Psychotherapeutic drugs Flashcards

1
Q

What are psychotherapeutic drugs?

A

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

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2
Q

What are the three main mental health disorders?

A

Anxiety, affective disorders, and psychotic disorders

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3
Q

What are the 4 types of psychotherapeutic drugs?

A

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

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4
Q

What is an affective disorder?

A

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

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5
Q

What is psychosis?

A

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

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6
Q

What are anxiolytic drugs and what are two examples?

A

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

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7
Q

What are the three types of benzodiazepines?

A

ALpralozam, diazepam, lorazepam

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8
Q

What is the main adverse effect of benzodiazepine?

A

They may cause decreased CNS activity.

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9
Q

What is the treatment for benzodiazepine overdose?

A

Flumazenil

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10
Q

What is alprazolam?

A

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

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11
Q

What is diazepam?

A

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

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12
Q

What patient do we avoid diazepam in?

A

Patients with hepatic dysfunction

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13
Q

What drug is lorazepam?

A

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

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14
Q

How does diazepam relate to people of asian decent?

A

Asian people metabolize diazepam poorly so give them smaller doses

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15
Q

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

A

lithium carbonate and lithium citrate.

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16
Q

WHat drugs are given in combination with lithium?

A

Benzodiazepine and antipsychotic drugs

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17
Q

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

A

Buspirone hydrochloride

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18
Q

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

A

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.

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19
Q

What is done to help maintain therapuetic lithium levels?

A

We try to keep sodium levels within their normal range.

20
Q

What is the main adverse effect of lithium?

A

The main adverse effect is cardiac dysrhythmia

21
Q

What is a first-generation antidepressant?

A

Tricyclics and MAOIs

22
Q

What is a second-generation antidepressants?

A

SSRIs and SNRIs.

23
Q

What are tricyclic antidepressants and what is an example?

A

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

24
Q

What happens with a tricyclic overdose?

A

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

25
Q

Is there an antidote for tricyclic overdose?

A

There is no antidote, but we treat with activated charcoal

26
Q

What are MAOIs used for?

A

They are used for Parkinsons disease

27
Q

What is a disadvantage of MAOIs?

A

They can cause hypertension when given with tyramine

28
Q

WHat is the main example of SSRIs?

A

Fluoxetine

29
Q

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

A

They can cause insomnia and serotonin syndrome

30
Q

What causes serotonin syndrome and what is it?

A

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

31
Q

What is bupropion hydrochloride?

A

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

32
Q

What is duloxetine hydrochloride?

A

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

33
Q

WHat is a contraindication for duloxetine?

A

It cannot be taken with MAOIs

34
Q

What is an adverse effect for all psychotherapeutic drugs?

A

They cause dizziness drowsiness

35
Q

How long does it take for SSRIs to work?

A

They may take a few weeks before taking effect

36
Q

What are antipsychotic drugs?

A

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

37
Q

WHat is aan example of a first generation antipsychotic?

A

Haloperidol

38
Q

What are two examples of atypical antipsychotics?

A

Clozapine and respiridone

39
Q

What is the most severe adverse effect of antipsychotic drugs?

A

Agranulocytosis and hemolytic anemia and CNS effects

40
Q

WHat is used to treat extrapyramidal symptoms of antipsychotic drugs

A

Benztropine and triexyphenidyl

41
Q

What is haloperidol?

A

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

42
Q

What are two exmaples of atypical antipsychotics?

A

Clozapine and respiridone

43
Q

What is the main adverse effect of clozapine?

A

Blood dyscrasias

44
Q

What is st. Johns wort used for?

A

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

45
Q

Why would we dispense small amounts for antidepressant drugs?

A

Small amoutns are used to minimize the risk of suicide attempts

46
Q

Can you stop taking an ssri abruptly?

A

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