Psychopharm Exam 2 COPY Flashcards
Which antidepressant is not prescribed for depression because it is too sedating; so is used as a treatment of insomnia (this one doesn’t fit into any of the classes above)?
Trazodone
Which antidepressant has the most research evidence to support its use during pregnancy?
Zoloft (this is an SSRI)
Name the antidepressants which have the lowest incidence of sexual side effects?
Wellbutrin and Remeron
What are the most common adverse effects of SSRIs?
Nausea, sexual dysfunction, and suicidality were the ones mentioned in class, but in addition to these, the book lists headaches, nervousness, diarrhea, weight gain, and insomnia.
Name the two antidepressants, which are sometimes used as monotherapy, but also sometimes used to augment SSRI treatment.
Wellbutrin and Remeron
benzo types/side effects
Xanax/Ativan
drowsiness, dizziness, tiredness;
blurred vision;
sleep problems (insomnia);
muscle weakness, lack of balance or coordination;
amnesia or forgetfulness, trouble concentrating;
nausea, vomiting, constipation;
appetite changes; or.
skin rash.
Other than the potential lethality of the above withdrawal, describe the symptoms and physical signs you would expect to see if someone was experiencing it.
Emotions: Anxiety, Restlessness, Irritability, Insomnia, Headaches, Poor concentration, Depression, Social isolation Physical: Sweating, Racing heart, Palpitations, Muscle tension, Tightness in the chest, Difficulty breathing, Tremor
Which class of medications are the treatments of choice for the LONG-TERM treatment of anxiety?
SSRI
What are the three most commonly prescribed 1st generation antipsychotics? Which one is rarely used due to anticholinergic side effects - but is powerfully sedating and can be helpful in violently aggressive patients?
- Thorazine- very anticholinergic and is powerfully sedating which is helpful to use for violent/aggressive patients 2. Halidol- commonly used; helps with positive symptoms of Schizophrenia but is known for producing side effects such as parkinsonism and tardive dyskinesia 3. Prolixen
Atypical Antipsychotic Side Effects
tardive dyskinesia
metabolic syndrome (diabetes, cholesterol, weight gain)
anticholinergic sx- delusions, dry mouth, difficulty urinating
What are anti-cholinergic side-effects?
Neuroleptic meds blocking acetylcholine receptors in both the peripheral and the central nervous system. The primary CNS side effect is delirium. Also includes dry mouth, constipation, urinary retention, blurred vision, and withdrawal reactions.
What are some of the other diagnoses that are treated with 2nd generation antipsychotic medications?
Maintenance phase of BP1 Irritability in autism
Which antipsychotics are available in an once-monthly injectable form?
1st generation= Halidol and Prolixen 2nd generation= Zyprexa, Risperdal, Invega, and Abilify
