Psychopharmacology Flashcards

1
Q

half-life of a drug refers to

A

how long it takes to get rid of half of the drug from the body

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2
Q

potentiation

A

when one drug can enhance the second drug

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3
Q

synergism

A

when one drug can enhance the second drug significantly more than expected

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4
Q

when a medication is antagonistic it can do what to counter the effects of a second drug

A

reduce the effect of the second drug

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5
Q

acetylcholine

A

memory, learning and attention

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6
Q

epinephrine

A

secreted by adrenal gland and endocrine gland above kidney. For fight flight freeze response regulation

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7
Q

norepinephrine

A

wakefulness and alertness

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8
Q

dopamine

A

behavioural regulation, movement, learning, mood and attention.
Can be both excitatory and inhibitory

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9
Q

dopamin receptors can be activated by which drugs

A

cocaine and amphetamines

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10
Q

what types of medication are best for these symptoms ?
low energy, apathy, inability to feel pleasure, low motivation

A

Dopamine or noradrenogenic medications SNRIS

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10
Q

what types of medication are best for these symptoms ?
anxiety, agitation, obsessional symptoms, rumination, aggression, pronounced suicidality

A

SSRI’s best

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10
Q

hat types of symptoms would indicate that someone was a good candidate for anti-depressants

A

someone with vegetative symptoms eg. sleep disturbances, appetite disturbances, fatigue, decreased sex drive, total loss of ability to experience pleasure etc.

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10
Q

what do the guidelines say about drinking whilst on anti depressants

A

should not drink in excess of 1 per day

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11
Q

how long after treatments have resolved after pharmacological depression treatment can you stop taking medication?

A

6 months after symptoms resolve, unless client has hx of multiple dep episodes in lifetime consider ongoing

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12
Q

hypersomnia, significant weight gain, craving carbs, extreme fatigue are atypical symptoms of MDD commonly reported by which population

A

those with bipolar illnesses

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13
Q

what symptoms indicate risk of hypomania if reported for longer than 2 days

A

irritability
decreased need for sleep without daytime drowsiness
racing thoughts
rapid pressured speech

14
Q

can you mix anti depressants with MAO inhhibitors

A

NO - FATAL

15
Q

what medication may have dangerous interactions with st Johns Wort

A

ant depressants

16
Q

a client tells you that they are taking SSRI’s and lithium what are you concerned about

A

SSRI’s increasing their lithium levels

17
Q

what medication is suitable for rapid cycling of mania

A

Lamotrigine

18
Q

what medication might be useful for mania with extreme agitation

A

antipsychotic or benzo

19
Q

what medication might be useful for classic euphoric mania

A

lithium or divaloproex

20
Q

What medication may be used for mixed mania symptoms

A

divaloproex

21
Q

what medication might be used for depressive episodes

A

mood stabilisers eg.
lithium, lamotragine, quetiapine etc

22
lithium toxicity
slurred speech, tremor, seizure, delirium, tinnitus (ringing in the ears), more frequent urination
23
when would medication for panic attacks be warranted?
when a client has experienced 4 or more panic attacks in a month
24
what medication is used for nightmares?
minipress
25
opioids are also known as
narcotics, heroin
26
opioids work on
the CNS as depressants produce slowed breathing, increased body temp, slurred speech and impaired memory
27
st johns wort is used for
mild depression
28