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Step 1 - Pharm > psych-pharm > Flashcards

psych-pharm Flashcards

1
Q

preferred tx forEtOH WD

A

benzo

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2
Q

preferred tx for anxiety

A

SSRI, SNRI, buspirone

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3
Q

preferred tx for ADHD

A

menthylphenidate, amphetamines

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4
Q

preferred tx for bipolar

A

lithium, valpro, carbamazapine, atypical antupsychotic

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5
Q

preferred tx for for bulima

A

SSRIs

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6
Q

preferred tx for depression

A 
SSRI
SNRI,
TCAs
bspirone
mirtazipine
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7
Q

preferred tx for panic disorder

A

SSRIs, ven;afaxine, benzos (NO BENZO IN PTSD)

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8
Q

preferred tx for PTSD

A

SSRI

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9
Q

preferred tx for schizophrenia

A

antipsychotics

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10
Q

preferred tx for social phobias

A

SSRIs

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11
Q

tourette’s

A

antipsychotics

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12
Q

MOA of CNS stimulants

A

increase catecholamines at the synaptic cleft

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13
Q

antipsychotic MOA

A

block dopamine D2 receptors

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14
Q

high potency antipsychotics

A

Trifluoperazine, fluphenazine, haldol (mostly used for + sx)

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15
Q

low potency antipsychotics

A

chloropromazine, thiorodazine (mostly used for + sx)

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16
Q

side effects of antipsychotics

A

extrapyramidal effects, galactorrhea, dry mouth, constipation, hypotension, and sedation

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17
Q

serious tox of antipsychotics

A

neuroleptic malignant syndrome, tardive dyskinesia

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18
Q

atypical antipsychotics

A

olamazapine, clozapine, quietiapine, riperidone, aripiprazile, ziprasidone

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19
Q

use of atypical antipsychotics

A

schizophrenia (+ and - sx), bipolar, OCD, anxiety, dpression, mania, tourettes

20
Q

clozapine may SE

A

agranulytosis, weighht gain

21
Q

ziprasidone may cause

A

proloinged QT

22
Q

side effects of Lithium

A

tremor, Diabetes inspiidious, hypothyroidism, tetreagenic

23
Q

MOA of buspirone

A

stimulates 5HT1a receptors

24
Q

use of buspirone

A

generalized anxiety - does not cause tolerance, sedation, or addiction. Does not interect w/alchohol

25
Q

SSRIs

A

fluoxetine,pratoxetine, sertaline, citalopram

26
Q

time to effect for SSRI

A

4-8 weeks

27
Q

tox if SSRIs

A

GI distress, sexual dysfunction, serotinin syndrome

28
Q

tx of serotinin syndrome

A

hyperthermia, confusion, myoclunis, CV collapse, flushing, diarrhea, seizures

29
Q

treatment of serotinin syndrome

A

cyproheptadine

30
Q

SNRI MOA

A

inhibits serotonin and NE uptake

31
Q

SNRI examples

A

venlaxafine, duloxatine

32
Q

duloxatine use

A

depression and diabetic neuropathy

33
Q

tox of SNRIs

A

raised BP, stimulation, nausea

34
Q

TCA examples

A

amytriptyline, -iptykine, or -ipramine, doxepin, amoxapine

35
Q

MOA of TCAs

A

block reuptake of NE and serotinin

36
Q

clinical use of TCAs

A

depression, bedwetting (imipramine), OCD(clomipramine) fibromyalgia

37
Q

tox of TCA

A

sedation, alpha1 blocking effects,anticholinergic effects, arrythmias,

38
Q

TCA effects in elderly

A

confusion and hallucinations

39
Q

MAOis

A

phenelzine, isocarboazid, selegiline

40
Q

use of MAOis

A

atypical depression, anxiety, hypochondrias

41
Q

tox of MAOis

A

hypertensive crisis (with cheese of whine) CNS stimulaton

42
Q

interacts with MAOis

A

SSRIs, TCAs, st john’s wort, meperidine, dextromethorphan

43
Q

use of bupropion

A

depression, smoking sensation

44
Q

tox of bupropion

A

stimulant effects, headache, seizure in bulimics

45
Q

mirtzapine MOA

A

a2 antagonist (increases release of NE and serotonin) and potent 5-HT2/3 antagonist

46
Q

tox of mirtazapine

A

increased appitite, weight gain (might be the point - used in anorexia)

Step 1 - Pharm (17 decks)

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