Psychopharmacology for psychiatry Flashcards

1
Q

What are types of medicine for psychiatry?

A

-Chemical
-Electrical stimulation
-Structural rearrangements
-Talking (psycho) therapy

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2
Q

What are the different ways of classifying drugs?

A

-Based on chemical structure
-Based on what illness they treat
-Based on their pharmacology

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3
Q

What are the pros of naming based on chemical structure?

A

Each chemical has unique structure so is easy to allocate

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4
Q

What are the cons of naming based on chemical structure?

A

No use in clinical decision making

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5
Q

What are the pros of naming based on the illness they treat?

A

Easy for doctor to choose a drug after diagnosis

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6
Q

What are the cons of naming based on the illness they treat?

A

-Many psychiatric medicined work in several disorders
-Most psychiatric disorders have many symptoms and a single medication might not treat them all

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7
Q

2 types of GABA receptors?

A

GABAa receptor= ion channel
GABAb receptor= g-protein linked receptor

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8
Q

Example of GABAa agonist?

A

Alprazolam

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9
Q

Example of GABAb agonist?

A

Baclofen

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10
Q

Examples of enzyme targeting medicines? (blocking enzyme activity)

A

-Monoamine oxidase inhibitors (MAOIs)= anxiety, depression
-Acetylcholinesterase inhibitors= dementia
-Lithum blocks glycogen synthase kinase for mood stability

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11
Q

Examples of receptor stimulating medicine? (agonist)

A

-Benzodiazepines enhance GABA= sleep
-Guanfacine enhance noradrenaline= ADHD

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12
Q

Examples of receptor inhibiting medicine? (antagonist)

A

-Dopamine receptor blockers= schizophrenia
-Serotonin receptor subtype antagonists= depression
-Histamine receptor antagonists= sleep

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13
Q

Examples of neurotransmitter reuptake site blockers?

A

-Serotonin reuptake inhibitor= depression, anxiety
-Noradrenaline reuptake inhibitor= depression
-Dopamine reuptake inhibitor= ADHD

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14
Q

Example of neurotransmitter reuptake site simulator?

A

Amfetamine for ADHD

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15
Q

Examples of sodium channel blocking medicines?

A

-Sodium valproate= epilepsy, mood stabilisation
-Carbamazepine= epilepsy, mood stabilisation

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16
Q

Examples of calcium channel blocking medicines?

A

-Gabapentin= epilepsy, anxiety
-Pregabalin= epilepsy, anxiety

17
Q

What are disorders of glutamate excess?

A

-Epilepsy
-Alcohlism

18
Q

What is a disorder of GABA deficiency?

A

Anxiety

19
Q

What are disorders of serotonin deficiency?

A

-Depression
-Anxiety

20
Q

What is a disorder of dopamine excess?

A

Psychosis

21
Q

What is a disorder of noradrenaline excess?

A

Nightmares

22
Q

What are disorders of acetylcholine deficiency?

A

-Impaired memory
-Dementia

23
Q

What are inverse agonists?

A

Reverse receptor function