Psych pharmacotherapy Flashcards

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1
Q

Tx of ADHD

A

Stimulants: Methylphenidate “Ritalin,” Dextroamphetamine “Adderal”
Non-stimulants: Atomexetine “Strattera” (Selective NE RI)

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2
Q

Tx of alcohol withdrawal

A

Benzos

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3
Q

Tx of Anxiety

A

SSRI, SNRI, Buspirone

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4
Q

Tx of Bipolar disorder

A
Mood stabilizer (Lithium, Valproate, Carbamazepine)
Atypical antipsychotic (Olanzapine, Aripiprazole...)
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5
Q

Tx of Bulimia

A

CBT, SSRI

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6
Q

Tx of Depression

A

SSRI, SNRIs, TCAs, Bupropion, Mirtazepine (with insomnia)

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7
Q

Tx of OCD

A

SSRIs, Clomipramine (TCA)

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8
Q

Tx of Panic Disorder

A

SSRI, venlafaxine, benzos

CBT

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9
Q

Tx of PTSD

A

SSRIs, exposure therapy (CBT)

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10
Q

Schizophrenia

A

Antipsychotics

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11
Q

Tx of social phobias

A

SSRI, Propranolol (stage-fright)

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12
Q

Tourette syndrome

A

Antipsychotics (risperidone, haloperidol)

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13
Q

Tx of Opioid overdose

A

Naloxone (opioid receptor antagonist)

Give to the obtunded patient

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14
Q

Withdrawal from what 3 drug classes can mimic psychosis?

A

Alcohol, benzos, barbiturates

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15
Q

What drug can be used to tx PTSD nightmares?

A

Prazosine (alpha adrenergic blocker)

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16
Q

Yawning with mydriasis indicates withdrawal from what drug class?

A

Opiates

17
Q

Which two psych drug classes have anticholinergic AE?

A

TCAs, Low-potency traditional antipsychotics (Chlorpromazine, Thioridazine)

18
Q

Tx of acute mania

A

Lithium + atypical antipsychotics

19
Q

Odd features of MDD with atypical features

A

Hyperphagia, Hypersomnia, Leaden paralysis, Hypersensitive to rejection

20
Q

Tx of MDD with atypical features?

A

MAOI

21
Q

Is it okay to give SSRI to depressed bipolar person?

A

No, converts depression to mania

22
Q

EPS: Acute dystonia tx

A

Benztropine/diphenhydramine

23
Q

EPS: Akithisia tx

A

Propranolol

24
Q

Tx of Seasonal affective disorder

A

Light therapy

SSRI

25
Q

Tx of serotonin syndrome

A

Cyproheptadine (Serotonin antagonist)

26
Q

Pt with psychosis, agitation, violent behavior, rotary nystagmus

A

PCP intoxication

27
Q

Tx of NMS: HTN

A

Clonidine or nitroprusside

28
Q

Tx of NMS: agitation

A

Benzos

29
Q

Tx of NMS: Rigidity

A

Dantrolene (inhibits Ca release, preventing rigidity and hyperpyrexia)

30
Q

What’s the CNS side effect of lithium?

A

Cognitive dulling, depression

31
Q

Can lithium affect thyroid?

A

Yes, Hyper/Hypothyroid, euthyroid goiter

32
Q

Kidney AE of lithium

A

Nephrogenic Diabetes insipidus -> Polyuria, polydipsia

33
Q

Generalized anxiety disorder tx

A

SSRI, Buspirone, CBT