Psych & Neuro Flashcards
What needs to measured before commencing antipsychotic therapy?
FBC, U+E, LFT, Lipids, weight Fasting blood glucose Prolactin BP ECG Cardiovascular risk assessment
Which antipsychotic needs more close monitoring?
Clozapine
When do FBC, U&E, LFTs need monitoring
At the start of therapy and annually
When do lipids, weight, fasting blood glucose and prolactin need to be monitored?
At start of therapy
3 months lipids weight, 6months gluc and prolactin
Annually
SE of metoclopramide
Parkinsonism
What alzheimer’s drug is licensed for someone who has parkinson’s as well?
Rivastigmine (AChEi)
Which anti-nausea drug is safe in Parkinson’s?
Domperidone
doesn’t cross BBB
Which drug is useful if haloperidol isn’t enough for sedation in palliative care?
Midazolam
Used in ICU & palliative care
When is sumatriptan containdicated?
Ischaemic heart disease
3 1st line treatments for meningitis
Cefotaxime
Aciclovir
Dexamethasone
Treatment of status epilepticus
Buccal midazolam or IV lorazepam
Repeat
Then IV phenytoin if not resolved
How long do you treat with SSRIs after a response has been seen?
Minimum 6months
Reduces risk of relapse
What can lithium in pregnancy cause?
Ebstein abnormality
Baby born with tricuspid valve regurg and stenosis
What 7 drugs (or classes) can cause idiopathic intracranial hypertension?
TCAs Lithium Contraceptives Steroids Levothyroxine Cimetidine (H2 antagonist) Isotetinoin
Name the drugs that worsen epilepsy control
alcohol, cocaine, amphetamines ciprofloxacin, levofloxacin aminophylline, theophylline bupropion methylphenidate (used in ADHD) mefenamic acid
