Psychopharmacology

Question 1

Typical vs Atypical antipsychotics

Answer 1

Typical: introduced in the 1950s “Neuroleptic medications”. Effectively treats POSITIVE symptoms. Common side effects are EPS. i.e. Haldol
Atypical: introduced in 1990s, effectively treats mostly positive, but some negative symptoms too. Minimal r/f EPS.

Question 2

Contraindications for antipsychotics (it’s a lot)

This was mainly for typical antipsychotics

Answer 2

CNS depression (comatose)
Blood dyscrasia (blood disorders)
Parkinson's
Narrow angle glaucoma
liver, renal, cardiac insufficiency
poorly controlled seizure disorders
elderly, severely ill, debilitated
diabetes, intestinal obstruction
pregnancy

Question 3

Antipsychotics - atypical contraindications

Answer 3

hypersensitive, comatose or severely depressed patients, elderly with dementia-related psychosis, meds for QT prolongation, heart complications
Caution with elderly, debilitated patients, cardiac, hepatic, renal insufficiency, history of seizures, diabetes or risk for diabetes, temperature extremes (hypotension)

Question 4

Examples of typical antipsychotics

Answer 4

Haloperidol
Loxapine
Chlorpromazine
Fluphenazine

Question 5

Examples of atypical antipsychotics

Answer 5

Risperidone
Olanzipine
Quetiapine
Ziprasidone
Aripiprazole
Clozapine (clozaril)

Question 6

common side effect of antipsychotics

Answer 6

weight gain!!

Question 7

What classification of meds have an anticholinergic effect

Answer 7

anti-psychotics

Can’t see, can’t pee, can’t spit, can’t shit