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Mental Health > Psych Meds > Flashcards

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
Q

Vortioxetine

A

Serotonins stimulator
For depression- may help geriatric pts increase cognitive deficits

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26
Q

Adverse effects of vortioxetine

A

Constipation
N/V
Pruritis
Low Na
Mania/hypomania

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27
Q

Contraindications of vortioxetine

A

Fam hx of bipolar
Diuretics

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28
Q

Interactions with vortioxetine

A

NSAID
Warfarin
Diuretics
St. John wort
Alcohol

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29
Q

Meds that are SARIs

A

Nefazodone
Trazodone
Brexpiprazole

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30
Q

SARIs are for

A

Depression
Brexpiprazole is for depression with schizophrenia

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31
Q

SARI adverse effects

A

Sedation
Headache
Orthostatic hypotension
Priapism
Dry mouth
Blurred vision
Wt gain
Akathisia

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32
Q

Contraindications for SARIs

A

Liver problems
Elderly pts with dementia (psychosis-high risk of death)

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33
Q

Interactions with SARIs

A

CNS depressants
Anticholinergics
Antipsychotics
Amphetamines
St. John’s wort
Grapefruit juice

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34
Q

Bupropion

A

NDRI
For depression and smoking cessation

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35
Q

Adverse effects of Bupropion

A

Insomnia
Tremor
Anorexia
Wt loss

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36
Q

Contraindications with Bupropion

A

Seizures
Bulimia/anorexia

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37
Q

Interactions with Bupropion

A

Other antidepressants
Beta blockers
Alcohol

38
Q

Serotonin syndrome

A

Abd pain
Diarrhea
Sweating
Fever
Mood change
Irritability
Muscle spasm
Delirium
Increased BP and HR

39
Q

Meds that are Tricyclic antidepressants

A

(-pramine and -ptyline)

Amitriptyline, clomipramine, imipramine, trimipramine, amoxapine, desipramine, nortriptyline, protriptyline

40
Q

Tricyclic antidepressants

A

For depression, insomnia, and neuropathy

41
Q

Adverse effects of Tricyclic antidepressants

A

Constipation
Urinary retention
Drowsiness
Dry mouth
Dysrhythmias

42
Q

Contraindications of Tricyclic antidepressants

A

Pregnancy
Recent MI
Hx of seizures

43
Q

SNRIs

A

(-faxine) and duloxetine
For depression and anxiety

44
Q

Adverse effects of SNRIs

A

Insomnia
Anxiety
Fatigue
GI bleeding
Wt loss
HTN & tachycardia

45
Q

Interactions with SNRIs

A

NSAIDs
Warfarin
Alcohol use
Anticoagulants

46
Q

Meds that are MAOIs

A

Isocarboxazid
Phenelzine
Selegiline
Tranylcypromine

47
Q

MAOIs

A

For unconventional depression and Parkinson’s

48
Q

Adverse effects of MAOIs

A

Orthostatic hypertension
Wt gain
Edema sexual dysfunction
HTN CRISIS if eaten with tyramine foods

49
Q

Contraindications of MAOIs

A

HTN
CHF
Liver disease
Recurrent headaches

50
Q

Lithium

A

For bipolar and manic depressive disorder

51
Q

Adverse effects of lithium

A

Low HR
Tremors
Fluid imbalance (low Na)
Seizures
Hypothyroidism from long term use
GI discomfort
Dysrhythmias

52
Q

Contraindications of lithium

A

Na imbalance
Dehydration
Renal/cardiovascular disease
Pregnant/breastfeeding

53
Q

Interactions with lithium

A

Thiazide diuretics
NSAIDs
ACE inhibitors

54
Q

Meds that are Anticonvulsants

A

Valproate
Carbamazepine
Lamotrigine

55
Q

Adverse effects of anticonvulsants

A

Tremors
Wt gain
SJS
Anticholinergic effects
Birth defects
Liver failure
Pancreatitis

56
Q

Interactions with anticonvulsants

A

Anticoagulants
ASA
Alcohol
Grapefruit juice

57
Q

Pt edu for anticonvulsants

A

Asian decent = high risk for SJS
Photosensitive
Take with food

58
Q

Methylphenidate and dextroamphetamine

A

Psychostimulants
For ADHD and narcolepsy

59
Q

Adverse effects of Methylphenidate and dextroamphetamine

A

Headache
Insomnia
Seizures
Palpitations/Arrhythmias
Growth suppression
Dry eyes

60
Q

Contraindications for Methylphenidate and dextroamphetamine

A

CVD
HTN
Hyperthyroidism
Glaucoma

61
Q

Interactions with Methylphenidate and dextroamphetamine

A

Thiazides
Caffeine
Alcohol

62
Q

Meds that are non stimulants

A

Atomoxetine
Guanfacine
Clonidine

63
Q

Nonstimulants

A

For ADHD

64
Q

Adverse effects of non stimulants

A

Low appetite
Fatigue
Dizziness
Low HR
N/V
Rebound HTN

65
Q

Contraindications for nonstimulants

A

Heart problems- recent MI, HTN, high HR

66
Q

Interactions with nonstimulants

A

Albuterol
Beta blockers
Ma Huang
Capsicum

67
Q

Pt edu for nonstimulants

A

Report SOB or chest pain

68
Q

1st gen antipsychotics meds

A

(-azine)
Thiothixene
Haloperidol
Pimozide

69
Q

1st gen antipsychotics

A

For delusions and hallucinations with schizophrenia

70
Q

Adverse effects of 1st gen antipsychotics

A

EPS anticholinergics

71
Q

Interactions with 1st gen antipsychotics

A

Smoking
Alcohol
Benzodiazepines
Opioids
HTN drugs

72
Q

Contraindications for 1st gen antipsychotics

A

NMS
Parkinson’s
Tardive dyskinesia
Glaucoma
Liver disease
Neutropenia

73
Q

Meds that are 2nd gen antipsychotics

A

Clozapine
Risperidone
Quetiapine
Olanzapine
Ziprasidone
Aripiprazole
Palperidone
Iloperidone
Lurasidone
Asenapine

74
Q

2nd gen antipsychotics

A

For schizophrenia

75
Q

Adverse effects of 2nd gen antipsychotics

A

EPS
Anticholinergic effects
NMS
Agranulocytosis (neutropenic)
Liver impairment

76
Q

Akathasia

A

Motor restlessness

77
Q

Meds that are Cholinesterase inhibitors

A

Donepezil
Rivastigmine
Galantamine

78
Q

Cholinesterase inhibitors

A

For moderate Alzheimer’s

79
Q

Adverse effects of Cholinesterase inhibitors

A

N/V
Diarrhea
Low HR
Syncope
UTI

80
Q

Contraindications of Cholinesterase inhibitors

A

NSAIDs
COPD
Renal failure

81
Q

Interactions with Cholinesterase inhibitors

A

NSAIDs
Anticholinergics
Carbamazepine
Beta blockers
Smoking

82
Q

Memantine

A

For Alzheimer’s

83
Q

Adverse effects of Memantine

A

Aggression
Anxiety
HF
GI distress

84
Q

Contraindications of Memantine

A

Seizures
CVD
Liver failure

85
Q

Interactions with Memantine

A

Alcohol
Nicotine

86
Q

Pt edu for Memantine

A

Avoid cold medicine
Take with food

87
Q

EPS symptoms

A

Stooped posture
Mask-like face
Rigidity
Tremors at rest
Pill rolling
Shuffling/slow gait (bradykinesia)
Acute dystonia
Tardive dyskinesia

88
Q

Acute dystonia symptoms

A

Muscle spasms
Facial grimacing
Involuntary upward eye movement
Laryngeal spasms

89
Q

Tardive dyskinesia symptoms

A

Can’t treat - could be permanant

Involuntary biting and protrusion of tongue

90
Q

NMS symptoms

A

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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