSA
For depression and anxiety

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23
Q

Adverse effects of Mirtazapine

A

Sedation
Appetite stimulation
Wt gain

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24
Q

Interactions with Mirtazapine

A

Other CNS depressants
Alcohol
St. John’s wort

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25
Vortioxetine
Serotonins stimulator For depression- may help geriatric pts increase cognitive deficits
26
Adverse effects of vortioxetine
Constipation N/V Pruritis Low Na Mania/hypomania
27
Contraindications of vortioxetine
Fam hx of bipolar Diuretics
28
Interactions with vortioxetine
NSAID Warfarin Diuretics St. John wort Alcohol
29
Meds that are SARIs
Nefazodone Trazodone Brexpiprazole
30
SARIs are for
Depression Brexpiprazole is for depression with schizophrenia
31
SARI adverse effects
Sedation Headache Orthostatic hypotension Priapism Dry mouth Blurred vision Wt gain Akathisia
32
Contraindications for SARIs
Liver problems Elderly pts with dementia (psychosis-high risk of death)
33
Interactions with SARIs
CNS depressants Anticholinergics Antipsychotics Amphetamines St. John’s wort Grapefruit juice
34
Bupropion
NDRI For depression and smoking cessation
35
Adverse effects of Bupropion
Insomnia Tremor Anorexia Wt loss
36
Contraindications with Bupropion
Seizures Bulimia/anorexia
37
Interactions with Bupropion
Other antidepressants Beta blockers Alcohol
38
Serotonin syndrome
Abd pain Diarrhea Sweating Fever Mood change Irritability Muscle spasm Delirium Increased BP and HR
39
Meds that are Tricyclic antidepressants
(-pramine and -ptyline) Amitriptyline, clomipramine, imipramine, trimipramine, amoxapine, desipramine, nortriptyline, protriptyline
40
Tricyclic antidepressants
For depression, insomnia, and neuropathy
41
Adverse effects of Tricyclic antidepressants
Constipation Urinary retention Drowsiness Dry mouth Dysrhythmias
42
Contraindications of Tricyclic antidepressants
Pregnancy Recent MI Hx of seizures
43
SNRIs
(-faxine) and duloxetine For depression and anxiety
44
Adverse effects of SNRIs
Insomnia Anxiety Fatigue GI bleeding Wt loss HTN & tachycardia
45
Interactions with SNRIs
NSAIDs Warfarin Alcohol use Anticoagulants
46
Meds that are MAOIs
Isocarboxazid Phenelzine Selegiline Tranylcypromine
47
MAOIs
For unconventional depression and Parkinson’s
48
Adverse effects of MAOIs
Orthostatic hypertension Wt gain Edema sexual dysfunction HTN CRISIS if eaten with tyramine foods
49
Contraindications of MAOIs
HTN CHF Liver disease Recurrent headaches
50
Lithium
For bipolar and manic depressive disorder
51
Adverse effects of lithium
Low HR Tremors Fluid imbalance (low Na) Seizures Hypothyroidism from long term use GI discomfort Dysrhythmias
52
Contraindications of lithium
Na imbalance Dehydration Renal/cardiovascular disease Pregnant/breastfeeding
53
Interactions with lithium
Thiazide diuretics NSAIDs ACE inhibitors
54
Meds that are Anticonvulsants
Valproate Carbamazepine Lamotrigine
55
Adverse effects of anticonvulsants
Tremors Wt gain SJS Anticholinergic effects Birth defects Liver failure Pancreatitis
56
Interactions with anticonvulsants
Anticoagulants ASA Alcohol Grapefruit juice
57
Pt edu for anticonvulsants
Asian decent = high risk for SJS Photosensitive Take with food
58
Methylphenidate and dextroamphetamine
Psychostimulants For ADHD and narcolepsy
59
Adverse effects of Methylphenidate and dextroamphetamine
Headache Insomnia Seizures Palpitations/Arrhythmias Growth suppression Dry eyes
60
Contraindications for Methylphenidate and dextroamphetamine
CVD HTN Hyperthyroidism Glaucoma
61
Interactions with Methylphenidate and dextroamphetamine
Thiazides Caffeine Alcohol
62
Meds that are non stimulants
Atomoxetine Guanfacine Clonidine
63
Nonstimulants
For ADHD
64
Adverse effects of non stimulants
Low appetite Fatigue Dizziness Low HR N/V Rebound HTN
65
Contraindications for nonstimulants
Heart problems- recent MI, HTN, high HR
66
Interactions with nonstimulants
Albuterol Beta blockers Ma Huang Capsicum
67
Pt edu for nonstimulants
Report SOB or chest pain
68
1st gen antipsychotics meds
(-azine) Thiothixene Haloperidol Pimozide
69
1st gen antipsychotics
For delusions and hallucinations with schizophrenia
70
Adverse effects of 1st gen antipsychotics
EPS anticholinergics
71
Interactions with 1st gen antipsychotics
Smoking Alcohol Benzodiazepines Opioids HTN drugs
72
Contraindications for 1st gen antipsychotics
NMS Parkinson’s Tardive dyskinesia Glaucoma Liver disease Neutropenia
73
Meds that are 2nd gen antipsychotics
Clozapine Risperidone Quetiapine Olanzapine Ziprasidone Aripiprazole Palperidone Iloperidone Lurasidone Asenapine
74
2nd gen antipsychotics
For schizophrenia
75
Adverse effects of 2nd gen antipsychotics
EPS Anticholinergic effects NMS Agranulocytosis (neutropenic) Liver impairment
76
Akathasia
Motor restlessness
77
Meds that are Cholinesterase inhibitors
Donepezil Rivastigmine Galantamine
78
Cholinesterase inhibitors
For moderate Alzheimer’s
79
Adverse effects of Cholinesterase inhibitors
N/V Diarrhea Low HR Syncope UTI
80
Contraindications of Cholinesterase inhibitors
NSAIDs COPD Renal failure
81
Interactions with Cholinesterase inhibitors
NSAIDs Anticholinergics Carbamazepine Beta blockers Smoking
82
Memantine
For Alzheimer’s
83
Adverse effects of Memantine
Aggression Anxiety HF GI distress
84
Contraindications of Memantine
Seizures CVD Liver failure
85
Interactions with Memantine
Alcohol Nicotine
86
Pt edu for Memantine
Avoid cold medicine Take with food
87
EPS symptoms
Stooped posture Mask-like face Rigidity Tremors at rest Pill rolling Shuffling/slow gait (bradykinesia) Acute dystonia Tardive dyskinesia
88
Acute dystonia symptoms
Muscle spasms Facial grimacing Involuntary upward eye movement Laryngeal spasms
89
Tardive dyskinesia symptoms
Can’t treat - could be permanant Involuntary biting and protrusion of tongue
90
NMS symptoms
Rare but could be fatal Muscle rigidity Sudden very high fever AMS/seizures BP fluctuations Tachycardia Dysrhythmias Rhabdomyolysis Reap failure, coma, death

Mental Health (5 decks)

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