Psychotherapeutic drugs

Question 1

What are psychotherapeutic drugs?

Answer 1

These are drugs that are used for the treatment of emotional and mental disorders

Question 2

What are the three main mental health disorders?

Answer 2

Anxiety, affective disorders, and psychotic disorders

Question 3

What are the 4 types of psychotherapeutic drugs?

Answer 3

Anxiolytic drugs, mood-stabilizing drugs, antidepressants, and antipsychotic drugs.

Question 4

What is an affective disorder?

Answer 4

This is a disorder that causes changes in mood that ranges from mania to depression.

Question 5

What is psychosis?

Answer 5

This is an emotional disorder that impairs mental function to the point the person cant perform daily activities

Question 6

What are anxiolytic drugs and what are two examples?

Answer 6

These are drugs that reduce overactivity in the CNS. An example is a benzodiazepines and buspirone.

Question 7

What are the three types of benzodiazepines?

Answer 7

ALpralozam, diazepam, lorazepam

Question 8

What is the main adverse effect of benzodiazepine?

Answer 8

They may cause decreased CNS activity.

Question 9

What is the treatment for benzodiazepine overdose?

Answer 9

Flumazenil

Question 10

What is alprazolam?

Answer 10

This is an anxiolytic drug that is used for short term relief of anxiety.

Question 11

What is diazepam?

Answer 11

This is a drug used for the treatment of anxiety, status epileptics,

Question 12

What patient do we avoid diazepam in?

Answer 12

Patients with hepatic dysfunction

Question 13

What drug is lorazepam?

Answer 13

This is an intermediate-acting benzodiazepine used for the treatment for alcohol withdrawal.

Question 14

How does diazepam relate to people of asian decent?

Answer 14

Asian people metabolize diazepam poorly so give them smaller doses

Question 15

WHat are the two main example of mood-stabilizing drugs?

Answer 15

lithium carbonate and lithium citrate.

Question 16

WHat drugs are given in combination with lithium?

Answer 16

Benzodiazepine and antipsychotic drugs

Question 17

What is a drug used for anxiolytic treatment that isn’t a benzodiazepine?

Answer 17

Buspirone hydrochloride

Question 18

What is the drug lithium, and what is done to maintain it?

Answer 18

This is a drug that is used to treat mania. It has a narrow therapeutic range. Blood monitoring ensures it remains in the therapeutic range to prevent lithium toxicity.

Question 19

What is done to help maintain therapuetic lithium levels?

Answer 19

We try to keep sodium levels within their normal range.

Question 20

What is the main adverse effect of lithium?

Answer 20

The main adverse effect is cardiac dysrhythmia

Question 21

What is a first-generation antidepressant?

Answer 21

Tricyclics and MAOIs

Question 22

What is a second-generation antidepressants?

Answer 22

SSRIs and SNRIs.

Question 23

What are tricyclic antidepressants and what is an example?

Answer 23

It is used as a second line antidepressant and the main example is amitriptyline.

Question 24

What happens with a tricyclic overdose?

Answer 24

It is a very lethal overdose that affects the cardiovascular and CNS systems

Question 25

Is there an antidote for tricyclic overdose?

Answer 25

There is no antidote, but we treat with activated charcoal

Question 26

What are MAOIs used for?

Answer 26

They are used for Parkinsons disease

Question 27

What is a disadvantage of MAOIs?

Answer 27

They can cause hypertension when given with tyramine

Question 28

WHat is the main example of SSRIs?

Answer 28

Fluoxetine

Question 29

What is the main adverse effect of second-gen antidepressants?

Answer 29

They can cause insomnia and serotonin syndrome

Question 30

What causes serotonin syndrome and what is it?

Answer 30

Second-gen antidepressants cause serotonin syndrome and this is when there is excessive effects of serotonin in the CNS.

Question 31

What is bupropion hydrochloride?

Answer 31

This is a drug originally used for depression but is now mostly used for smoking cessation. It can also treat patients struggling with sexual dysfunction from serotonin treatment

Question 32

What is duloxetine hydrochloride?

Answer 32

This is a drug used for depression and general anxiety disorder.

Question 33

WHat is a contraindication for duloxetine?

Answer 33

It cannot be taken with MAOIs

Question 34

What is an adverse effect for all psychotherapeutic drugs?

Answer 34

They cause dizziness drowsiness

Question 35

How long does it take for SSRIs to work?

Answer 35

They may take a few weeks before taking effect

Question 36

What are antipsychotic drugs?

Answer 36

These are drugs used for the treatment of severe mental illnesses such as schizophrenia, autism, and psychoses

Question 37

WHat is aan example of a first generation antipsychotic?

Answer 37

Haloperidol

Question 38

What are two examples of atypical antipsychotics?

Answer 38

Clozapine and respiridone

Question 39

What is the most severe adverse effect of antipsychotic drugs?

Answer 39

Agranulocytosis and hemolytic anemia and CNS effects

Question 40

WHat is used to treat extrapyramidal symptoms of antipsychotic drugs

Answer 40

Benztropine and triexyphenidyl

Question 41

What is haloperidol?

Answer 41

This is a drug used for long-term treatment of psychosis

Question 42

What are two exmaples of atypical antipsychotics?

Answer 42

Clozapine and respiridone

Question 43

What is the main adverse effect of clozapine?

Answer 43

Blood dyscrasias

Question 44

What is st. Johns wort used for?

Answer 44

It is used for depression, anxiety, sleep disorders, and nervousness.

Question 45

Why would we dispense small amounts for antidepressant drugs?

Answer 45

Small amoutns are used to minimize the risk of suicide attempts

Question 46

Can you stop taking an ssri abruptly?

Answer 46

No there has to be a 1 to 2 month taper period to prevent adverse effects