psych-pharm

Question 1

preferred tx forEtOH WD

Answer 1

benzo

Question 2

preferred tx for anxiety

Answer 2

SSRI, SNRI, buspirone

Question 3

preferred tx for ADHD

Answer 3

menthylphenidate, amphetamines

Question 4

preferred tx for bipolar

Answer 4

lithium, valpro, carbamazapine, atypical antupsychotic

Question 5

preferred tx for for bulima

Answer 5

SSRIs

Question 6

preferred tx for depression

Answer 6

SSRI
SNRI,
TCAs
bspirone
mirtazipine

Question 7

preferred tx for panic disorder

Answer 7

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

Question 8

preferred tx for PTSD

Answer 8

SSRI

Question 9

preferred tx for schizophrenia

Answer 9

antipsychotics

Question 10

preferred tx for social phobias

Answer 10

SSRIs

Question 11

tourette’s

Answer 11

antipsychotics

Question 12

MOA of CNS stimulants

Answer 12

increase catecholamines at the synaptic cleft

Question 13

antipsychotic MOA

Answer 13

block dopamine D2 receptors

Question 14

high potency antipsychotics

Answer 14

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

Question 15

low potency antipsychotics

Answer 15

chloropromazine, thiorodazine (mostly used for + sx)

Question 16

side effects of antipsychotics

Answer 16

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

Question 17

serious tox of antipsychotics

Answer 17

neuroleptic malignant syndrome, tardive dyskinesia

Question 18

atypical antipsychotics

Answer 18

olamazapine, clozapine, quietiapine, riperidone, aripiprazile, ziprasidone

Question 19

use of atypical antipsychotics

Answer 19

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

Question 20

clozapine may SE

Answer 20

agranulytosis, weighht gain

Question 21

ziprasidone may cause

Answer 21

proloinged QT

Question 22

side effects of Lithium

Answer 22

tremor, Diabetes inspiidious, hypothyroidism, tetreagenic

Question 23

MOA of buspirone

Answer 23

stimulates 5HT1a receptors

Question 24

use of buspirone

Answer 24

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

Question 25

SSRIs

Answer 25

fluoxetine,pratoxetine, sertaline, citalopram

Question 26

time to effect for SSRI

Answer 26

4-8 weeks

Question 27

tox if SSRIs

Answer 27

GI distress, sexual dysfunction, serotinin syndrome

Question 28

tx of serotinin syndrome

Answer 28

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

Question 29

treatment of serotinin syndrome

Answer 29

cyproheptadine

Question 30

SNRI MOA

Answer 30

inhibits serotonin and NE uptake

Question 31

SNRI examples

Answer 31

venlaxafine, duloxatine

Question 32

duloxatine use

Answer 32

depression and diabetic neuropathy

Question 33

tox of SNRIs

Answer 33

raised BP, stimulation, nausea

Question 34

TCA examples

Answer 34

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

Question 35

MOA of TCAs

Answer 35

block reuptake of NE and serotinin

Question 36

clinical use of TCAs

Answer 36

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

Question 37

tox of TCA

Answer 37

sedation, alpha1 blocking effects,anticholinergic effects, arrythmias,

Question 38

TCA effects in elderly

Answer 38

confusion and hallucinations

Question 39

MAOis

Answer 39

phenelzine, isocarboazid, selegiline

Question 40

use of MAOis

Answer 40

atypical depression, anxiety, hypochondrias

Question 41

tox of MAOis

Answer 41

hypertensive crisis (with cheese of whine) CNS stimulaton

Question 42

interacts with MAOis

Answer 42

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

Question 43

use of bupropion

Answer 43

depression, smoking sensation

Question 44

tox of bupropion

Answer 44

stimulant effects, headache, seizure in bulimics

Question 45

mirtzapine MOA

Answer 45

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

Question 46

tox of mirtazapine

Answer 46

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