Psych Meds Flashcards

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1
Q

What does SSRI stand for and do?

A

Selective Serotonin Reuptake Inhibitor
blocks the reuptake of serotonin
allows more serotonin to be available in the synaptic gap

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2
Q

Side effects of SSRI

A
nausea
wt gain
dizziness
restlessness
decreased libido
ED
anorgasmia
insomnia
suicidal ideations
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3
Q

What is the delayed onset of SSRIs?

A

3-4 weeks

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4
Q

fluvoxomine

A

Luvox

SSRI, best used on OCD

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5
Q

paroxetine

A

Paxil

SSRI

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6
Q

fluoxetine

A

Prozac

SSRI

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7
Q

sertraline

A

Zoloft

SSRI

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8
Q

escitalopram

A

Lexapro

SSRI

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9
Q

citalopram

A

Celexa

SSRI

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10
Q

What does TCA stand for and do?

A

Tricyclic Antidepressants
blocks the reuptake of serotonin and norepinephrine
blocks receptors: muscarinic and histamine

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11
Q

side effects of TCA

A

anticholinergic effects:
- consitpation, urinary retention, blurred vision, orthostatic hyptension, dry mouth
cardiac issues:
- inhibits Na, Ca, K, channels causing arrhythmias

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12
Q

Common suffixes for TCA

A
  • iptryline

- ipramine

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13
Q

amitriptyline

A

Elavil

TCA

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14
Q

amoxapine

A

Asendin

TCA

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15
Q

doxepin

A

Sinequan

TCA

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16
Q

imipramine

A

Tofranil

TCA

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17
Q

desipramine

A

Norpramine

TCA

18
Q

What does MAOI stand for and what does it do?

A

Monoamine Oxidase Inhibitors
inhibits enzyme from destroying monoamine
increases levels of serotonin tryamine, NE, dopamine

19
Q

Tryamine containing foods/drinks

A

fermented foods
beer
wine
aged cheeses

20
Q

drug interactions with MAOI

A

SSRI
meperidine
TCA
amphetamines

21
Q

isocarboxazid

A

Marplan

MAOI

22
Q

pheneizine

A

Nardil

MAOI

23
Q

tranicypromine

A

Parnate

MAOI

24
Q

1st generation antipsychotics

A

Typical
treat positive sx of schizophrenia and psychosis
blocks dopamine receptors

25
Q

Typical antipsychotics side effects

A

EPS (neuro s/e)
anticholinergic: dry mouth, blurred vision, constipation, urinary retention, delirium
cardio: orthostatic hypotension, tachycardia, EKG changes
Neuroleptic Malignant Syndrome

26
Q

What does high potency mean?

A

higher potency with lower dosage
causes less sedation
less anticholinergic effects
higher EPS

27
Q

What does low potency mean?

A

prescribed in higher dosages
very sedating
less EPS
very anticholinergic

28
Q

examples of high potency, typical antipsychotics

A

fluphenazine
haloperidol
trifluoperazine
pimozide

29
Q

fluphenazine

A

Prolixin
typical antipsychotic
high potency

30
Q

haloperidol

A

Haldol
typical antipsychotic
high potency

31
Q

trifluoperazine

A

Selazine
typical antipsychotic
high potency

32
Q

Examples of low potency, typical antipsychotics

A

chlorpromazine
thioridazine
clozepine
mesoridazine

33
Q

chlorpromazine

A

Thorazine
typical antipsychotic
low potency

34
Q

thioredazine

A

Mellaril
typical antipsychotic
low potency

35
Q

2nd generation antipsychotics

A

Atypical
lower EPS
elderly with dementia have higher incidence of stroke and headache

36
Q

side effects of atypical antipsychotics

A

weight gain

metabolic syndrome

37
Q

aripiprazole

A

Abilify
atypical antipsychotic
lower rate of metabolic syndrome and weight gain

38
Q

olanzapine

A

Zyprexa
atypical antipsychotics
high rate of weight gain

39
Q

quetiapine

A

Seroquel

atpypical antipsychotic

40
Q

risperidone

A

Risperdal

atypical antipsychotic

41
Q

ziprasidone

A

Geodon
lower rate of weight gain
atypical antipsychotic

42
Q

clozapine

A
Clozaril
atypical antipsychotic
can cause agranulocytosis
needs blood test (CBC)
monitor levels