Psychopharmacology for dentists

Question 1

types of antidepressants

Answer 1

tricyclic antidepressants (TCAs)
selective serotonin reuptake inhibitors
serotonin and noradrenaline reuptake inhibitors

Question 2

TCAs

Answer 2

tricyclic antidepressants
inhibits 5-HT and NA uptake
produces therapeutic effect

side effects from block of M1, H1 and alpha 1 receptors

Question 3

selective serotonin reuptake inhbitors

Answer 3

inhibits 5-HT uptake
therapeutic effect

side effects
- nausea and early anxiety

Question 4

serotonin and noradrenaline reuptae inhibitors

Answer 4

inhibits 5-HT and NA uptake
therapetuci effect
produces side effects like SSRIs

Question 5

why would you chose serotonin and NA reuptake inhibitors over the otters 2 antidepressants

Answer 5

better tolerated than TCA

more effective than SSRIs for severe depression

Question 6

anxiolytics/hypnotics

Answer 6

benxodiazepeines

relive anxiety

Question 7

what are the drugs of choice for anxiety

Answer 7

antidepressants but take longer to work

Question 8

types of antipsychotics

Answer 8

1) Typicals/first generation antipsychotics
- e.g. Haloperidol
2) Atypicals/second generation antipsychotics
- E.g. Olanzapine and Risperidone

Question 9

typical antipsychotics

Answer 9

block D2 receptors

therapeutic effects

Question 10

what is a mood stabiliser

Answer 10

lithium
narrow therapeutic index
teratogenic

Question 11

non pharmacologucal approaches

Answer 11

1) Electroconvulsive Therapy (ECT)
2) Phototherapy: seasonal affective disorder
3) Psychological Therapies

4) Social Interventions:
5) Rehabilitation

Question 12

what can not be used as a mood stabiliser in pregnant women

Answer 12

valproate

teatogenticity

Question 13

mood stabliser interactions

Answer 13

NSAIDS