Psycotropics Flashcards

1
Q

SSRI basics

A

Selective serotonin reuptake inhibitors, type of antidepressant (often first given)

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2
Q

SSRIs ex

A

-xetine: paroxetine(very common), fluoxetine(very common), sertraline, citalopram, escitalopram, fluvoxamine, vilazodone, vortioxetine

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3
Q

SSRIs time to take effect

A

4-6 weeks

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4
Q

SSRIs side effects

A

Somnolence, dizziness, headache, insomnia, tremor, weakness, constipation, dry mouth, nausea, pharyngitis, runny nose, urinary retention, abnormal ejaculation

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5
Q

Benzodiazepines purpose

A

Anxiety reducing, hypnotic, sedative, anticonvulsant (short term only)

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6
Q

Benzodiazepine ex

A

-zepam, -Zolam: diazepam (anxiety and seizures), temazepam (sleep), alprazolam (anxiety and nerves), midazolam (anesthesia), triazolam(sleep) CNS DEPRESSION

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7
Q

Benzodiazepines concerns

A

Respiratory depression, risk of addiction

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8
Q

CNS stimulants MOA

A

Enhance dopamine transmission to areas of the brain that interpret well being

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9
Q

CNS stimulants side effects

A

Agitation, insomnia, headache, dizziness, apprehension, disorientation, hyperactivity, nausea, vomiting, dyspnea, urinary retention, tachycardia, palpitation

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10
Q

CNS stimulants concerns

A

High risk of abuse and tolerance

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11
Q

Bupropion indications

A

Depression, SAD, smoking cessation

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12
Q

Bupropion MOA

A

Increases dopamine and norepinephrine

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13
Q

Bupropion side effects

A

Stimulant, seizures

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14
Q

SNRIs indications

A

Depressive episodes, depression accompanied by anxiety disorders (GAD, panic, social phobias, PTSD), diabetic peripheral neuropathic pain, fibromyalgia, and chronic muscle pain

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15
Q

SNRIs example

A

Duloxetine and venlafaxine, bupropion, tradozone, nefazodone, maprotiline

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16
Q

SNRIs side effects general

A

Fatigue, tachycardia, palpitations, change in libido, impotence, skin rash, itching, vasodilation resulting in sweating and excessive sweating

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17
Q

TCAs indications and full form

A

Tricyclic antidepressants, for depression, OCD, bipolar, chronic neuropathic pain, depression accompanied by anxiety disorders, enuresis

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18
Q

TCAs ex

A

-iptyline or -ipramine: amitriptyline, desipramine, clomipramine, imipramine, nortriptyline + doxepin, amoxapine,

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19
Q

TCAs side effects

A

Anticholinergic, 3 C’s convulsion, coma, cardiotoxicity, + constipation and photosensitivity

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20
Q

MAOIs full form

A

Monoamine oxidase inhibitors

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21
Q

MAOIs indications

A

Depressive episodes

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22
Q

MAOIs aren’t for

A

Elderly, pheochromocytoma, liver and kidney disease, cerebrovascular disease, hypertension, history of headaches,

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23
Q

MAOIs ex

A

Takes Pride In Shanghai: Tranylcypromine, Phenelzine, Isocarboxazid, Selegiline

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24
Q

Aripiprazole indications

A

Schizophrenia, bipolar disorder, depression

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25
Q

Aripiprazole side effects

A

Headache, dizziness, nausea, insomnia, anxiety

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26
Q

Aripiprazole facts

A

Lowest risk of weight gain, lowest risk of drug induced disorders

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27
Q

Antipsychotics indication

A

Tourette’s and schizophrenia, bipolar, agitation and behavioral disorders

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28
Q

Antipsychotics MOA

A

Block dopamine receptors

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29
Q

Antipsychotics side effects

A

Sedation, headache, hypotension, dry mouth, nasal congestion, urticaria, photophobia, photosensitivity, increase in the intensity of the psychotic symptoms, lethargy, hyperactivity, paranoid reactions, agitation, confusion, weight gain, increased cholesterol, triglyceride, and blood sugar levels, neuroleptic malignant syndrome, recidivism

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30
Q

Low potency antipsychotics ex and side effects

A

Chlorpromazine (SE: corneal deposit and cataracts) and thioridazine( SE: corneal deposits and cataracts)

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31
Q

High potency antipsychotics ex

A

Fluphenazine, trifluoperazine, haloperidol

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32
Q

High potency antipsychotics side effects

A

Short term: dystonia, torticolis

Long term: tardive dyskinesia

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33
Q

Atypical antipsychotics indications

A

Schizophrenia

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34
Q

Atypical antipsychotics side effects

A

Seizures, prolonged QT interval, agranulocytosis

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35
Q

Neuroleptic malignant syndrome signs and symptoms

A

FEVER: fever, encephalopathy, vital signs unstable, elevated enzymes, rigidity of muscles

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36
Q

Reverse neuroleptic malignant syndrome by

A

D2 Agonists (bromocriptine, dantrolene)

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37
Q

Haloperidol indications

A

Migraines and schizophrenia

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38
Q

Haloperidol side effects

A

QT prolongation, weight gain, restlessness, neuroleptic malignant syndrome

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39
Q

Haloperidol concerns

A

Caution in seizure patients

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40
Q

Chlorpromazine classification

A

Low potency antipsychotic

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41
Q

Chlorpromazine indication

A

Schizophrenia and hiccups

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42
Q

Chlorpromazine side effects

A

Corneal deposits, cataracts, hypotension, sedation, neuroendocrine effects

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43
Q

Clozapine classification

A

Atypical antipsychotic

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44
Q

Clozapine indication

A

Schizophrenia, and levodopa induced psychosis

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45
Q

Clozapine consideration

A

Need weekly lab tests

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46
Q

Clozapine side effects

A

Hypersalivation, myocarditis, arangulocytosis

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47
Q

Pregablin MOA

A

GABA analog

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48
Q

Pregablin indications

A

Seizures, neuropathic pain, fibromyalgia

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49
Q

Pregablin side effects

A

Fatigue, angioedema, rhabdomylolysis (breakdown of muscle tissue)

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50
Q

Pregablin risks

A

Dependence potential

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51
Q

Risperidone classification

A

Atypical antipsychotic

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52
Q

Risperidone indications

A

Schizophrenia, bipolar mania, autism associated irritability

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53
Q

Risperidone side effects

A

Prolonged QT, hyperprolactinemia, gynecomastia, amenorrhea

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54
Q

Risperidone administration fact

A

IM= long lasting form

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55
Q

Lithium classification

A

Atypical antipsychotic

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56
Q

Lithium indications

A

Bipolar (mood stabilizer)

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57
Q

Lithium restrictions

A

Not for use during pregnancy (cat
D), allergy to tartrazine, renal or cardiovascular disease, sodium depletion, dehydration in patients taking diuretics, lactation

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58
Q

Lithium side effects

A

Tremors, nausea, vomiting, thirst, polyuria

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59
Q

Tardive dyskinesia symptoms

A

Bizarre facial movements, bizarre tongue, increased extremity movements, stiff neck, dysphagia

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60
Q

Tardive dyskinesia solutions

A

Stop meds, AIMS

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61
Q

Cholinesterase inhibitors MOA

A

Block breakdown of acetylcholine

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62
Q

Cholinesterase inhibitors indications

A

Dementia, Alzheimer’s (early and moderate stages)

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63
Q

Cholinesterase inhibitors side effects

A

Vasodilation, constriction of pupils, slow HR, mucus in respiratory tract, anorexia, nausea, vomiting, diarrhea, dizziness, headache

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64
Q

Cholinesterase inhibitors ex

A

Memantine, galantamine, donepazil, rivastigmine,

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65
Q

Barbiturates indications

A

Seizure treatment and anesthesia

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66
Q

Barbiturates MOA

A

Decrease neuron firing, increase duration of Cl channel opening.

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67
Q

Barbiturates SE

A

Sedation CNS depression, CV depression, respiratory depression, P450 inhibitor

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68
Q

Phenobarbital indications

A

Seizures

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69
Q

Phenobarbital side effects

A

Ataxia, paradoxical excitement

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70
Q

Phenobarbital considerations

A

High abuse potential

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71
Q

Zolpidem classification

A

Non benzodiazepine hypnotic

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72
Q

Zolpidem indications

A

Insomnia

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73
Q

Zolpidem MOA

A

GABA receptor

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74
Q

Zolpidem side effects

A

Ataxia and confusion

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75
Q

Zolpidem considerations

A

Lower chance of dependence

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76
Q

Buspirone indication

A

General anxiety

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77
Q

Buspirone MOA

A

5-HTIA receptors, release dopamine and norepinephrine

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78
Q

Buspirone considerations

A

Little side effects, no alcohol interaction

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79
Q

Tradozone indication

A

Insomnia

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80
Q

Tradozone MOA

A

Alpha blocker: inhibit serotonin reuptake

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81
Q

Tradozone side effects

A

Sedation, priapism, orthostatic hypotension

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82
Q

Acetylcholine

A

Neurotransmitter that sends impulses across the parasympathetic branch of the autonomic nervous system

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83
Q

Amyloid plaque

A

Tangles of protein in nerve tissue

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84
Q

Parasympathetic

A

Pertaining to the part of the autonomic nervous system concerned with conserving body energy

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85
Q

Cholinesterase inhibitors contraindications

A

Pregnancy (cat B), and lactation

86
Q

Cholinesterase inhibitors precautions

A

Renal disease, bladder obstruction, seizure disorders, sick sinus syndrome, GI bleeding, asthma

87
Q

Cholinesterase inhibitors interactions

A

Decreased effectiveness of anticholinergics, increased risk of theophylline toxicity, decreased effectiveness of thiazide diuretics, increased risk of GI bleeding with NSAIDs

88
Q

Narcolepsy

A

Chronic disorder that results in recurrent attacks of drowsiness and sleep during daytime

88
Q

Satiety

A

Feeling of fullness in the GI system or appetite is satisfied

88
Q

Attention deficit hyperactivity disorder (ADHD)

A

Disorder characterized by inattention, hyperactivity, and impulsivity

89
Q

Amphetamines use

A

Drugs used to treat children with ADHD

90
Q

Analeptics use

A

Stimulate the respiratory center of the brain and cardiovascular system, used with narcolepsy and as an adjuvant treatment for obstructive sleep apnea

91
Q

Anorexiants use

A

Drugs used to suppress the appetite

92
Q

Amphetamines MOA

A

Block reuptake of norepinephrine and dopamine

93
Q

Analeptics ex

A

Modafinil, armodafinil, caffeine, doxapram

94
Q

Analeptics MOA

A

Bind to dopamine

95
Q

Anorexiants ex

A

Lorcaserin, benzphetamine, diethylpropion, phendlmetrazine, phentermine,

96
Q

Anorexiants MOA

A

Act on serotonin receptors and producing a feeling of satiety

97
Q

CNS stimulants use

A

ADHD, drug induced respiratory depression, postanesthesia respiratory depression without reduction of analgesia, narcolepsy, obstructive sleep apnea, exogenous obesity

98
Q

CNS stimulants contraindications

A

Convulsive disorders, ventilation disorders (COPD), cardiac problems, severe hypertension, hyperthyroidism, not a depression treatment

99
Q

Anorexiants pregnancy cat

A

X

100
Q

Amphetamines contraindications

A

Shouldn’t be taken concurrently or within 14 days of antidepressants, glaucoma

101
Q

Anorexiants contraindications

A

Concurrently or within 14 days of taking an antidepressant,

102
Q

Armodafinil pregnancy cat

A

C

103
Q

CNS stimulants precautions

A

Respiratory illness, real or hepatic impairment, history of substance abuse, pregnant or lactating

104
Q

CNS Stimulants interactions

A

Anesthetics increase risk of cardiac arrhythmias, theophylline increases risk of hyperactive disorders

105
Q

Modafinil interactions

A

Decreased effectiveness of oral contraceptives

106
Q

Atomoxetine side effects

A

Suicidal ideation, especially in children

107
Q

Amphetamines ex

A

Amphetamine, dexmethylphenidate, dextroamphetamine, lisdexamfetamine, methamphetamine, methylphenidate,

108
Q

Anxiolytics

A

Drugs used to treat anxiety

109
Q

Ataxia

A

Unsteady gait, muscular in coordination

110
Q

Gamma-aminobutyric acid (GABA)

A

A neurotransmitter inhibitor that is involved in the regulation of sleep and anxiety

111
Q

Generalized anxiety disorder (GAD)

A

Disorder of chronic anxiety, exaggerated worry and tension

112
Q

Post traumatic stress disorder (PTSD)

A

A mental health condition triggered by a terrifying event

113
Q

Buspirone MOA

A

Act on the brains serotonin receptors

114
Q

Benzodiazepines MOA

A

Potential if the effects of GABA

115
Q

Hydroxyzine MOA

A

Acts on hypothalamus and brainstem reticular formation

116
Q

Anti anxiety use

A

Isolated episodes of intense anxiety, temporary use for those with severe functional impairment, preanesthetic sedation and muscle relaxation, convulsions, seizures, alcohol withdrawal

117
Q

Anti anxiety side effects

A

Mild drowsiness or sedation, lightheadedness or dizziness, headache, lethargy, apathy, fatigue, disorientation, anger, restlessness, nausea, constipation, diarrhea, dry mouth, visual disturbances

118
Q

Benzodiazepine withdrawal symptoms

A

Increased anxiety and panic, fatigue, hypersomnia, nightmares, metallic taste, concentration difficulties, headache, tinnitus, tremors, numbness in extremities, tachycardia, hypertension, nausea, vomiting, diarrhea, fever, sweating, muscle tension, aching, cramps, psychoses, hallucinations, agitation, memory impairment, convulsions

119
Q

Anti anxiety drugs contraindications

A

Psychoses, acute narrow angle glaucoma, pregnancy (cat D), labor, lactation, coma, shock, low vital signs in patients with acute alcohol intoxication

120
Q

Buspirone contraindications

A

Grapefruit

121
Q

Diazepam contraindications

A

Grapefruit

122
Q

Buspirone pregnancy cat

A

B

123
Q

Hydroxyzine pregnancy cat

A

C

124
Q

Anti anxiety precautions

A

Elderly, impaired liver function, impaired kidney function, debilitation

125
Q

Anti anxiety drugs interactions

A

Alcohol and analgesics increases risk of CNS depression, alcohol also increases risk for convulsions, TCAs and antipsychotics increase risk for sedation and respiratory depression, digoxin increases risk for digitalis toxicity

126
Q

How do benzodiazepines effect elderly

A

Excreted more slowly p, causing a prolonged effect, if they accumulate, may cause in parease in adverse reactions or toxicity

127
Q

Benzodiazepine antidote

A

Flumazenil

128
Q

Hypnotic

A

Drug that induced sleep

129
Q

Sedative

A

Drug producing a relaxing, calming effect

130
Q

Sedative and hypnotics primary use

A

Insomnia

131
Q

Criteria for diagnosis for insomnia

A

Difficulty asleep, waking often and trouble going back to sleep at night, waking too early in the morning, feeling tired upon waking

132
Q

Non benzodiazepines ex

A

Ezopiclone, and zolpidem, dexmedetomidine, ramelteon, suvorexant, tasimelteon, zalepion,

133
Q

Barbiturates consideration

A

Used infrequently because of their long half life, which prolongs a sleepy or drowsy feeling

134
Q

Sedatives and hypnotics uses

A

Insomnia, convulsions or seizures, used as adjuncts for anesthesia, preoperative sedation, conscious sedation

135
Q

Sedatives and hypnotics side effects

A

Dizziness, drowsiness, headache, nausea

136
Q

Sedatives and hypnotics contraindications

A

Comatose patients, severe respiratory problems, history of drug and alcohol habitual use, pregnancy, lactation, grapefruit

137
Q

Barbiturates pregnancy cat

A

D

138
Q

Sedative and hypnotics precautions

A

Lactation, hepatic or renal impairment, habitual alcohol use, mental health problems

139
Q

Sedatives and hypnotics interactions

A

Antidepressants, opioid analgesics, antihistamines, phenothiazines, cimetidine, and alcohol all increase sedative effect

140
Q

Zolpidem side effects

A

Memory loss or amnesia

141
Q

Barbiturates ex

A

Pentobarbital, secobarbital

142
Q

Bipolar disorder

A

A mood disorder characterized by severe swings from extreme hyperactivity to depression

143
Q

Dysphoric

A

Characterized by extreme or exaggerated sadness, anxiety, or unhappiness

144
Q

Endogenous

A

Pertaining to something that normally occurs or is produced within the organism

145
Q

Mood disorders

A

A spectrum of conditions that range from severe debilitation to an exhaustive elation

146
Q

Neurohormones

A

Secreted rather than transmitted neurosubstances

147
Q

Priapism

A

Painful, persistent erection

148
Q

Serotonin syndrome

A

Potentially life threatening drug reaction that causes the body to produce too much serotonin

149
Q

Tyramine

A

Amino acid, commonly found in foods such as cheese and red wine

150
Q

Unipolar depression

A

Mental disorder of low mood, low self esteem, and loss of interest/pleasure aka major mood disorder

151
Q

Depression symptoms

A

Feelings of hopelessness or helplessness, diminished interest in activities of life, significant with loss or gain, insomnia or hypersomnia, agitation, restlessness or irritability, fatigue, feelings of worthlessness, excesssive guilt, diminished ability to think or concentrate, indecisiveness, recurrent thoughts of death or suicide

152
Q

SSRIs MOA

A

Inhibit CNS reuptake of serotonin

153
Q

SSRIs uses

A

Depressive episodes, anxiety disorders (panic, PTSD, GAD, social phobias), premenstrual dysphoric disorder (PMDD), OCD, bulimia

154
Q

SSRIs contraindications

A

Pregnancy (cat C),

155
Q

Fluoxetine contraindications

A

Cisapride, pimozide, carbamazepine

156
Q

Serte aliñe contraindications

A

Grapefruit

157
Q

SSRI precautions

A

Type 2 diabetes, cardiac disease, impaired liver or kidney function, suicidal ideation, shouldn’t be switched to an SSRI within 2 weeks of stopping a
MAOI

158
Q

SSRI interactions

A

Other antidepressants increase risk of toxic effects, cimetidine increases anticholinergic symptoms, NSAIDs increase risk of GI bleeding and decrease effectiveness of the SSRI, lithium increases risk of lithium toxicity

159
Q

SNRIs MOA

A

Affect neurotransmission of serotonin, norepinephrine, and dopamine

160
Q

SNRIs neuromuscular system side effects

A

Somnolence, migraine, hypotension, dizziness, lightheadedness, vertigo, blurred vision, photosensitivity, insomnia, nervousness, agitation, tremor

161
Q

SNRIs GI system side effects

A

Nausea, dry mouth, anorexia, thirst, diarrhea, constipation, bitter taste

162
Q

SNRIs pregnancy cat

A

C

163
Q

Bupropion pregnancy cat

A

B

164
Q

Maprotiline pregnancy cat

A

B

165
Q

Maprotiline classifications

A

SNRI

166
Q

Maprotiline contraindications

A

Seizure disorder, during acute phase of a myocardial infarction,

167
Q

Nefazodone contraindications

A

Cisapride, pimozide, carbamazepine

168
Q

Vilazodone contraindications

A

Grapefruit

169
Q

Tradozone contraindications

A

Grapefruit

170
Q

SNRIs precautions

A

Cardiac disease, renal or hepatic impairment, hyperthyroid disease, suicidal ideation

171
Q

SNRIs interactions

A

Sedatives, hypnotics, analgesics increase risk for respiratory and CNS depression, warfarin increases risk of bleeding cimetidine increases anticholinergic symptoms, antihypertensives increase risk for hypotension, MAOIs increase risk for hypertensive episodes, severe convulsions and hyperpyretic episodes

172
Q

TCAs MOA

A

Inhibit reuptake of serotonin or norepinephrine

173
Q

Antidepressants most often used

A

SSRIs and SNRIs are most frequently prescribed, (more than TCAs and MAOIs)

174
Q

TCAs contraindications

A

Not given within 14 days of MAOIs, recent myocardial infarction, pregnancy (cat C and D)

175
Q

Doxepin contraindications

A

Glaucoma, tendency for urinary retention

176
Q

TCAs precautions

A

Cardiac disease, hepatic or renal impairment, hyperthyroid disease, history of seizure activity, narrow angle glaucoma, increased intraocular pressure, urinary retention, suicidal ideation, elderly

177
Q

TCAs interactions

A

Sedatives, hypnotics and analgesics increase risk or respiratory and CNS depression, cimetidine increases anticholinergic symptoms, MAOIs increase risk for hypertensive episodes, convulsions and hyperpyretic episodes, adrenergics increase risk for arrhythmias and hypertension

178
Q

MAOIs MOA

A

Increase in endogenous epinephrine, norepinephrine, dopamine, and serotonin

179
Q

MAOIs side effects

A

Orthostatic hypotension, dizziness, headache, blurred vision, constipation, dry mouth, nausea, diarrhea, impotence, hypertensive crisis when taken with foods containing tyramine

180
Q

Foods containing tyramine

A

Aged cheese, sour cream, yogurt, beef, chicken livers, pickled herring, fermented meats, undistilled alcoholic beverages, caffeine, chocolate, avocado, bananas, figs, raisins, sauerkraut, yeast extracts, soy sauce

181
Q

MAOIs precautions

A

Younger than 16, pregnancy (cat C), lactation, impaired liver function, history of seizures, Parkinsonian symptoms, diabetes, decongestants, hyperthyroidism, suicidal ideation

182
Q

MAOIs interactions

A

Sedatives, hypnotics, and analgesics increase risk for adverse reaction during surgery, thiazide diuretic increases hypotensive effects, meperidine increases risk for hypertensive episodes, severe convulsions, and hyperpyretic episodes, adrenergics increase risk for cardiac arrhythmias and hypertension, tyramine risks hypertensive crisis, and antitussives cause hypotension, fever, nausea, jerking motions of the leg and coma

183
Q

Lithium interactions

A

Antacids decrease lithium effectiveness, diuretics and antipsychotics increase risk of lithium toxicity

184
Q

Lithium should be monitored in…

A

Patients who sweat profusely, experience diarrhea, vomiting, or have an infection or fever causing fluid loss, elderly are at a higher risk for lithium toxicity

185
Q

Arangulocytosis

A

Decrease or lack of granulocytes (type of white blood cell)

186
Q

Alogia

A

Inability to finish a sentence when communicating

187
Q

Anhedonia

A

Lack of joy or pleasurable feelings

188
Q

Avolition

A

Inability to determine and initiate goals and activities

189
Q

Delusions

A

False belief that can’t be changed with reason

190
Q

Dopamine

A

Primary neurotransmitter in the sympathetic nervous system that deals with pleasure and reward in the brain

191
Q

Dystonia

A

Prolonged muscle contractions that may cause twisting and repetitive movements of abnormal posture

192
Q

Hallucinations

A

False sensation or perception of reality

193
Q

Photophobia

A

Intolerance to light

194
Q

Psychosis

A

Spectrum of disorders that affect mood and behavior

195
Q

Recidivism

A

When patients are hospitalized and are given meds, then they experience side effects that may be as bad as the disease, and then stop taking meds (esp bc there’s a longer time to take effect [6-10 weeks]), this causes them to repeat the behavior that caused them to be hospitalized since the psychosis returned, turns into a cycle

196
Q

First generation antipsychotics MOA

A

Diminish positive symptoms of schizophrenia (symptoms added to one’s behavior), but also cause many extrapyramidal effects

197
Q

First generation antipsychotics ex

A

Chlorpromazine, haloperidol, fluphenazine, loxapine, perphenazine, pimozide, prochlorperazine, thioridazine, thiothixene, trifluoperazine,

198
Q

Atypical antipsychotics MOA

A

Typical extrapyramidal effects are lessened, diminish positive symptoms and enhance behaviors to reduce negative symptoms (removed from typical behavior)

199
Q

Atypical antipsychotics ex

A

Clozapine, aripiprazole, asenapine, brexpiprazole, cariprazine, clozapine, iloperidone, lurasidone, olanzapine, palipericone, quetiapine, risperidone, ziprasidone,

200
Q

Extrapyramidal effects of antipsychotics include

A

Parkinson-like symptoms, akathisia, and dystonia

201
Q

Antipsychotics contraindications

A

Comatose patients, severe depression, bone marrow depression, blood dyscrasias, liver impairment, coronary artery disease, severe hypotension or hypertension, pregnancy (cat C)

202
Q

Haloperidol contraindications

A

Parkinson’s

203
Q

Clozapine pregnancy cat

A

B

204
Q

Quetiapine contraindications

A

Grapefruit

205
Q

Pimozide contraindications

A

Grapefruit

206
Q

Antipsychotics precautions

A

Respiratory disorders, glaucoma, prostatic hypertrophy, epilepsy, decreased renal function, peptic ulcer disease

207
Q

Antipsychotics interactions

A

Anticholinergic increase risk for TD and psychotic symptoms, immunologic drugs increase severity of bone marrow depression, alcohol increases risk for CNS depression

208
Q

What to do when patients have serious manifestations of acute psychosis

A

Repeat parenteral administration every 1-4 hours and monitor for arrhythmia, rhythm changes and hypotension

209
Q

Antipsychotics elderly considerations

A

People with dementia maybe more agitated and there is an association between increased cerebrovascular problems and mortality with the use of antipsychotics (esp atypical)