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psychopharm Flashcards

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1
Q

what are the four types of psychopharm drugs

A

Antidepressants
Antipsychotics
Mood stabilizers
Anxiolytics- treat anxiety

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2
Q

5 types of antidepressants

A

SSRI’s: Selective Serotonin Reuptake Inhibitors (first line)
SNRI’s: Serotonin Norepinephrine Reuptake Inhibitors
NDRI’s: Norepinephrine Dopamine Reuptake Inhibitors
TCA’s: Trycyclic Antidepressants
MAOI’s: Monoamine Oxidase Inhibitors

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3
Q

types of TCAs

A

amitriptyline, doxepin, nortriptyline, imipramine

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4
Q

side effects of TCAs

A

anticholinergic- DRY MOUTH, urinary retention
Blurred vision
constipation
Drowsiness, dizzy, ortho hypotension, sedation
weight gain

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5
Q

other uses of TCA besides antidepressants

A

migraines, anxiety, enurisis

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6
Q

types of MAOI

A

phenelzine, selegiline

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7
Q

side effects of MAOI

A

Hypertensive crisis when tyramine foods are ingested.
A, B, C, D

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8
Q

drug interaction of MAOI

A

with decongestants, other antideprssants, stimulants, and tyramine foods

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9
Q

what foods contain tyramine/ what foods can people with MAOI cannot take

A

BAR, bananas, avocados, raisins, ETOH, caffeine, chocolate, licorice, old ages cheese, grains ok but no yeast, no meds, no fermented foods, pickled foods, no soy

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10
Q

name the SSRIs

A

There are 6:
Prozac (fluoxetine)
Celexa (citalopram)
Zoloft (sertraline)
Lexapro (escitalopram)
Paxil (paroxetine)
Luvox (fluvoxamine)

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11
Q

side effects of SSRIs

A

GI upset- take with food
Headache
fatigue- may take at night
sexual dysfunction
IF given to a person with bipolar will make them go manic

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12
Q

black box warning for SSRI

A

if symptoms get worse or suicide ideation call HCP happens within 2-6 weeks

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13
Q

adverse effect of SSRI

A

serotonin syndrome

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14
Q

types of SNRI

A

Effexor (venlafaxine)- SIDE EFFEXOR
Cymbalta (duloxetine)
Pristiq (desvenlafaxine)

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15
Q

side effects of effexor (venlafaxine)

A

brain zap- withdrawal symptom

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16
Q

what is cymbalta/dulofetine also used for

A

neuropathic pain- fibro, Dm

17
Q

names of mixed meidcation

A

wellburtrin (Buproprion)
Remeron
Trazodone

18
Q

other uses of wellburtrin (Buproprion)

A

smoking cessation

19
Q

things to know for wellburtrin (Buproprion)

A

Seizure risk at higher doses
Heavy drinking should avoid

20
Q

what is serotonin syndrome

A

when multiple serotonergic medications are combined. can happen within 12 hours. STOP med

21
Q

symptoms of serotonin syndrome

A

S/E of serotonin syndrome is “SAD Head”
o Sweating
o Apprehensive (impending sense of doom)
o Dizzyness
o Headache
clonus, fever

22
Q

S/S of EPS

A

ADAPT
Acute dystonia- muscle contraction- neck, eyes, back
Akasthesia- restlessness
Pseudo parkinson- muscle rigidity
Taradive dyskenis- abnormal movement of voluntary muscles

23
Q

what is given for EPS

A

cogentin- benzotropine

24
Q

what is EPS

A

Extrapyramidal Symptoms (EPS)

25
Q

What is NMS

A

Neuroleptic Malignant Syndrome (NMS)

26
Q

S/S of NMS

A

Fever over 105, hypotention, decreased consiousness, muscle rigidity, no clonus, muscle necrosis- renal fail

27
Q

2 side effects of atypical 2nd gen antiphysotics

A

weight gain and sedation

28
Q

what labs for 2nd gen atypical

A

hyperglycemic, metabolism labs- can cause metabolic syndrome

29
Q

what is used for mood stabalizers

A

antipsychotics, anticonvulsants and lithium

30
Q

labs for lithium

A

chronic- 0.6-1.2, acute- 1.0-1.5

31
Q

what are the toxic effects of lithium

A

peeing, pooping, paresthesia, tremor, metalic taste,

32
Q

long term effect of lithium

A

kidney damage and thyroid

33
Q

name anticonvulsants used as mood stabilizer

A

valproic acid (depokote)- weight gain
lamotriginr- rash

34
Q

name anxiolytics

A

antideprassanrs for long term
benzodiazepines - fast ativan, lorezapam, valium, diazetam, xanax
buspar- busporine- no side effects

35
Q

Conventional/Typical
(1st Generation)

A

haloperidol (Haldol)
trifluoperazine (Stelazine)
chlorpromazine (Thorazine)

psych (5 decks)

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