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1st Year Med School (Random) > Psych Review Rx > Flashcards

Psych Review Rx Flashcards

1
Q

Classes of Medications

A

Antidepressants

Anxiolytics

Antipsychotics

Mood Stabilizers

Stimulants

Dementia Medications

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2
Q

Classes of Antidepressants

A

Selective Serotonin Reuptake Inhibitor (SSRI)

Serotonin Norepinephrine Reuptake Inhibitor (SNRI)

Tricyclic Antidepressants (TCA)

Dopamine

Other

MAOI

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3
Q

SSRIs

Special Considerations

A 
Fluoxetine (Prozac)
 - PMDD
 - Longest Half Life
Sertraline (Zoloft)
 - *OCD (high doses)
Citalopram (Celexa)
Escitalopram (Lexapro)
Paroxetine (Paxil)
 - Weight gain more likely
 - Discontinuation syndrome likely
 - Teratogenic
Fluvoxamine (Luvox)
 - Shortest Half life
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4
Q

SNRIs

A

Venlafaxine (Effexor)

Desvenlafaxine (Pristiq)

Duloxetine (Cymbalta)

Milnacipran (Savella)

Levomilnacipran (Fetzima)

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5
Q

Appropriate Diagnosis

SNRI

A

Major Depressive Disorder

Anxiety Disorders

Adjustment Disorder

Neuropathic Pain

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6
Q

SNRIs

Special Considerations

A

Venlafaxine (Effexor)

  • Withdrawal Syndrome
  • Hypertension
  • Hyperkalemia

Desvenlafaxine (Pristiq)

Duloxetine (Cymbalta)

  • Diabetic Peripheral Neuropathy
  • Fibromyalgia
  • Musculoskeletal pain
  • Osteoarthritis

Milnacipran
- Fibromyalgia

Levomilnacipran
- Major Depressive Disorder

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7
Q

TCA’s

A 
Amitriptyline
Amoxapine
Clomipramine
Desipramine
Doxepin
Imipramine
Nortriptyline
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8
Q

Appropriate Diagnosis

SNRI

A

Major Depressive Disorder

Obsessive Compulsive Disorder

Anxiety Disorders

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9
Q

TCA Special Considerations

A

Amitriptyline

  • Sleep
  • Migraines

Amoxapine

Clomipramine
- OCD

Desipramine

Doxepin
- Puritis

Imipramine
- Enuresis

Nortriptyline

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10
Q

Dopamine Acting Antidepressants

A

Bupropion (Wellbutrin)

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11
Q

Appropriate Diagnosis

Bupropion

A

Major Depressive Disorder

Nicotine Addiction*

Bipolar Depression

Sexual Dysfunction*

Adult ADHD

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12
Q

Bupropion Special Considerations

A

Avoid in seizure disorder

Avoid in eating disorders

Can add to other serotonergic antidepressants

Also has action on norepinephrine

Not associated with weight gain

Helpful to treat multiple problems at once

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13
Q

Other Antidepressants

A

Mirtazapine (Remeron)

Trazodone (Deseryl)

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14
Q

Appropriate Diagnosis

Other Antidepressants

A

Major Depressive Disorder

Anxiety Disorders

Insomnia

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15
Q

Other Antidepressants Special Considerations

A

Mirtazapine

  • Appetite Stimulant
  • Antiemetic
  • More sedating at lower doses

Trazodone

  • At doses required for depression, very sedating
  • Priapism
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16
Q

MAOI

A

MAOI is never the answer

17
Q

Classes of Anxiolytics

A

Antidepressants

Benzodiazepines

Beta-blockers
Propranolol (Non-selective)

Antihistamines
Hydroxyzine (Non-addictive)

Other
Buspirone

18
Q

Benzodiazepines

A 
Diazepam (Valium)
Lorazepam (Ativan)
Clonazepam (Klonopin)
Alprazolam (Xanax)
Chlordiazepoxide (Librium)
Oxazepam (Serax)
Temazepam (Restoril)
Midazolam (Versed)
Triazolam (Halcion)
19
Q

Benzodiazepines Special Considerations

A

Clonazepam

  • Longest half life
  • Best for long term prophylaxis

Alprazolam

  • Best for infrequent prn use
  • Addicting

REVERSAL AGENT: Flumazenil

Chlordiazepoxide

  • Etoh Withdrawal
  • Liver impairment

Midazolam

  • No Clinical psychiatric use
  • Shortest half life
20
Q

Classes of Antipsychotics

A

1st Generation (Typical)

2nd Generation (Atypical)

21
Q

1st Generation Antipsychotics

A

*Chlorpromazine (Thorazine)
*Haloperidol (Haldol)
Thioridazine (Mellaril)
Fluphenazine (Prolixin)
Trifluoperazine (Stelazine)
Thiothixene (Navane)
Perphenazine (Trilafon)
Loxapine (Loxitane)
Pimozide (Orap)

22
Q

Appropriate Diagnosis

1st Generation Antipsychotics

A

Schizophrenia

Schizoaffective Disorder

Substance Induced Psychosis

Brief Psychotic Disorder

Psychotic Agitation

BEST for Positive Symptoms

23
Q

2nd Generation Antipsychotics

A 
Aripiprazole (Abilify)
Clozapine (Clozaril)
Lurasidone (Latuda)
Paliperidone (Invega)
Olanzapine (Zyprexa)
Quetiapine (Seroquel)
Risperidone (Risperdal)
Ziprasidone (Geodon)
24
Q

Appropriate Diagnosis

2nd Generation Antipsychotics

A

Schizophrenia

Schizoaffective Disorder

Substance Induced Psychosis

Mood Stabilizer (mania and depression)

Brief Psychotic Disorder

Psychotic Agitation

25
Q

Second Generation AntipsychoticsSpecial Considerations

A

Clozapine (Clozaril)
- Agranulocystois

Risperidone (Risperdal)

  • Gynocomastia
  • Galactorhea

Olanzapine (Zyprexa)
- Weight Gain/Sedation

Best for Negative Symptoms

Quetiapine (Seroquel)
 - Sedation
Ziprasidone (Geodon)
 - Weight Neutral
 - QT Prolongation

Aripiprazole (Abilify)
- Akesthesia

26
Q

Antipsychotics Side Effects

A

1st Generation
- Neurologic
= Tardive Dyskinesia, Dystonia etc.
= Often Use Benztropine for side effects

2nd Generation
- Metabolic
= Weight gain, Diabetes, Hypertension, Hyperlipidemia

27
Q

Mood Stabilizers

A

Lithium

Lamotrigine

Valproic Acid

Carbamazepine

28
Q

Mood Stabilizers Special Considerations

A

Lithium

  • Renal Impairment
  • Interactions

Valproic Acid

  • Weight Gain
  • Hepatotoxicity
  • Teratogenic

Lamotragine
- Stevens-Johnson Syndrome

Carbamazepine

  • Agranulyocytosis
  • Induces own metabolism
29
Q

Appropriate Diagnosis

Mood Stabalizers

A

Bipolar Disorders

30
Q

Sedatives

A

Zolpidem (Ambien)

Zaleplon (Sonata)

Ramelteon (Rozerem)

Eszopiclone (Lunesta)

31
Q

Appropriate Diagnosis

Sedatives

A

Insomnia

32
Q

Sedatives Special Considerations

A

Zolpidem

  • Odd Behaviors
  • Addictive

Ramelteon
- Melatonin based

33
Q

Stimulants

A

Amphetamine (Adderall)

Modafinil (Provigil)

Dextroamphetamine (Dexedrine)

Methylphenidate (Ritalin, Concerta)

Dexmethylphenidate (Focalin)

Lisdexamfetamine (Vyvanse)

Atomoxetine (Strattera)

34
Q

Appropriate Diagnosis

Stimulants

A

ADHD

Narcolepsy

35
Q

Stimulants Special Considerations

A

Amphetamine

  • Addictive
  • Stunts Growth

Modafinil

  • Addictive
  • Nacrolepsy

Atomoxetine
- Not Addictive

36
Q

Neurocognitive Agents

A

Donepezil
(Aricept)

Rivastigmine
(Exelon)

Memantine
(Namenda)

Galantamine
(Razadyne)

37
Q

Appropriate Diagnosis

Neurocognitive Agents

A

Dementia

Mild Cognitive Impairment

38
Q

Neurocognitive Agents Special Considerations

A

Does not reverse, slows progression

1st Year Med School (Random) (20 decks)

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