Schizophrenia Flashcards
More EPS FGA or SGA?
FGA
Chlorpromazine FGA or SGA?
FGA
Fluphenazine FGA or SGA?
FGA
Haloperidol FGA or SGA?
FGA
Perphenazine FGA or SGA?
FGA
Thioridazine FGA or SGA?
FGA
Thiothixenne FGA or SGA?
FGA
Aripiprazole FGA or SGA?
SGA
Asenapine FGA or SGA?
SGA
Brexpiprazole FGA or SGA?
SGA
Cariprazine FGA or SGA?
SGA
Clozapine FGA or SGA?
SGA
Iloperidone FGA or SGA?
SGA
Lumateperone FGA or SGA?
SGA
Lurasidone FGA or SGA?
SGA
Olanzapine FGA or SGA?
SGA
Paliperidonee FGA or SGA?
SGA
Pimavanserin FGA or SGA?
SGA
Quetiapine FGA or SGA?
SGA
Risperidone FGA or SGA?
SGA
Ziprasidone FGA or SGA?
SGA
High potency FGA have
High EPS
Low Anticholinergic
Low potency FGA have
Low EPS
High Anticholinergic
High potency FGA are
Fluphenazine
Haloperidol
Low potency FGA are
Thioridazine
Chlorpromazine
Acute injectable FGA
Chlorpromazine
Haloperidol
Fluphenazine
Long acting injectable FGA
Fluphenazine
Haloperidol
Acute injectable SGA
Olanzapine
Ziprasidone
Long acting injectable SGA
Aripiprazole
Olanzapine
Risperidone
Paliperidone
Aripiprazole main clinical pearl
Impulsivity
Asenapine main clinical pearl
New topical patch available
Brexpiprazole main clinical pearl
Impulsivity
Clozapine main clinical pearl
Blood dyscrasia
Metabolic
Constipation
QT prolongation
Seizure
Iloperidone main clinical pearl
Orthostatic hypotension
Slow titration
Lurasidone main clinical pearl
do not use with strong CYP3A4 inhibitor and inducer
Lumateperone main clinical pearl
Don’t take in 3rd trimester
Olanzapine main clinical pearl
Metabolic risks
DRESS
Paliperidone main clinical pearl
EPS
Prolactin
Pimavanserin main clinical pearl
No dopamine
Quetiapine main clinical pearl
Sedation
Anticholinergic effects
Cataracts
Risperidone main clinical pearl
EPS
Prolactin
Ziprasidone main clinical pearl
QT prolongation
SGA with Black box warning for suicidal thoughts
Aripiprazole
Lurasidone
Olanzapine
Paliperidone
Quetiapine
Risperidone
APS Sedation AEs
Chlorpromazine
Clozapine
Quetiapine
Thioridazine
APS EPS AEs
Chlorpromazine
Fluphenazine
Haloperidol
Perphenazine
Thioridazine
Thiothixene
APS Anticholinergic AEs
Chlorpromazine
Clozapine
Thioridazine
APS Orthostasis AEs
Chlorpromazine
Clozapine
Iloperidone
Thioridazine
APS Weight gain AEs
Clozapine
Olanzapine
APS Prolactin AEs
Chlorpromazine
Fluphenazine
Haloperidol
Paliperidone
Perphenazine
Risperidone
Thioridazine
Thiothixene
APS Cardiovascular AEs
Haloperidol
Chlorpromazine
Clozapine
Iloperidone
Ziprasidone
Painful prolonged muscle contractions, involuntary facial movements, arms
Acute dystonias
Bradykinesia, tremor, pill rolling
Pseudo-parkinsonism
Restlessness, pacingm shuffling
Akathisia
Tongue thrusting, chewing, lip smacking
Tardive dyskinesia
Acute dystonia treatment
Anti cholinergics
IM benzos
Decrease dose or d/c
Pseudo-parkinsonism treatment
Anti cholinergic
Decrease dose or d/c
Akathisia treatment
Beta blockers
Decrease dose or d/c
Tardive dyskinesia treatment
Prevention
D/c
Do not use anticholinergics because they will mask sxs
Quitting smoking can ____ clozapine levels
Increase
How to calculate ANC
ANC = WBC * (Segs+Bands) x 1000
REMs APS
Double Check
Olanzapine
Clozapine
Class FGA AEs
EPS
QTc
Prolactin
Derm
Photosensitive
Blue gray
Orthostasis
Thermo-regu.
BBB = dementia
Class SGA AEs
Metabolic
QTc
Blood dyscrasia
Seizure
Anti cholinergic
Sedation
Prolactin
Ophthalmic
FDA approved FGA for acute psychosis
Chlorpromazine, Haloperidol
FDA approved FGA for BPD
Loxapine
FDA approved FGA for anxiety
Trifluoperzine
FDA approved FGA for Tourette’s
Haloperidol
FDA approved SGA for bipolar
Aripirazole
Asenapine
Cariprazine
Lumateperone
Lurasidone
Olanzapine
Olanzapine + samidorphan
Quetiapine
Risperidone
Ziprasidone
FDA approved SGA for MDD augmentation
Aripiprazole
FDA approved SGA for autism
Aripiprazole
Risperidone
FDA approved SGA for tourette’s
Aripiprazole
FDA approved SGA for MDD
Brexpiprazole
Olanzapine
Quetiapine
FDA approved SGA for parkinson’s disease psychosis
Pimavanserin
Can elderly patients with dementia get APS for treatment?
Yes if getting treated for schizophrenia. No for pure dementia treatment