Schizophrenia Flashcards
Schizophrenia is a psychiatric disorder characterized by symptoms of chronic or recurrent psychosis. What are the objectives of treating schizophrenia with any
maintenance antipsychotic therapy?
L
What treatment options will you recommend for an adult patient with schizophrenia who shows persistent residual symptoms despite initial antipsychotic treatment?
K
What treatment option will you recommend for an patient with schizophrenia who is resistant to two antipsychotic medications (failed risperidone and aripiprazole)?
,
What are the monitoring parameters for antipsychotics medications
K
What are the ‘Decanoates’? what is the rationale behind their use? what is mechanism of their extended release?
M
Optional) What is the Z-track injection technique? Why is this used when administering the FGAs LAI?
K
First generation antipsychotic
Mechanism
Positive symptoms
Negative symptoms
EPS
Prolactin
Metabolic disturbance
QTC prolongation
Neuroleptic syndrome
Cost
S
Second generation antipsychotic
Mechanism
Positive symptoms
Negative symptoms
EPS
Prolactin
Metabolic disturbance
QTC prolongation
Neuroleptic syndrome
Cost
D
For patient with refractory positive symptoms
D
High potency
D
Low potency
D
Higher rate intravenous haloperidol compared with other FGA
K
Least cost
K
Atypical antipsychotic
S
Neuroloptic
D
Conventional
D
CYP1A2
N
Max dose
K
900
K
30
M
800
I
8
M
160
N
Iv very strong sedative where as oral not that sedating
K
worst QTC prolongation
M